Which patient meets the criteria for psychiatric homebound care? (Select all that apply.)
a. A 68-year-old whose moderate Alzheimer disease (AD) symptoms are progressing
b. A 19-year-old who refuses to leave his room because of paranoid delusions
c. A 45-year-old who is so persistently depressed she rarely gets out of bed
d. A 50-year-old alcoholic who has developed cirrhosis of the liver
e. A 35-year-old who washes his hands 25 to 35 times a day
A, B, E
Psychiatric homebound status criteria is met by individuals who are confused and/or disoriented, immobilized by depression, and experiencing paranoid delusions that interfere with safety. The other options depict individuals who are not necessarily made homebound by their symptomatology.
You might also like to view...
A patient is to have a sequential compression device (SCD) applied on the postoperative unit. The patient is wearing knee-high elastic (antiembolism) stockings. When applying the SCD, what should the nurse do?
a. Remove the antiembolism stockings and not replace them. b. Replace the knee-high stockings with thigh-high stockings. c. Notify the surgeon that the patient is wearing antiembolism stockings. d. Apply the SCD over the knee-high antiembolism stockings.
A 30-year-old African American had surgery 6 months ago. Her incisional site is now raised, indurated, and shiny. This tissue growth is most likely a(n)
a. angioma. b. keloid. c. melanoma. d. nevus.
When conducting a review of a proposal, which of the following questions would be concerns of an institutional review board (IRB)? (Select all that apply.)
a. Is this study congruent with our hospital's research agenda? b. What will be the impact of this study on our hospital and its clients? c. Is this proposal literate and well written? d. Does this study have any scientific merit? e. What prior research experience does this author have? f. Will the human subjects studied be protected from harm? g. What is the quality of this study?
Howard is a 72-year-old male who occasionally takes diphenhydramine for his seasonal allergies. Monitoring for this patient taking diphenhydramine would include assessing for:
1. Urinary retention 2. Cardiac output 3. Peripheral edema 4. Skin rash