Emergency psychiatric hospitalization for a severely ill, involuntarily admitted client includes
1. time in jail.
2. a formal petition.
3. an appointed guardian.
4. an examination by four physicians.
2
Involuntary psychiatric admissions must follow an established legal procedure.
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Twenty-four-hour charting is designed to establish __________ levels to help determine staffing needs
ANS:
The nurse notes that a client was treated for labyrinthitis on a previous admission. To determine whether the problem has resolved, the nurse should ask the client:
1. "Have you noticed any drainage from your ears?" 2. "Are you still having earaches?" 3. "Are you having difficulty with your balance?" 4. "Do you ever have ringing in your ears?"
The team leader notices that a staff member has again omitted several pertinent items of patient assessment and care on the chart. The most appropriate action by the leader is to:
1. complete the chart with notation of items of which this nurse has personal knowledge. Counsel the errant nurse privately. 2. call the staff member at home and have him or her return to complete the patient's charts correctly, without overtime. 3. pass the complete information verbally to the next shift via report. 4. write a report of reprimand on the nurse and forward it to the RN supervisor. Leave the charts as is.
The nurse instructs a patient who has osteosarcoma of the tibia about a scheduled above-the-knee amputation. Which statement by a patient indicates that additional patient teaching is needed?
a. "I will need to participate in physical therapy after surgery." b. "I did not have this bone cancer until my leg broke a week ago." c. "I wish that I did not have to have chemotherapy after this surgery." d. "I can use the patient-controlled analgesia (PCA) to control postoperative pain."