The brother of a client who is severely and persistently mentally ill with bipolar disorder asks why
the client has been assigned a case manager. The nurse's reply should cite the major advantage of
the use of case management as
a. "The case manager can modify traditional psychotherapy for homeless clients.".
b. "With one coordinator of services, resources can be more efficiently used.".
c. "The case manager can focus on social skills training and esteem building.".
d. "The case manager can adjust medication dosage to manage side effects.".
B
The case manager not only provides entrance into the system of care, he or she can coordinate the
multiple referrals that so often confuse the severely and persistently mentally ill client and the
client's family. Case management promotes efficient use of services. The other options are lesser
advantages or may be irrelevant.
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The nurse is assessing a patient who had a pacemaker implanted 4 weeks ago. During the patient's most recent follow-up appointment, the nurse identifies data that suggest the patient may be socially isolated and depressed
What nursing diagnosis is suggested by these data? A) Decisional conflict related to pacemaker implantation B) Deficient knowledge related to pacemaker implantation C) Spiritual distress related to pacemaker implantation D) Ineffective coping related to pacemaker implantation
A nurse uses the nurse-client relationship to facilitate healing in a client. Which of the following statements best describes the role of the nurse in healing?
A) To assist with physiological recovery from an illness B) To facilitate another person's growth and life processes toward wholeness C) To assist with psychological recovery from an illness D) To facilitate the body and mind in the transition to death
A patient has just completed a preoperative education session prior to undergoing coronary artery bypass surgery
Which patient statements indicate that teaching has been effective? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I understand that I will have to blink my eyes to respond after the breathing tube is in my throat." 2. "I will be given frequent mouth care to help me when I am thirsty." 3. "I will be able to move about freely in bed and into the chair without help while connected to the electronic equipment for monitoring." 4. "I may need something to help me rest due to the unfamiliar lights and sounds of the ICU unit." 5. "I might not behave like my usual self after the surgery but it will be because of the medications and my illness."
A client having a myocardial infarction is receiving alteplase (Activase) therapy. Which of the following actions should be carried out by the nurse to monitor for the most frequent adverse effect?
1. Monitor for bleeding. 2. Assess for allergic reaction. 3. Evaluate the client for muscle weakness. 4. Monitor for signs and symptoms of infection.