A 16-year-old adolescent who was sexually abused as a child tells the nurse in the clinic that she is having nightmares about the boys in her class
Which outcome is a realistic short-term goal for her diagnosis of Sleep Pattern Disturbance? The client will: a. verbalize her anxiety and fear about sexual abuse
b. identify goals for relationships with boys
c. identify two ways to discuss her feelings with her mother
d. state that she enjoys school
A
The most appropriate outcome for the 16-year-old adolescent who was sexually abused as a child and is now having nightmares about the boys in her class would be to have her verbalize her anxiety and fear about sexual abuse. Verbalizing and acknowledging her feelings would be the first step in addressing the issue that is influencing her nightmares.
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The nurse manager of a subacute geriatric unit of a hospital recognizes the need to reduce the incidence of pressure ulcers in patients on the unit
Which of the following protocols and procedures are associated with a decreased risk of pressure ulcers? (Select all that apply.) A) All patients are turned every 2 hours both during the day and during the night. B) Care providers are encouraged to lift rather than slide patients during transfers. C) Staff is discouraged from turning patients who are using a pressure-reducing mattress. D) Records of food and fluid intake are kept for each patient. E) Oils are added to patient baths and lotions applied thereafter.
A nurse is teaching a group of patients about the prevalence of type 2 diabetes in older adults. The nurse knows teaching has been effective when a patient states, "Statistically, in a group of 100 older adults in the United States, approximately:
1. 10 will have type 2 diabetes." 2. 17 will have type 2 diabetes." 3. 27 will have type 2 diabetes." 4. 33 will have type 2 diabetes."
A patient who takes an oral sulfonylurea medication will begin taking fluconazole (Diflucan). The nurse will expect to monitor which lab values in this patient?
a. Blood urea nitrogen (BUN) and creatinine b. Electrolytes c. Fluconazole levels d. Glucose
Which outcome is realistic for a patient with stage 1 Alzheimer's disease?
a. Caregiver will assume role of decision maker for patient to reduce stress. b. The patient will maintain the highest possible functional level to preserve auton-omy. c. Arrangements will be made for appropriate long-term placement to minimize risk of injury. d. The patient will retain full physical functioning through cognitive and occupa-tional therapies.