A 14-year-old boy reports that he has been seeing and hearing things. His friends tell him it is like he goes to another world sometimes. The teen does not understand what is happening to him
The mental health nurse is aware that the teen could be experiencing: 1. Suicidal ideations.
2. Obsessive-compulsive behaviors.
3. Hallucinations.
4. Stress.
3
Feedback
1. There are no indications of harm to himself or his peers at this time.
2. The teen is not demonstrating a repetitive behavioral pattern.
3. The teen is having auditory and visual hallucinations per his report because only he can experience this situation.
4. Stress can cause changes in behavior, but is not accompanied with auditory and visual hallucinations.
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A caregiver brings a handicapped patient to the ED reporting altered level of consciousness and refusal to eat by the patient. The patient is found to be severely dehydrated
The nurse suspects neglect and asks the caregiver several questions regarding the patient's activities, diet, and care. The caregiver states, "I didn't know it could hurt him if he didn't drink anything." This is an example of what kind of abuse? A) Psychological B) Intentional C) Unintentional D) Direct
An older adult client comes to the clinic with reports of not being able to hold her urine, stating: "I feel so terrible. This shouldn't happen at my age." How should the nurse respond?
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Calculate Mrs. M's protein needs (take into consideration any medications Mrs. M may be taking that could affect protein metabolism)
T.N.'s condition is stable and you prepare to provide patient teaching. What patient teaching
is vital after delivery? What will be an ideal response?