The multidisciplinary team is meeting to discuss discharge planning with the family of a patient who recently attempted suicide. Which statement by a family member might constitute criteria for delaying discharge?
a. The patient's spouse says, "I'll be taking long weekends from now on so we'll not be apart so much.".
b. The patient's daughter asks, "Do I keep it a secret that I miscarried my baby the day of the attempt?"
c. The patient's son says, "If everyone thinks I'm going to make a fuss over this, they're wrong.".
d. The patient's father says, "What can we do to make sure this doesn't happen again?"
B
From the time the patient is admitted, discharge planning begins. Discharge occurs when the patient is stabilized. If information that is highly volatile and a likely trigger is uncovered, this might be a consideration for delaying discharge until the patient is informed, the response to the information is assessed, coping skills are evaluated, and additional supports can be provided.
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On a 20-item Likert scale with five response categories, the range of possible scores is which of the following?
A) 0 to 100 B) 20 to 80 C) 20 to 100 D) 0 to 50
The nurse is evaluating the effectiveness of teaching provided to a client with erectile dysfunction. Which comment made by the client should be addressed by the nurse?
1. "I do not want to upset my wife so I will share my concerns with you." 2. "I know there are surgical options if I cannot tolerate the pills." 3. "I am not embarrassed to tell you I am unable to have an erection." 4. "I know I need to take the sildenafil (Viagra) about an hour before having sex."
A patient in the emergency department (ED) becomes suddenly unresponsive. CPR is initiated. Arterial blood gas results reveal pH 7.225, PaCO2 55, HCO3 15, PaO2 45, SaO2 76%. The nurse would prepare for which priority intervention?
1. Call for a rapid response team. 2. Auscultate the patient's lungs. 3. Place the patient on a 50% humidified mask. 4. Administer endotracheal intubation.
A 28-year-old woman is seen in the clinic after a single episode of blurred and double vision, weakness, and clumsiness lasting several days. The patient asks the nurse if she has multiple sclerosis
The nurse will tell this patient that the provider will: a. await a second clinical attack to confirm the diagnosis. b. consider her symptoms diagnostic of multiple sclerosis. c. order a magnetic resonance imaging (MRI) scan now and another when a second clinical attack occurs. d. have a definitive diagnosis based on an MRI scan ordered today.