A Latino client with schizophrenia is admitted to a mental health unit in an aggravated and disheveled stay after failing to take prescribed medication for the last five days. When developing a plan of care that incorporates the clients cultural background, the nurse give priority to what?Including of the family in the plan of care with the clients permissionA family member bring the relative to the local community Hospital because the relative is been acting strange. Which statement meets involuntary hospitalization criteria?1. I would like to end it always sleeping pills2. Voices say it is okay for me to kill all prostitutesA nurse encourages the client to join a self-help group after being discharged from a mental health facility. What is the purpose of having people work in a group?
SupportAs depression begins to lift, client is asked to join a small discussion group that meets every evening on the unit. The client is reluctant to join because I have nothing to talk about. What is the best response by the nurse?You feel you will not be excepted unless you have something to sayDuring a group meeting a client tells everyone I am afraid of my am pending discharge from the hospital what is the most appropriate response by the nurse facilitator?Maybe others in the group have similar feelings that they would shareAdd a group therapy session a client tearful he tells the other members I just lost my job this week.What is the nurse leaders most appropriate response?A 44-year-old client is unable to function since her husband asked for a divorce two weeks ago. She's brought to the crisis intervention center by a friend. What type of crisis reflects the situation?SituationalA client with the diagnosis of paranoid schizophrenia throws a chair across the room and start screaming at the other clients several of these clients have frightened expressions, one starts to cry, and another begins to pace. A nurse removed agitated client from the room. What should the nurse remaining in the room do next?Arraigned a unit meeting to discuss what just happenedThe client with a history of violence is becoming increasingly agitated. Which nursing intervention will most likely increase the risk of acting out behavior?Teaching relaxationThe client is diagnosed with borderline personality disorder. What is the realistic initial intervention for this client?Establish clear boundariesA nurse is aware that a coworker's mother died 16 months ago. The coworker cries every time someone says the word mother Earth mother's name is mentioned. What does the nurse conclude about this behavior?The coworker may need help with grievingA nurse educator is leading a class on supporting middle-aged adults were experiencing midlife crisis what should the nurse include is the most significant factor in the development of this type of crisis?The perception of their life situationWhat is the primary goal and plan and care for a client in crisis?
Restoring the client psychologic equilibriumAn adult who is been in a gay relationship for three years arrives at the emergency department in your panic state the client states my printer just left me I am a rack which the nurse to help the client cope with this loss?Identify the client support systems and encourage the client to talk about the situationWhich approach should the nurse use during crisis intervention?1. Active2. Goal orientedWhich is the most important assessment data for a nurse to gather from the client crisis?The clients perception of the circumstances surrounding the crisisAnd extremely anxious client enters the crisis center and asks a nurse for help which response best reflects the nurses role in crisis intervention?I will be here for you to help you figure things outWhen assisting clients to cope with crisis, the healthcare provider ship all the principles of intervention place the following interventions in order of their priority1. Intervene immediately2. Stabilize the client3. Facilitate understanding of the event4. Use the available resources5. Encourage self-relianceA child in the first grade is murdered and counseling is plan for other children in the school what should a nurse identify first for assessing a child's response to a crisis?Developmental level of the childWhat is an initial client objective in relation to anger management?Taking responsibility for the hostile behaviorThe nurse leaves and assertiveness training program for a group of clients which client statement demonstrates that the treatment been effective?It annoys me when people call me Deary so I told him not to do it anymoreA nurse is working with a married woman who is come to the emergency department several times with injuries that appear to be related to domestic violence. While talking with the nurse manager a nurse expresses discuss that the woman return the same situation. What is the nurse managers best response?
Most women attempt to leave about six times before they are able to do soWhat is the most important information understood teach to prevent relapse and a client with the psychiatric illness?Follow the prescribed medication regimenA depressed my prescribed antidepressant. How long should the nurse informed the client it will take for noticing a significant change in the depression?2 to 4 weeksA nurse is teaching clients about dietary stricture ends when taking and MAOIs. What responses the nurse tell them to anticipate if they do not fall these restrictions?Occipital headachesA client is receiving lithium. What is an important nursing intervention while this medication is being administered?Monitor the clients drug blood level regularlyClient in the hyperactive disorder, bipolar type, is receiving like them. The nurse identifies that the client with him flood level is 1.8 mEq what is the most appropriate nursing action?Hold the drug and notify the healthcare provider immediately because the blood lithium level maybe toxicA nurse administers an antipsychotic to a client. For which common manageable side effects of the nurse assessed the client?Unintentional tremorsWhat medication should the nurse expect to administer the actively reverse overdose set it effects of benzodiazepines?FlumazenilA nurses caring for client breath we went through from barbiturate use. What should the nurse anticipate that the client may experience?SeizuresChlordiazepoxide (Librium) 100 mg PO per hour is prescribed for client with the clinical Institute with drawl assessment score of 25. The client had 300 mg in three hours and it still displaying acute alcohol withdrawal symptoms. What is the next nursing action?Adminster chlordiazepoxide as indicated by clients CIWA scoreAmong members of the nursing team, which functions are registered nurses legally permitted to perform in the mental health hospital?1. Health promotion2. Case management3. Treating human responsesI healthcare provider orders restraints PRN for applying with history of violent behavior. What is the nurses responsibility concerning this order?1. Ask that the order indicate the type of restraint2. Recognize that PRN orders for restraints are unacceptable3. Implement the restraint order when the client begins to act outWhich quality is the most important to the nurse brings to the therapeutic nurse client relationship?There is no doubt that Self-awareness is one of the important components in nurse client relationship. Nurses spend most time with the patients than of any other health care professionals so self-awareness is considered as an important tool to develop a therapeutic relationship with the client.
Which purpose is served by establishing a therapeutic nurse client relationship?Which is the primary nursing goal when establishing a therapeutic relationship with a client? The goal of a therapeutic nursing interaction is to promote client insight and behavioral change directed toward client growth.
What points should a nurse keep in mind when caring for a client who belongs to a different culture?What points should a nurse keep in mind when caring for a client who belongs to a different culture? The nurse should be aware of his or her own cultural values and behavior patterns. The nurse should focus on understanding the client's traditions, values, and beliefs.
Which benefit would a client expect from joining a self help group?Feeling less lonely, isolated or judged. Reducing distress, depression, anxiety or fatigue. Talking openly and honestly about your feelings. Improving skills to cope with challenges.
|
Which functions are registered nurses legally permitted to perform in a mental health hospital
Urheberrechte © © 2024 ketiadaan Inc.
