A client who had been attending the day program and receiving a long-acting depot antipsychotic injection has not come to the program for 3 weeks. People in the group have seen this client shopping at the mall
Which intervention by the nurse case manager would be MOST appropriate? a. Make a home visit, and offer to give the overdue Haldol in the home.
b. Call a team meeting, and discuss discharging this client from the program.
c. Ask the group members to tell the client when they see him that he is missed and is welcome to come back.
d. Call the client on the telephone, and ask if he would like to continue or if he decided not to come again.
D
The most appropriate action would be to call the client on the telephone and ask if he would like to continue. This action is an assessment activity, under the case management model. Asking the group members to inform the client that he is welcome to come back is not proactive enough and places some of the responsibility of the client's on the group members, who are not health care providers. Before making a home visit or calling a team meeting, a simple phone call to the client should be made to gather more information and determine the next course of action. Also, keep in mind that as long as the client is not a threat to himself or others, he cannot be forced to attend meetings or take medication.
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When a 5-year-old is disruptive, the nurse says, "You must take a time-out.". The expectation is that the child will:
a. go to a quiet room until called for the next meal. b. slowly count to 20 before returning to the milieu. c. sit on the edge of the activity until able to regain self-control. d. sit quietly with a staff member until able to apologize for the behavior.
A nursing student has achieved academic excellence and has been invited to join nursing's honor society. Which organization has this student been invited to join?
1. National League for Nursing 2. American Nurses Association 3. Sigma Theta Tau International 4. American Association of Colleges of Nursing
A patient with rheumatoid arthritis is scheduled for plasmapheresis. She asks the nurse why they are going to do this procedure. In forming an answer the nurse must remember that the purpose of plasmapheresis is to
a. add medication to relieve pain symptoms. b. remove plasma-containing components that may be causing the disease. c. remove waste products such as urea. d. add saline or albumin that lubricates joints.
A staff nurse who has worked on the unit for 6 months voices the following concerns to another nurse: "The clinical nurse leader of the unit often follows me into the supply room and stands blocking the doorway and chats
The nurse leader makes opportunities to mention my good looks, muscular physique, or strength in the context of daily work, saying things like: ‘You're so hand-some; no wonder your patients like you.' The nurse leader frequently touches me on the arm, the shoulder, chest, or the hair, and if I'm sitting, touches my leg. Yesterday, the nurse leader patted my arm and said, ‘You know, if we were dating, I might be able to give you lighter assignments.' I don't want to date the nurse leader. I just want to be left alone! What should I do?" What is the best reply? a. "Don't be quite so honorable. Go on a date and see if you get better assign-ments.". b. "Confront the nurse leader with a descrip-tion of the behavior and state that you want the behavior to stop.". c. "Go directly to the human relations office at the agency and tell them what you just told me.". d. "Contact your lawyer and get advice ASAP in case the nurse leader decides to turn the tables and accuse you of ad-vances.".