A client comes to a psychiatric clinic experiencing sudden extreme fatigue and decreased sleep and appetite. The client works 12 hours a day and rates anxiety as 8/10 on a numeric scale
What long-term outcome is realistic in addressing this client's crisis? 1. The client will change his type A personality traits to more adaptive ones by one week.
2. The client will list five positive self-attributes.
3. The client will examine how childhood events led to his overachieving orientation.
4. The client will return to previous adaptive levels of functioning by week six.
4
Rationale: The nurse should identify that a realistic long-term outcome for this client is to return to previous adaptive levels of functioning. The nurse should work with the client to develop attainable outcomes that reflect immediacy of the situation.
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During a group session, a client becomes very angry at a comment by another member of the group. The therapist asks why the client became so angry. The group is using:
1. Events for emotional awareness. 2. Interpersonal conflict issues to resolve personal issues. 3. The self-reflective loop. 4. Fear.
A client with a spinal cord injury (SCI) has a nursing diagnosis of Risk for Ineffective Tissue Perfusion related to the effects of neurogenic shock
The nurse includes which of the following interventions in the client's plan of care to best address this issue? Select all that apply. 1. Utilize abdominal binder and thigh-high compression stockings. 2. Administer vasoactive agents and atropine as ordered. 3. Strictly monitor and document intake and output. 4. Administer anticoagulant medication as ordered. 5. Assess color, temperature, and size of extremities.
The nurse records the client's intake and output for the past 8 hours and notes NGT irrigation with 50 ml normal saline solution every 4 hours and Lactulose syrup 30 ml through the NGT with 30 ml of normal saline solution
Which sum does the nurse obtain from the client's intake over 8 hours? 1. 30 ml 2. 160 ml 3. 110 ml 4. 210 ml
The adverse effects of anticholinergic drugs include all of the following except:
A. rapid heartbeat. B. diarrhea. C. dry mouth. D. mydriasis.