James Taylor, a 22-year-old psychiatric patient with schizophrenia, is refusing his antipsychotic medication. He states, "I don't like the dopey way it makes me feel. I feel like I'm walking under water when I take it
" The nurse explains to him, "Your schizophrenia is caused by a chemical imbalance in your brain, and this medication helps fix that chemical imbalance. You need to take it so your symptoms will get better." This conversation between a patient and a nurse is an example of a conflict between which two types of ethical principles?
A) Autonomy and justice
B) Paternalism and veracity
C) Justice and nonmaleficence
D) Autonomy and beneficence
D
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For the patient whose nursing diagnosis is Powerlessness related to an inability to control compulsive cleaning, the nurse must understand that the patient uses the cleaning to:
a. enhance her self-esteem. b. reduce spread of illnesses. c. exert control over her anxiety. d. distract herself from her anxiety.
Which of the following are true statements about the current health care workforce? (Select all that apply.)
a. Approximately 10% of registered nurses (RNs) are certified in gerontological nurs-ing b. The number of geriatricians is expected to increase about 50% over the next 25 years c. The professions of social work, physical therapy, and psychiatry are demonstrating the same trends as nursing d. Europe and the developing countries are experiencing similar shortages in health care workers with geriatric expertise as in the United States e. It is anticipated that there will be a need for approximately 3 million additional di-rect care and professional health care workers by the year 2030
What is a major goal for a patient with diverticular disease?
A) Absence of complications B) Abnormal elimination patterns C) Normal fluid and electrolyte balance D) Hypovolemia
A client is receiving an antipsychotic agent. Which laboratory result is of most concern?
a. Serum sodium level of 138 mEq/L b. Blood glucose level of 100 mg/dl c. White blood cell count of 6000/mm3 d. Serum medication level below normal limits