A preceptor nurse is discussing the substance abuse program with a new graduate nurse. The new graduate nurse asks the preceptor what is the most important initial outcome for clients in substance abuse programs
Which of the following is the best answer from the preceptor? 1. Make a moral inventory of self
2. Make amends for people they have hurt
3. Overcome denial
4. Learn problem-solving
3
Rationale: The initial outcome for clients in substance abuse programs is to overcome denial. Clients will be unable to participate fully in a recovery program until they can admit that they have a substance abuse problem, admit the extent of that problem, and acknowledge how it has impacted their life. Learning problem-solving is a later outcome for a substance abuse program. Making a moral inventory and making amends are the fourth and eighth steps of Alcoholics Anonymous and would not be initial outcomes.
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A mental health client is admitted to the psychiatric unit one month after abdominal surgery. During the initial assessment, the nurse asks the client about pain. In order to provide culturally competent care, the nurse should not:
1. Acknowledge that each client holds various beliefs about pain. 2. Abstain from stereotyping a client's pain responses based on the person's culture. 3. Assume that all clients will verbally express their pain and ask for medication. 4. Respect the client's right to react to pain in whatever manner desired.
A health care organization provides care to patients that are of Hispanic, Asian, and Eastern European heritage. What will the organization do to ensure that the staff represents the demographics of the service area?Select all that apply.Note: Credit will be given only if all correct choices and no incorrect choices are selected.
A. Hire nurses that speak Spanish. B. Promote a staff member from the Asian culture. C. Provide language assistance services. D. Post signage in the languages of the different groups E. Incorporate internal audits for culturally appropriate services
An instructor is describing the process of bone development. Which of the following would the instructor describe as being responsible for the process of ossification?
A) Osteoblasts B) Cortical bone C) Osteoclasts D) Cancellous bone
A student nurse assesses a blood pressure on an adult and finds it to be 140/86 . What term is used for the top number (140)?
A) systolic pressure B) diastolic pressure C) pulse pressure D) hypotension