The psychiatric nurse is working with a male client who has refused to take his medications. Which of the following would be a nursing intervention within the psychological dimension?
A) Establish a relationship in order to solve problem around noncompliance with medication regimen.
B) Encourage the client's attendance at a discharge group.
C) Administer antidepressant agents as ordered.
D) Observe for therapeutic effects and side effects of the medication.
Ans: A
The only intervention that deals with the psychological dimension of care is the correct answer. The others have to do with behavior and physiological dimensions of care.
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A) Inflammation is relieved. B) Core body temperature is reduced. C) Pain is relieved. D) Platelet aggregation is inhibited.
A nurse assists with the insertion of a central vascular access device. Which actions should the nurse ensure are completed to prevent a catheter-related bloodstream infection? (Select all that apply.)
a. Include a review for the need of the device each day in the client's plan of care. b. Remind the provider to perform hand hygiene prior to starting the procedure. c. Cleanse the preferred site with alcohol and let it dry completely before insertion. d. Ask everyone in the room to wear a surgical mask during the procedure. e. Plan to complete a sterile dressing change on the device every day.
When admitting an elderly patient, your assessment reveals loss of peripheral vision and a decline in visual acuity. The patient needs to be evaluated further for
A) glaucoma. B) cataracts. C) diabetic retinopathy. D) senile macular degeneration.
A nursing instructor is teaching a class about safety precautions that must be taken in the presence of gasses. The teacher realizes that additional clarification is needed when a student says:
1. "Static electricity can cause a spark that can ignite a fire or cause an explosion." 2. "Sheets and gowns saturated in oxygen will burn very rapidly." 3. "No smoking or open flame are allowed in the presence of oxygen." 4. "Oxygen is explosive."