The home care nurse observes a client demonstrate compulsive cleaning behaviors, scrubbing areas throughout the house over and over, especially areas where the family gathers. Prior to planning care for this client the nurse should assess:
1. How frequently the client cleans the house.
2. The impact of symptoms on the family system.
3. Whether the client vomits during cleaning.
4. Whether the client is forgetful.
2. The impact of symptoms on the family system.
Rationale:
Obsessive-compulsive disorder impacts the family system, especially with impaired role function. How frequently the client cleans the house and whether vomiting occurs during cleaning may be important to assess, but they are not the most important. Forgetfulness is not a component of obsessive-compulsive disorder.
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The assistant medical surgical nursing manager is acting as manager while off on medical leave. The assistant manager notices the education budget for the month is over budget. The assistant manager will complete a (an):
1. Expenditure report for the month. 2. Variance report for the month?s budget. 3. Non-revenue producing report to the manager. 4. Expense line budget.
The nurse should teach parents of a child with cystic fibrosis to adjust enzyme dosage according to which indicator?
a. Stool formation b. Vomiting c. Weight d. Urine output
In planning appropriate interventions for the client you are assigned to work with during your mental health nursing clinical the next morning, you decide to do a specific intervention based on a single research article you found on line about the
outcome of a specific intervention. Were you to carry out your plan the next morning during clinical, you would be demonstrating: A) Evidence-based practice. B) Research utilization. C) Use of clinical pathways. D) Use of psychiatric diagnoses.
Which action indicates a nurse is using critical thinking for implementation of nursing care to patients?
a. Determines whether an intervention is correct and appropriate for the given situation b. Reads over the steps and performs a procedure despite lack of clinical competency c. Establishes goals for a particular patient without assessment d. Evaluates the effectiveness of interventions