A client with schizophrenia has decided to develop a psychiatric advance directive. What would be included in this document?
1. Conditions under which life support will be discontinued
2. A legal representative for power of attorney
3. Do not resuscitate (DNR) requests
4. List of persons who can make decisions on the client's behalf
4
Rationale: Psychiatric advance directives (PADs) are modeled after advance directives for end-of-life care. They are legal instruments that allow competent persons to document their preferences regarding mental health treatment. Any person can prepare a PAD as a contingency plan to be put in place and used if the person is incapacitated, found to be incompetent, or unable to make reliable decisions about psychiatric care. PADs do not address medical needs such as DNR orders or life support.
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a. depression of the central nervous system. b. hypotension and vasodilation. c. sexually transmitted diseases. d. postmature birth.
A patient's vital signs prior to a blood transfusion were: T = 97.6°F (36.4°C); P = 72 beats/min; R = 22 breaths/min; and BP = 132/76 mm Hg
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A patient fearfully runs from chair to chair crying, "They're coming! They're coming!" The patient does not follow the staff's directions or respond to verbal interventions. Which nursing diagnosis has the highest priority?
a. Fear b. Risk for injury c. Self-care deficit d. Disturbed thought processes
To obtain subjective data about a burn patient's self-concept, the nurse should
A) Ask the patient how she would describe herself B) Observe the patient's interactions with others C) Document the patient's lack of eye contact D) Note how the patient conceals her wound