When transferring a client into a chair, a nurse notices that the pressure-relieving mattress overlay has deep imprints of the client's buttocks, heels, and scapulae. Which action should the nurse take next?
a. Turn the mattress overlay to the opposite side.
b. Do nothing because this is an expected occurrence.
c. Apply a different pressure-relieving device.
d. Reinforce the overlay with extra cushions.
ANS: C
"Bottoming out," as evidenced by deep imprints in the mattress overlay, indicates that this device is not appropriate for this client, and a different device or strategy should be implemented to prevent pressure ulcer formation.
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Which of the following statements by the nurse may prevent successful separation between client and nurse at the end of a therapeutic one-to-one relationship?
1. "I'm going to miss our sessions together, but I think you're ready to handle difficult situations on your own." 2. "I think two or three more sessions are necessary for you to develop more confidence in using this new coping skill effectively." 3. "I'm skeptical of your ability to assert yourself when new conflicts occur in future relationships, so be careful." 4. "I suggest you contact me if you experience any new crisis that you feel unprepared to deal with on your own."
The nurse, planning care for a client diagnosed with a pneumothorax, identifies which types of pneumothorax? (Select all that apply.)
1. Spontaneous 2. Radical 3. Traumatic 4. Incomplete 5. Iatrogenic 6. Tension
A researcher wants to study whether showing a video about car safety increases the likelihood of car seat use among a group of first-time parents. When obtaining informed consent, the researcher must include: (Select all that apply)
a. an assurance of anonymity. b. a statement of the research purpose. c. consent to incomplete disclosure. d. voluntary participation.
The nurse has heard a member of public lamenting the fact that a mentally ill person committed a high-profile crime, saying, "I don't know what no one could see it coming."
What perception about abnormal behavior and mental illness is this person exhibiting? A) Internal forces are responsible for abnormal behavior. B) Abnormal behavior can be predicted and evaluated. C) Maladaptive behavior is always inherited. D) Mental illness is incurable.