When a home health nurse administers an outpatient's injection of haloperidol decanoate (Haldol decanoate), which level of care is the nurse providing?
1. Primary prevention level of care
2. Secondary prevention level of care
3. Tertiary prevention level of care
4. Case management level of care
3
Rationale: When administering medication in an outpatient setting, the nurse is providing a tertiary prevention level of care. Tertiary prevention services are aimed at reducing the residual effects that are associated with severe and persistent mental illness. It is accomplished by preventing complications of the illness and promoting rehabilitation that is directed toward achievement of maximum functioning.
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A nurse working in a dermatology clinic observes that a patient of Mexican-American descent typically arrives 10 to 15 minutes late to every appointment. Based on an understanding of first-order beliefs, the nurse determines that: (Select all that apply
a. first-order beliefs serve as the basis of a person's belief system. b. first-order beliefs begin to develop in early adolescence. c. first-order beliefs are completely formed in childhood. d. people seldom question their first-order beliefs. e. challenging a patient's first-order beliefs may cause cognitive upset.
A client receives a diagnosis of dissociative fugue. Which behavior best illustrates this diagnosis?
A) Seeking privacy in his office B) Driving a long distance to visit a friend C) Sudden unexpected travel away from home D) Vacationing in a place he would usually avoid
The nurse is caring for a newborn who was small for gestational age and has been determined to have the condition intrauterine growth restriction (IUGR). Which factor would most likely have contributed to this condition?
A) The mother of this newborn smoked until four years ago B) The mother of this newborn has a history of abnormal blood glucose levels C) The mother of this newborn has been pregnant three previous times D) The mother of this newborn was on a food stamp program during pregnancy
The nurse is caring for a client with open-angle glaucoma. What are the characteristics of this disorder the nurse must be aware of when providing care?(Select all that apply.)
1. It is caused by impact injury. 2. It is the most common type of glaucoma. 3. Intraocular pressure develops slowly. 4. The iris does not cover trabecular meshwork. 5. Intraocular pressure develops quickly.