Of the following list, which is the least therapeutic to use as an alternative to physical restraints?
a. chemical restraints
b. increased staff
c. safer physical design of the living area
d. manipulation of the environment
A
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Which nursing documentation best meets the requirement for problem-oriented charting?
a. "Pacing and muttering to self. Sensory perceptual alteration related to internal auditory stimulation. Given fluphenazine 2.5 mg PO at 0900 and went to room to lie down. Calmer by 0930 . Returned to lounge to watch TV." b. "Agitated behavior. Patient muttering to self as though answering an unseen person. Given haloperidol 2 mg PO and went to room to lie down. Patient calmer within 30 minutes. Returned to lounge to watch TV." c. "S: States ‘I feel like I'm ready to blow up.' O: Pacing hall, mumbling to self. A: Auditory hallucinations. P: Offer haloperidol 2 mg PO. I: Haloperidol 2 mg PO given at 0900 . E: Returned to lounge at 0930 and quietly watched TV." d. "Pacing hall and muttering to self as though answering an unseen person. Haloperidol 2 mg PO administered at 0900, with calming effect in 30 minutes. Stated ‘I'm no longer bothered by the voices.'"
The nurse caring for a 91-year-old patient with osteoarthritis is reviewing the patient's chart. This patient is on a variety of medications prescribed by different doctors. What is the nurse most concerned about with this patient?
A) Depression B) Chronic illness C) Physical disability D) Drug interactions
The client tells the nurse that she does not wish to see her mother-in-law during this hospitalization, because she does not like her
When the client's husband and her mother-in-law visit, the client is very cordial and acts happy to see both visitors. The nurse recognizes that this client might be using which defense mechanism? A) Reparation B) Reaction formation C) Regression D) Rationalization
A nurse is teaching an older adult at home about taking newly prescribed medications. Which of the following would be included?
A) "You can identify your medications by their color." B) "I have written the names of your drugs with times to take them." C) "You won't forget a medication if you count them every day." D) "Don't worry if the label comes off; just look at the shapes."