Referral to a psychiatric extended-care facility would be most appropriate for which of the following patients?
a. An adult with generalized anxiety disorder
b. A severely depressed 70-year-old retiree
c. A patient with personality disorder who frequently self-mutilates
d. A severely ill person with schizophrenia who is regressed and withdrawn
D
Extended care often serves those with severe and persistent mental illness and those with a combination of psychiatric and medical illnesses. Patients with anxiety disorders can be referred to outpatient services. Severely depressed patients would need more intensive care, as would a self-mutilating individual.
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The nursing student submits a care plan to the nursing instructor for a review prior to implementing the nursing interventions. Which of the following nursing diagnostic statements is written incorrectly?
a. Ineffective coping related to inadequate support systems as evidenced by patient's verbalization, "I don't have any friends or family in town. I just moved here a week ago." b. Activity intolerance related to immobility as manifested by shortness of breath and patient's verbalization of fatigue. c. Insomnia and knowledge deficit related to stress as evidenced by patient report of difficulty sleeping and lack of energy. d. Self-care deficit bathing related to upper extremity weakness as manifested by inability to wash body.
Before interviewing a new client, the nurse is told by another health care worker, "I know that client
He's usually nutty as a fruitcake when he is admitted, and not much better when we discharge him.". The nurse's responsibility is to a. accept the other worker's assessment as fact. b. form an impression based on the data he or she collects from all sources. c. validate the worker's impression by contacting the family and other secondary sources. d. discuss the worker's impression with the client during the course of the assessment interview.
The nurse working on an acute psychiatric unit learns that a client with bipolar disorder is being admitted and says to a coworker, "We better be ready for a busy night." This nurse is exemplifying which process of Swanson's theory of caring?
1. Knowing 2. Being with 3. Doing for 4. Enabling
Prior to the recognition of forensic nursing as a specialty, forensic nursing was seen as practice in the scientific investigation of which of the following?
A) Genetics B) Pathophysiology C) Mortality D) Pharmacology