Brandy is an 18-year-old being treated in the Community Mental Health Clinic for an adjustment disorder after receiving news of her parents' impending divorce. While talking about her feelings she becomes angry and starts shouting and crying
She screams, "I wish they would both die!" Which of these is the most appropriate response by the nurse at this point? A. Contact the parents and the police to report that Brandy is expressing homicidal ideation.
B. Encourage Brandy to talk more about her anger.
C. Instruct Brandy that it's okay to cry but that it is not acceptable to talk that way about her parents.
D. Assess Brandy for suicidal ideation.
B
It is important in treating patients with adjustment disorders to allow them to express anger. Item C discourages the patient from expressing anger. Items A and D would be premature, since there is inadequate evidence to warrant those responses.
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During a physical assessment of a hospitalized 5-year-old, the nurse notes that the foreskin has been retracted and is very tight on the shaft of the penis; the nurse is unable to return it over the head of the penis
What action should the nurse implement? a. Forcibly push the foreskin down over the head of the penis. b. Place a warm compress on the penis. c. Notify the charge nurse. d. Wait a few hours and try again.
All infants need to be observed for hypoglycemia during the newborn period. Based on the facts obtained from pregnancy histories, which infant would be most likely to develop hypoglycemia?
A) An infant whose labor began with ruptured membranes B) An infant who had difficulty establishing respirations at birth C) An infant who has marked acrocyanosis of his hands and feet D) An infant whose mother craved chocolate during pregnancy
A geriatric nurse practitioner prescribes an antidepressant for a patient
The patient asks, "How long will I have to be on this medication before I feel like my old self?" The nurse recalls that a therapeutic response to an antidepressant medication most often takes which one of the follow-ing? a. 24 hours c. 2 weeks b. 2 days d. 2 months
Criteria for choosing an effective drug for a disorder include:
1. Asking the patient what drug they think would work best for them 2. Consulting nationally recognized guidelines for disease management 3. Prescribing medications that are available as samples before writing a prescription 4. Following U.S. Drug Enforcement Administration guidelines for prescribing