A client with suspected seasonal affective disorder asks the nurse, "I've been feeling down for 3 months. Will I ever feel like myself again?" The response that builds on an understanding of this disorder is:
1. "Usually clients with this disorder see improvement during the fall and winter."
2. "Spontaneous improvement usually comes in 6 months to a year."
3. "People who have seasonal mood changes often feel better when spring comes."
4. "Can you tell me what you mean when you say ‘feel like myself'?"
ANS: 3
Seasonal affective disorder is a condition in which the client experiences depression beginning in the fall, lasting throughout the winter, and remitting in spring in the northern hemisphere. Option 1 is not reflective of any diagnostic category of mood disorder. Option 2 is not true of SAD. Op-tion 4 is a response that does not address the point of understanding SAD.
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What factors may contribute to patient medication errors? (Select all that apply.)
a. Only two objectives, instead of four, are included in the treatment plan discussed with the patient. b. The nurse fails to provide patients with information about both the desirable effects and the possible side effects of prescribed medication so that they can make an informed decision about the treatment plan. c. Medication-related teaching materials sent home with patients are written at a higher than eighth-grade reading level. d. Medication-related teaching materials sent home contain long sentences and medical terms rather than common or familiar words. e. The nurse gives patients with new prescriptions verbal instructions only, rather than talking to patients and giving them written information or talking to patients along with showing audiovisual aids.
A patient being followed for latent tuberculosis has been on INH therapy for 2 months. While reviewing the laboratory test results, the nurse notes that the liver function test results have be-come grossly abnormal
The nurse should instruct the patient to a. continue the drug unless jaundice, nausea, or itching develops. b. continue the drug and have liver function tests repeated weekly. c. stop the medication immediately, and other drugs will be prescribed. d. stop the drug and restart it when liver function returns to normal.
The major conceptual elements of Watson's caring theory include all of the following EXCEPT
A. Transpersonal caring relationship. B. 10 carative factors. C. Behavioral systems perspective of nurse–patient interaction. D. Caring moment/caring occasion.
The nurse is completing a health history with a client. Which information is least likely to be the focus of this assessment?
1. Health promotion 2. Biographic data 3. Chief complaint 4. Family history