What special discharge planning considerations are present for Y.W.?

What will be an ideal response?


Y.W. is a foreign student whose mother is present but speaks no English. Not only are there language
barriers, but also there might be social, religious, and cultural factors affecting the health care
decisions that he and his mother make. Regardless, he is going to require long-term rehabilitation,
and it will have to be decided whether he will stay in the United States or return to Thailand. If he
is going to stay in the United States, as an immigrant he may face financial constraints. Visa status
for him and his mother would need to be investigated. If he decides to return to his native country,
he will have to be stable enough for an international flight, and arrangements will have to be made
for his care in Thailand. The Department of Homeland Security or the Office of U.S. Citizenship and
Immigration Services can be helpful in communicating with Y.W. and his mother, investigating
resources, and making any necessary arrangements.

Nursing

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A nurse recognizes that a client has a very serious eating disorder and needs immediate counseling and nutritional assistance. Referring the client to health care workers for counseling and nutritional assistance is an example of which process?

a. crisis intervention c. depersonalization b. defense mechanisms d. local adaptation

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The nurse administering psychotropic medications should be prepared to intervene when giving a

drug that blocks the attachment of norepinephrine to a1 receptors because the client may experience a. an increase in psychotic symptoms. b. hypertensive crisis. c. orthostatic hypotension. d. severe appetite disturbance.

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A hospital is planning to implement a unit that focuses on acute care of the elderly (ACE). How should the hospital administrator explain this unit to the nursing staff?

1. "An ACE unit will be run just like a nursing home, except it's in the hospital." 2. "An ACE unit isn't any different than any other unit in the hospital." 3. "The key concept of an ACE unit is to return the patients to their nursing homes." 4. "An ACE will be guided by nurse-driven protocols."

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Which of the following glands is (are) not controlled by the pituitary?

A. adrenal glands B. thyroid gland C. sex glands D. parathyroid glands

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