Which of the following qualifications best explains why nurses are better suited for the role of case management than social workers?
1. Nurses have broader clinical experiences with a variety of clients.
2. Nurses have thorough training in psychobiology and pharmacology.
3. Nurses have superior therapeutic communication skills.
4. Nurses have better therapeutic relationships with their clients.
2
Rationale: Nurses are uniquely suited to the role of case management because of their increased emphasis on psychobiology and pharmacology in helping clients cope with alterations in their mental health. Social workers have broad clinical experiences with a variety of clients but do not receive education in pharmacologic treatment regimens. Nurses and social workers are equally adept in developing relationships with clients and using therapeutic communication skills.
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Patients on long-term diuretic therapy should take which mineral?
1. Potassium 2. Sodium 3. Calcium 4. Zinc
A fatal outcome can occur if antipsychotics are taken with which of the following?
A. antihypertensives B. antiasthmatics C. alcohol D. cheese
S.B. is a 22-year-old man who lost control of an all-terrain utility vehicle and struck a tree. He was not
restrained and his face hit the windshield on impact. When paramedics arrived, S.B. was responsive but confused, had significant facial swelling, and complained of pain in his right wrist and left forearm. The paramedics initiated cervical spine precautions, started oxygen at 15 L/min via a non-rebreather mask, and started a 16-gauge intravenous (IV) line with 0.9% normal saline. His vital signs (VS) were 120/75, 125, 36, and Spo2 94%. On arrival at the local emergency department (ED) 15 minutes later, his VS are 110/62, 110 regular, 28 to 32 and shallow, and Spo2 99%. An additional 16-gauge IV is inserted, and samples are drawn for the following laboratory tests: complete blood count (CBC), type and crossmatch, complete metabolic panel, prothrombin time/partial thromboplastin time (PT/PTT) and international normalized ratio (INR), and alcohol level. The trauma physician completes a head-to-toe assessment; the findings are shown in the chart. Chart View Physician Note Obeys commands, responds to voice, but not oriented to time or place. Generalized facial edema with full-thickness 2-cm cheek laceration. Blood behind left tympanic membrane, edema with slight discoloration over left mastoid process. Clear drainage coming from the left naris. Mid- to upper-chest contusions without crepitus, breath sounds clear. Abdomen slightly firm but not tender. Catheterized for 500 mL clear yellow urine; negative for blood, glucose, ketones. Positive deformity of right wrist and diffuse tenderness of left lower forearm. What is the significance of the slight discoloration over the left mastoid process, blood behind the left tympanic membrane, and drainage from the nose?
A nurse is collecting data for a history from a client with acute pancreatitis from alcoholism. Which question is appropriate for the nurse to ask to collect data about alcohol use?
a. "Do you realize that the pain of your pancreatitis is due to your drinking?" b. "Have you ever felt you should cut down on your drinking?" c. "Do most of your friends drink alcohol?" d. "Have you ever thought about hurting yourself because of your drinking?"