A client is admitted to the psychiatric unit under an involuntary admission and is resting in his room quietly
When the nurse enters the room and attempts to administer the client's injection of Thorazine, the client refuses stating, "I don't want that medication. I have a friend who received those shots and he acts like a zombie." After the nurse discusses the reason for the medication and its actions, the client continues to refuse. Which action should the nurse take next? a. Contact the physician immediately.
b. Notify the nursing supervisor on call.
c. Hold the medication and chart the client's refusal.
d. Administer the injection anyway because the client was admitted involuntarily.
C
The nurse should hold the medication and chart the client's refusal. Even though the client was admitted involuntarily, he retains his legal right to refuse being medicated. It is important to chart that the med was not given and the reason for this action.
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A patient who was thrown from a horse suffered a penetrating wound of the chest that led to acute respiratory failure
The patient is now extubated and recovering on the medical-surgical unit of the hospital. As time for discharge draws near, the nurse would plan teaching to include what priority? A) Emotional support B) Wound care C) Activity level D) Nutrition
The mother of a 9-month-old infant is concerned because the infant cries when approached by an unknown shopper at the grocery store. What is the best response for the nurse to make to the mother?
a. "You could consider leaving the infant more often with other people so he can adjust." b. "You might consider taking him to the doctor because he may be ill." c. "Have you noticed whether the baby is teething?" d. "This is a sign of stranger anxiety and demonstrates healthy attachment."
Which intervention would be appropriate to use in Carl Rogers' client-centered therapy?
a. introspection b. role-playing c. behavior modification d. interpretation
Respiratory distress in a premature infant is MOST often the result of:
A) a pneumothorax. B) surfactant deficiency. C) pneumonia at birth. D) intracranial hemorrhage