An often expressed intrinsic reward of psychiatric mental health nursing is:
a. Seeing the seriously ill recover their health
b. Working with patients of all ages and walks of life
c. Working with well-trained, caring health care providers
d. Having time to really focus on the human who is the patient
ANS: D
Psychiatric mental health nurses are able to spend the time to know the patient not only as a patient but as an individual. This is an opportunity most nurses whose practice is based on the physical care of the patient is not afforded. The remaining options are not necessarily unique to psychiatric nursing.
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A client, aged 82 years, has Alzheimer's disease. She lives with her daughter's family and goes to a
day care facility on weekdays. The nurse at the day care center noticed the client was unkempt and had multiple bruises. When the daughter arrived to pick her up, the nurse discussed her observations. The daughter became defensive and said that her mother was very difficult to manage. She stated "My mother is not my mother anymore. She is confused and she wanders all night. When I have to be out in the evening on business, one of my teenagers has to watch her. Then I have to watch her all night. Last night I fell asleep and she fell down the stairs. Sometimes I just cannot bear to care for her.". The nursing diagnosis that can be established for the client is a. risk for injury related to poor judgment associated with cognitive impairment and lack of family caregiver supervision. b. noncompliance related to confusion and disorientation, as evidenced by lack of cooperation. c. anxiety related to confused state, as evidenced by the client wandering at night. d. impaired verbal communication related to brain impairment, as evidenced by the client's confusion.
An older patient with confusion is prescribed to receive a blood transfusion. What should the nurse do to obtain consent for this transfusion?
1. Ask the patient's durable power of attorney to sign the consent. 2. Withhold the blood transfusion until the patient's mental status improves. 3. Administer the blood transfusion since a signed consent form is not necessary. 4. Explain the transfusion, help the patient sign the consent, and administer the transfusion.
Over time, the nurse at a women's health clinic has provided care for numerous patients who have experienced pelvic organ prolapse
The nurse should recognize a higher-than-average risk of pelvic organ prolapse among which of the following individuals? A) A woman who is a long distance runner. B) A woman who has a history of constipation. C) A woman who has had recurrent urinary tract infections (UTIs). D) A woman who has had four vaginal births.
A researcher plans to study graduate-level achievement in all students who were educated under the Vermont public school system, in a small town that used both state-mandated texts and enrichment texts of the school board's choosing
Considering the limitations to generalizability, how can the researcher justify conducting the study to the institutional review board? (Select all that apply.) a. The researcher does not have to justify conducting the study. It has not been performed before, and so there is a gap in the literature. b. The researcher could argue that if graduate-level achievement is markedly lower in this group, the results could cautiously suggest revision of the town's educational practices. c. The researcher could write a proposal to study all towns in Vermont, so as to have been generalizability, and then study only this one. d. The researcher could justify conducting the study on the basis that it might enlighten the public school system in its decisions to mandate chosen texts. e. The researcher could reason that if graduate-level achievement is markedly higher in this group, the results could cautiously suggest a similar educational approach for other similar communities.