A nurse prepares the plan of care for a patient experiencing an acute manic episode. Which nursing diagnoses are most likely? Select all that apply
a. Imbalanced nutrition: more than body requirements
b. Disturbed thought processes
c. Sleep deprivation
d. Chronic confusion
e. Social isolation
ANS: B, C
People with mania are hyperactive and often do not take time to eat and drink properly. Their high levels of activity consume calories, so deficits in nutrition may occur. Sleep is reduced. Their socialization is impaired but not isolated. Confusion may be acute but not chronic.
You might also like to view...
Which of the following facilitates communication in interdisciplinary team (IDT) conferences?
a. Setting time limits on the discussion of each resident b. Requiring that all members attend on time and are prepared c. Writing the needed changes in the plan of care before the meeting d. Inviting the family to meet with individual members of the team rather than coming to IDT meetings
Endogenous opioids such as endorphins
A) Excite neural pathways B) Contribute to analgesia C) Cause muscle spasms D) Release neurotensin
A nurse is teaching a health class about colorectal cancer. Which information should the nurse include in the teaching session? (Select all that apply.)
a. A risk factor is smoking. b. A risk factor is high intake of animal fats or red meat. c. A warning sign is rectal bleeding. d. A warning sign is a sense of incomplete evacuation. e. Screening with a colonoscopy is every 5 years, starting at age 50. f. Screening with flexible sigmoidoscopy is every 10 years, starting at age 50.
Considerable planning must be done before the go-live event. Which of the following are specific examples of planning elements? Select all that apply
1. Implementation strategy is determined 2. Decisions must be made regarding what information will be back loaded or preloaded 3. Support schedule is developed 4. Evaluation procedures are addressed 5. Procedure developed to request changes after the go-live event