A health care provider orders that a confused and disoriented patient be placed in a full hand restraint because of excessive scratching of skin. The nurse acknowledges which of the following?
a. Restraints are used on an as-needed basis.
b. No orders or patient consents are needed.
c. Restraints must be removed every 2 hours to allow for skin assessment, toileting, and nutrition.
d. An order for restraints may be used indefinitely until the patient no longer needs to be restrained.
C
Restraints must be removed every 2 hours to allow for skin assessment, toileting, and nutrition. Restraints are only used when other less restrictive measures fail to prevent interruption of therapies. The physician's or health care provider's orders are necessary. The need for restraints must be reevaluated every 24 hours.
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a. Basic community health nursing practice, especially in finding and accessing resources b. Spiritual assessment skills and acquiring theological knowledge c. Use of spirituality in faith healing d. Physical assessment, pathophysiology, and pharmacology
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A) An attempt to push the body to perform physically at the same level as in the past B) A neglect of personal appearance and other hygiene practices C) A failure to restrict lifestyle choices in a health-appropriate way D) An expressed desire to enter a nursing home to receive daily care and assistance
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1. Radicular pain, decreased deep tendon reflexes, loss of bladder control 2. Difficulty with balance, hemianopsia, hemiparesis 3. Dystonia, dysphagia, dysarthria 4. Paresthesia, priapism, loss of reflexes
Several members of a self-help group are making T-shirts for the group to wear in a parade. This is an example of which element of group therapy?
A) Catharsis B) Altruism C) Group cohesiveness D) Universality