Which of the following actions represent the primary focus of psychiatric nursing for a basic level registered nurse? Select all that apply.
1. Determining a patient's diagnosis according to the DSM-IV-TR
2. Ordering diagnostic tests such as EEGs or CT or MRI scans
3. Identifying how a patient is coping with a symptom such as hallucinations
4. Guiding a patient to learn and use a variety of stress-management techniques
5. Helping a patient without transportation find a way to his treatment appointments
6. Collecting petition signatures seeking the removal of stigmatizing images on television
Answer:
3. Identifying how a patient is coping with a symptom such as hallucinations
4. Guiding a patient to learn and use a variety of stress-management techniques
5. Helping a patient without transportation find a way to his treatment appointments
6. Collecting petition signatures seeking the removal of stigmatizing images on television
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A ten-year-old boy with classic hemophilia is admitted to the hospital for hemorrhage into the knee joint. Treatment is instituted on admission. What would be an appropriate nursing diagnosis for this child?
1. Risk for impaired physical mobility related to joint stiffness and contractures 2. Risk for impaired tissue perfusion (cerebral) related to blood loss. 3. Activity intolerance related to bleeding 4. Disturbed body image related to swollen knee
The nurse is discussing the Dietary Approaches to Stop Hypertension (DASH) program with a patient and spouse
They are overwhelmed and ask if there is one measure recommended by the program that would have the biggest impact so they can start with that measure first. The nurse should suggest: 1. Decreasing sodium intake to less than 1,500 mg/day 2. Losing weight 3. Increasing intake of dairy products 4. Controlling diabetes to an A1C less than 7%
The intensive care nurse is reviewing a patient's chart to find the most accurate indicator of fluid volume status, which is:
1. Intake and output 2. Daily weights 3. Hematocrit level 4. Systolic blood pressure
When arriving at a residence of a new client, a home health nurse observes that the client lives in a decaying apartment building in a very poor neighborhood known for drug activity
She notices several men loitering around the entrance to the building. The best response of the nurse would be to: 1. Approach the building looking confident, make eye contact with the men, nod "hello," and walk on into the building. 2. Call the police for an escort. 3. Return to her office and make an attempt to reschedule the visit at another time or another site. 4. Wait in her car for a little while and see whether the men leave.