A client has tried a variety of complementary and alternativ…
A client has tried a variety of complementary and alternative medicine (CAM) approaches to manage health concerns. The nurse asks, “How is going to CAM practitioners different from seeing your medical doctors?” What is he client most likely response?
Read DetailsA client presents to a rural emergency department 6 hours af…
A client presents to a rural emergency department 6 hours after a sexual assault. The facility does not have a trained Sexual Assault Nurse Examiner (SANE) on staff. The charge nurse states, “We can treat injuries, but forensic evidence collection and legal documentation should wait until a SANE is available tomorrow.” Which response by the primary nurse reflects the most appropriate understanding of specialized sexual assault services?
Read DetailsAn 84-year-old client with advanced dementia becomes increas…
An 84-year-old client with advanced dementia becomes increasingly irritable and resists bathing and repositioning. The client is nonverbal and unable to describe discomfort. The family requests hospitalization for “a full medical workup” and asks whether antibiotics and artificial nutrition should be initiated “just in case.” The primary nurse applies principles of palliative dementia care.Which intervention best reflects evidence-based palliative care for advanced dementia?
Read DetailsA client is being discharged from an acute care setting 24 h…
A client is being discharged from an acute care setting 24 hours after a sexual assault. During discharge planning, the nurse evaluates whether short-term outcome criteria for rape-trauma response have been met. Which client statement most clearly demonstrates achievement of an appropriate acute-phase outcome rather than a longer-term recovery goal?
Read DetailsA 35-year-old client with schizoaffective disorder reports d…
A 35-year-old client with schizoaffective disorder reports discontinuing part-time employment because increased earnings would have jeopardized Medicaid eligibility and access to psychiatric medications. The client has missed multiple outpatient appointments after being referred to different agencies for therapy, housing support, and vocational services. The nurse notes that the client appears overwhelmed navigating the system and states, “I don’t know who’s responsible for what anymore.”Which interpretation by the psychiatric-mental health nurse most accurately reflects systemic challenges within comprehensive community treatment for serious mental illness (SMI)?
Read DetailsA 64-year-old client with metastatic cancer states, “There m…
A 64-year-old client with metastatic cancer states, “There must be a mistake. I’ve made an appointment with two more specialists because this diagnosis doesn’t make sense.” Two weeks later, the same client angrily tells the nurse, “Why is this happening to me? I’ve taken better care of myself than most people.” The family reports the client has recently said, “If I can just live long enough to see my grandson graduate, I’ll do anything.”Using Kübler-Ross’s theory of death and dying, which interpretation by the nurse is most conceptually accurate?
Read DetailsA 78-year-old widowed woman with osteoarthritis reports “con…
A 78-year-old widowed woman with osteoarthritis reports “constant worrying,” difficulty sleeping, and increasing avoidance of leaving her apartment due to fear of falling. She has become progressively sedentary over the past year. Her provider recently prescribed diazepam (Valium) for anxiety. The psychiatric-mental health nurse reviews the treatment plan.Which interpretation and recommendation is most consistent with evidence-based management of anxiety disorders in older adults?
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