The nurse is writing a care plan for a client with schizophrenia. Which of the following interventions demonstrates that the nurse is working from the Medical model?
1. The nurse will ask the client to identify responsible ways to manage delusional material.
2. The client will learn about the therapeutic effects of medications.
3. The nurse will teach the client appropriate social behaviors in group and one-on-one interactions.
4. The client will learn techniques that will interrupt hallucinations.
2
Rationale: The nurse who provides teaching to the client about medications is operating from the model that schizophrenia is a neurobiological disorder over which the client has no control, but can take responsibility for the symptoms by learning about medications. The nurse who teaches the client techniques to interrupt hallucinations operates from the model that the client is not to be blamed for the hallucinations but can take steps to manage the symptoms. The nurse who believes that teaching the client appropriate social behaviors is operating from the model that the client is responsible for inappropriate social behaviors and needs assistance from the nurse to solve this issue. The nurse who believes that asking the client to identify responsible ways to manage delusional material is operating from the model that the clients cause their own problems and are responsible for developing solutions.
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The graduate nurse did well on the NCLEX-PN® practice exam, and should schedule the actual examination:
1. In six months. 2. In six weeks. 3. As soon as possible. 4. After taking a review class.
A community health nurse is engaging in activities at the primary prevention level. Which activities would this include? Select all that apply
A) Conducting research on health outcomes B) Participating in policy formation C) Promoting aggregate-level interventions D) Fostering nurse involvement on community boards E) Acting in an expanded service role to promote increased influence F) Assisting with obtaining funds for a community health program
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A) Risk for activity intolerance related to the presence of a subclavian catheter B) Risk for infection related to the presence of a subclavian catheter C) Risk for loneliness related to need for isolation related to the presence of a subclavian catheter D) Risk for caregiver role strain related to the care of a subclavian catheter
A woman who is 30 weeks pregnant tells the nurse that she and her husband are having sexual difficulties. Which of the following actions should the nurse take?
a. Tell the woman she should not be sexually active at this point in her pregnancy because it may harm the fetus. b. Ask her to elaborate on the difficulties. c. Tell her that they should modify their positions during intercourse and that will take care of the problem. d. Tell her men like the way pregnant women look.