The nurse is caring for a patient with a mood disorder who has been admitted to the medical-surgical unit for postoperative care. Which actions are appropriate therapeutic strategies for use with a patient with a mood disorder? Select all that apply
1. Offering a variety of choices in order to keep communication open
2. Keeping communication simple by offering limited choices
3. Reminding patients of delusional material when symptoms have resolved
4. Questioning the patient's belief system when it conflicts with the nurse's
5. Not reminding patients of inappropriate behaviors when in an altered state of mental health
Answer: 2, 5
Explanation: Reminding patients of inappropriate behaviors or delusional symptoms may result in confusion or embarrassment for the patient. Many times patients do not remember or may feel frightened by their manic behavior. If the patient remembers and brings it up, provide reassurance and seek clarification to understand how feelings are associated with their behaviors. Do not challenge or criticize a patient's belief system or values, even if they are in direct conflict with your own. Offering limited choices may help promote communication with patients experiencing racing thoughts associated with mania.
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An older adult patient taking high-dose corticosteroids to treat arthritis requests a pneumonia vaccine. What is the nurse's best response?
A) "Pneumonia vaccines are only given if you are at risk for serious pulmonary problems." B) "Live virus vaccines cannot be given to people who are significantly immunosuppressed." C) "Patients taking corticosteroids are well protected from viruses and do not need vaccines." D) "Corticosteroids interact with the pneumococcal vaccine to create serious adverse effects."
After interviewing your patient, you document "patient denies hoarseness, change in voice, dysphagia." In which sections of the review of systems is this information recorded?
a. nose and sinuses c. throat and neck b. mouth d. gastrointestinal
The nurse would explain to a client that the benefit of a Holter monitor over an ECG is that the Holter monitor
a. does not require a lengthy hospital stay. b. is a continuous recording, often for 24 hours. c. is less expensive than the traditional ECG. d. provides a two-dimensional view of the coronary arteries.
What risk factors does J.F. have that cause her to be at risk for this condition? Select all that apply
a. Obesity b. Nulliparity c. Single-fetus pregnancy d. Age younger than 20 years e. Coffee drinker