As the caregiver for a male client whose mental retardation level ...

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As the caregiver for a male client whose mental retardation level is classified at a moderate level, the nurse's most appropriate action is to:
 
  a. Encourage him to work in a supervised setting at a fast food restaurant.
  b. Persuade him to look for an apartment in which he can live on his own.
  c. Find a group home that he would adjust well to.
  d. Seek placement for him in a long-term setting for clients with cognitive disabilities.

Question 2

A nursing supervisor is about to meet with a staff nurse suspected of diverting client medications. Which of the following assessment data would lead the supervisor to suspect that the staff nurse is impaired? (Select all that apply.)
 
  1. The staff nurse is frequently absent from work.
  2. The staff nurse experiences mood swings.
  3. The staff nurse makes elaborate excuses for behavior.
  4. The staff nurse frequently uses the restroom.
  5. The staff nurse has a flushed face.

[tranoy]

Answer to Question 1

A
A client at a moderate level of mental retardation has good communication skills, functions academically at a second grade level, benefits from vocational training by becoming employed in supervised settings, and is successful in living in the community with supervision. Living in an apartment alone applies to a client with mild retardation; living in a group home applies to a client with severe retardation; and placement in a long-term setting for clients with cognitive disabilities applies to a client with profound retardation.

Answer to Question 2

2, 3, 4, 5
Rationale: A number of clues for recognizing substance impairment in nurses have been identified. They are not easy to detect and will vary according to the substance being used. There may be high absenteeism if the person's source is outside the work area, or the individual may rarely miss work if the substance source is at work. Some other possible signs are irritability, mood swings, tendency to isolate, elaborate excuses for behavior, unkempt appearance, impaired motor coordination, slurred speech, flushed face, inconsistent job performance, and frequent use of the restroom.

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Excellent

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