A male client with a history of schizophrenia was admitted to the mental health facility after he was found on the street in a confused state and was uncooperative when approached by the police
One of the first assessments that should be performed on this client upon admission is a _____ assessment. a. Physical
b. Sociocultural
c. Psychosocial
d. Psychiatric
A
Physical problems frequently are overlooked when someone has a diagnosed mental health disorder. These physical problems often can be the cause of symptoms and may be easily treated. For example, low blood sugar, rather than schizophrenia, could be a cause of the symptoms described in this scenario. For this reason, physical examinations are always performed on admission to a mental health facility, followed by the other options listed.
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The nursing administration of a health care facility wishes to use Stetler's hierarchy of evidence levels as the basis for its choice of evidence-based practice interventions
What weaknesses in this hierarchy should the group be aware of as it continues in this work? Standard Text: Select all that apply. 1. Few randomized clinical trials have been done in nursing. 2. Nurses do not have the expertise to use these levels of evidence. 3. There are numerous variables in the daily provision of nursing care. 4. The levels do not consider quality improvement initiatives. 5. It is difficult for nursing research to reach the first or second level of evidence.
The nurse is caring for a patient with gastroenteritis who has been vomiting for 48 hours. A family member of the patient asks the nurse,
"Why is he breathing that way?" What is the nurse's most accurate response after explaining the meaning of pH? "He is breathing a. Fast and deep to help reduce carbon dioxide to increase his pH" b. Slow and shallow to try to retain carbon dioxide to decrease his pH" c. Fast and deep to help reduce carbon dioxide to decrease his pH" d. Slow and shallow to try to retain carbon dioxide to increase his pH"
A client with a duodenal ulcer complains of a sudden onset of severe pain. In which order should the nurse perform the following activities? (select all that apply)
a. Assess the patency of the patient's IV line. b. Call the physician. c. Have the nurses' aid obtain a set of vital signs. d. Perform a complete abdominal examination. e. Prepare to administer IV pain medication.
Which statement made by the client undergoing radiation treatment for laryngeal cancer indicates the need for continued discussion regarding the effects of therapy?
A. "I will avoid exposing my skin to sunlight during treatment." B. "I will purchase a wig so that my appearance will be close to normal." C. "I will rest my voice and communicate by writing for the next two months." D. "I will not shave until all the redness and peeling of the skin on my face and neck is gone."