A 15-year-old was referred to a residential program after an arrest for theft and multiple episodes of running away from home. At the program, the adolescent refused to participate in scheduled activities and pushed a staff member, causing a fall
Which approach by nursing staff will be most therapeutic? a. Neutrally permit refusals.
b. Offer rewards in advance.
c. Plead for compliance.
d. Establish firm limits.
D
Firm limits are necessary to ensure physical safety and emotional security. Limit setting will also protect other patients from the teen's thoughtless or aggressive behavior. Permitting refusals to participate in the treatment plan, pleading, and bargaining are strategies that do not help the patient learn to abide by rules or structure.
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What characteristics are typical in a child diagnosed with Down syndrome? (Select all that apply.)
a. Close-set eyes b. Simian creases c. Wide-spaced front teeth d. Protruding tongue e. Curved, small fingers
The nurse reviewing laboratory results for a patient in her care recalls that several substances are filtered from the blood by the glomerulus and excreted in the urine
The nurse identifies the presence of which substances in the urine as abnormal findings? A) Potassium and sodium B) Bicarbonate and urea C) Glucose and protein D) Creatinine and chloride
The nurse is instructing a client who is at 10 weeks' gestation on smoking cessation and avoiding substance abuse. Which is the rationale for why these should be avoided during pregnancy?
A) Interferes with hormone excretion of the fetus. B) Facilitates the transfer of viruses and other diseases into the developing fetus. C) Passes into the developing fetus through the placenta very easily. D) Stops the synthesis of protein in the developing fetus.
A 48-year-old male client is recovering from a stroke. He has been discharged to home, is taking his medications appropriately, and is making significant progress with managing his diet and stress
He continues to have difficulty with activities of daily living, especially those activities that require fine motor skills. He is worried about this as his job requires a significant amount of fine motor skill. Based on her assessment, the nurse makes a referral to the A) social worker. B) occupational therapist. C) physical therapist. D) speech therapist.