The case management for a client requiring community mental health services would include which of the following? (Select all that apply.)
a. Advocacy
b. Crisis intervention
c. Provision of referrals to a shelter
d. Administration of psychotropic medications
e. Developing a client's plan of care
A, B, C
Case management is a system of interventions designed to support mentally ill clients living in the community. The major components of case management are psychosocial rehabilitation, consultation, resource linkage (referral), advocacy, therapy, and crisis intervention. Administration of medications is performed by an individual, not a system, and clients are involved in planning their care.
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A nurse administers atropine to a patient before induction of anesthesia for a surgical procedure. When evaluating the effects of this medication, the nurse will:
a. assess for excessive bronchial secretions. b. expect a reduction in the patient's anxiety. c. monitor the patient's heart rate. d. observe for muscle paralysis.
A patient taking a beta blocker complains of shortness of breath. The patient has respirations of 28 breaths per minute, a blood pressure of 162/90 mm Hg, and a pulse of 88 beats per minute. The nurse auscultates crackles in all lung fields
The nurse understands that these assessments are consistent with: a. bronchoconstriction. b. left-sided heart failure. c. rebound cardiac excitation. d. sinus bradycardia.
An emphasis on values and morality is even more important in psychiatric nursing because:
a. people with psychiatric problems need moral guidance in order to be cured b. psychiatric nursing involves subjective experiences rather than objective diseases c. it is important for the nurse to share her religious beliefs with psychiatric patients d. psychiatric illnesses can be cured with proper morality
A 56-year-old African American nurse applied for a job at a small privately owned clinic
Even though she was well qualified for the job, she was not hired because her preemployment physical revealed that she has severe, long-term, uncontrolled hypertension. Which of the following is true? a. Because the clinic is small and privately owned, the administrator must prove that the woman's medical condition will cause undue hardship on the business. b. Because the nurse is an African American, this action violates the Civil Rights Act of 1964. c. Because the clinic is an at-will employer, the administrator can institute these types of criteria for employment. d. To base employment decisions on preemployment physical examinations violates the Americans with Disabilities Act.