The nurse initiates the nursing process for the purpose of managing the psychiatric care for a patient with a maladaptive stress response when:
a. admission orders have been written by the admitting physician.
b. diagnostic tests rule out the presences of any organic pathology.
c. the patient relationship with the nurse has been established.
d. the nurse makes initial contact with the patient.
D
The nursing process begins when the nurse makes the initial contact with the patient regardless of the nature of the patient's illness. The nursing care directed by the nursing process is not dependent totally upon the physician's orders. The nurse-patient relationship evolves as the nurse engages in the nursing process.
You might also like to view...
The nurse plays music for a child with leukemia who is experiencing pain. Which pain management technique is this nurse using?
1) Distraction 2) Guided imagery 3) Sequential muscle relaxation 4) Hypnosis
What term is used to describe a child's level of consciousness when the child is arousable with stimulation?
a. Stupor b. Confusion c. Obtundation d. Disorientation
A psychiatric–mental health nurse is providing care for a client who lives in the community. Which of the following preconditions is necessary before Peplau's Interpersonal Theory becomes an accurate framework for the nurse's practice?
A) Prolonged contact between the nurse and the client B) Cultural similarity between the nurse and the client C) Self-awareness and desire to change on the part of the client D) The client's acknowledgment of the inadequacy of his coping skills
A patient recovering from a total laryngectomy and permanent tracheostomy is being discharged. What observation indicates that discharge teaching has been effective? Select all that apply.
A. The patient covers the tracheostomy with a light gauze sponge. B. The patient supports the head when moving in bed. C. The patient is eager to go to the pool to go swimming. D. The patient drinks cool fluids throughout the day. E. The patient places a gauze sponge around the gastrostomy tube.