Four nurses describe their unit environments. Which description can most clearly be identified as therapeutic?
a. "My unit uses behavior modification to enhance patients' social skills."
b. "My unit allows patients to test new behaviors in a secure environment."
c. "My unit helps patients deal with childhood issues by providing a safe setting."
d. "My unit allows patients to deal with personal issues without interpersonal stressors."
B
The unit described in the correct answer provides a broad therapeutic focus for providing corrective experiences that helps patients recover. The distracters are too narrow in their therapeutic scope.
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A patient has been diagnosed with left ventricular heart failure. What physical findings would the nurse expect?
A) Enlarged liver B) Peripheral edema C) Pulmonary rales D) Enlarged spleen
On the patient's return to the medical-surgical unit, the nurse performing an abdominal assessment can affirm an absence of bowel sounds after listening in each quadrant for at least:
a. 30 seconds. b. 1 minute. c. 2 minutes. d. 3 minutes.
A nurse is preparing a presentation on sleep disorders for a community group. Which of the following would the nurse include when explaining the differences between narcolepsy and obstructive sleep apnea syndrome?
A) "Symptoms of both disorders are essentially the same, so it is difficult to differentiate between the two disorders." B) "People with narcolepsy awaken from a nap feeling rested and replenished, but those with obstructive sleep apnea do not." C) "People with obstructive sleep apnea syndrome can experience temporary paralysis with naps." D) "Naps are not recommended for clients with narcolepsy because of their association with severe loss of muscle tone."
The nurse is working with unlicensed assistive personnel (UAP) in a long-term care facility. Which tasks can the nurse delegate to the UAP?
1. Administering an enema to a stable client 2. Removing a fecal impaction for an unstable client 3. Assisting a client to perform ostomy care after hand surgery 4. Helping a client onto a bedpan 5. Assessing skin during an ostomy appliance change