A patient living independently had command hallucinations to shout warnings to neighbors. After a short hospitalization, the patient was prohibited from returning to the apartment. The landlord said, "You cause too much trouble."
What problem is the patient experiencing?
a. Grief
b. Stigma
c. Homelessness
d. Nonadherence
ANS: B
The inability to obtain shelter because of negative attitudes about mental illness is an example of stigma. Stigma is defined as damage to reputation, shame, and ridicule society places on mental illness. Data are not present to identify grief as a patient problem. Data do not suggest that the patient is actually homeless. See relationship to audience response question.
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Neuromuscular blocking agents are used in the management of some ventilated patients. Their primary mode of action is:
a. analgesia. b. anticonvulsant. c. paralysis. d. sedation.
An elder client is being prepared for transfer to a long-term care facility and expresses sorrow at not being able to return to his own home. The nurse can best help the client cope with this change by:
A) explaining why it is necessary to move to the new facility. B) explaining why it would be unsafe to remain in his own home. C) showing him pictures of the new facility. D) asking him to tell you about significant events in his life.
When a patient is late for three consecutive therapy sessions, the nurse implements perception sharing as a communication technique when stating:
a. "You say how important therapy is to you, but you can't seem to get here on time.". b. "Do you think it's polite being late for therapy sessions like this?" c. "Do you have really good reasons for being late so often?" d. "I feel that you aren't ready to work on your problems.".
After a stressful event, a client's blood pressure and heart rate rise. Which system is most likely responsible for this physiologic change?
1. The respiratory system 2. The parasympathetic nervous system 3. The acid–base buffer system 4. The autonomic nervous system