Answer to Question 1
B
Discharge planning should be initiated as soon as possible after the client is admitted so ample time is allowed to make necessary plans for discharge to home or to another facility. The other options will not allow sufficient time for this to occur.
Answer to Question 2
A, B, E, F
Trauma-informed care operates on several key principles. First, many people who act out have significant trauma histories, and such trauma histories may be hidden or underappreciated. Second, the experience of trauma makes the trauma survivor more susceptible to future trauma. Third, to be therapeutic, our interventions must themselves not be traumatizing to the trauma survivor. Fourth, a number of our interventions are in fact traumatizing, particularly those that are coercive or restrictive (e.g., restraints, involuntary intramuscular medications). However, although life is stressful, it is neither possible nor desirable to attempt to shield survivors of trauma from all the demands and trauma that might occur in life; such experiences can also lead to growth. Trauma survivors tend to have difficulty self-soothing when under stress and as a result are more likely to cope via maladaptive means.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
The nurse conducts the health history as the first step in the nursing assessment
The postoperative client supports an incision with a folded pillow when taking a deep breath and cou
Application of an ostomy bag or pouch: B, An ostomy nurse applying an ostomy bag to a stoma;
Home Health Nurse.
Building a Client Base Cont.