D is a 26-year-old client with schizophrenia. His family is having difficulty adjusting to his return to the community after hospitalization. They are dismayed by his poor hygiene and avolition. A useful strategy for the nurse to suggest would be
A. family attendance at a psychoeducational group.
B. close supervision of D on a daily basis.
C. to learn to ignore all symptoms except delusions.
D. to take turns monitoring D to avoid burnout.
Answer: A. family attendance at a psychoeducational group.
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The correctional nurse has drawn blood from an inmate who has experienced gastrointestinal bleeding
While performing the venipuncture, the nurse told the inmate the blood was being drawn for the purposes of evaluating the inmate's hemoglobin and hematocrit. Can the blood also be used to screen the inmate for drug usage? 1. No, the blood can be used only for the determination of medical diagnosis. 2. Yes, the inmate signs away all rights to privacy when incarcerated. 3. Yes, as long as the nurse suspects the inmate of drug use. 4. No, the laboratory will not accept this blood drawn and will insist that the blood be drawn again by a laboratory technician.
A patient is preparing for discharge to home. The nurse has provided discharge instructions regarding activities. Which instruction is most helpful to the patient?
1. "You may complete activities as tolerated." 2. "Be sure to rest throughout the day." 3. "You can start exercising in 7 days if there are no signs of wound infection." 4. "You can bathe normally."
A client with a history of frequent outbursts and fighting has been receiving treatment to help control emotions and anger. The nurse realizes that the treatment has been successful when the client states:
1. "Hitting people is only justified sometimes.". 2. "There are other ways to deal with anger, and I will use them instead of fighting.". 3. "My brothers are the only ones who I can fight with and not get in trouble.". 4. "As long as my mother doesn't hit me first, I will not hit her.".
A patient with cardiogenic shock has the following vital signs: BP 102/50, pulse 128, respirations 28. The pulmonary artery wedge pressure (PAWP) is increased and cardiac output is low. The nurse will anticipate an order for which medication?
a. 5% human albumin b. Furosemide (Lasix) IV c. Epinephrine (Adrenalin) drip d. Hydrocortisone (Solu-Cortef)