The nurse should refer which of the following patients to a partial hospitalization program? A patient who:
a. has a therapeutic lithium level and reports regularly for blood tests and clinic follow-up.
b. needs psychoeducation for relaxation therapy related to agoraphobia and panic episodes.
c. spent yesterday in a supervised crisis care center and continues to have active suicidal ideation.
d. states, "I'm not sure I can avoid using alcohol when my spouse goes to work every morning."
ANS: D
This patient could profit from the structure and supervision provided by spending the day at the partial hospitalization program. During the evening, at night, and on weekends, the spouse could assume responsibility for supervision. A suicidal patient needs inpatient hospitalization. The other patients can be served in the community or with individual visits.
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A 75-year-old female asks a nurse "I know I should be moving, but how much is the right amount of exercise for me?" The best response of the nurse is:
a. "You need to engage in 30 minutes of moderate intensity exercise on at least 5 days a week." b. "You need to engage in at least 30 minutes of moderate intensity exercise every day of the week." c. "Since you are 75, the recommendations are 30 minutes of moderate exercise three times a week." d. "There are no specific recommendations for someone of your age; just keep mov-ing."
Why must the nurse always ask a patient about his or her use of any herbal supplements or botanicals?
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Which term describes a valuable route of medication administration in emergencies?
A. parenteral B. oral C. topical D. rectal
A nursing instructor asks a group of students, "What should be included in the teaching plan for a client receiving Pitocin?" Which response by a student would indicate the need for further teaching? (Select all that apply.)
a. medication and reasons for use b. monitoring of the fetal heart rate c. temperature of newborn's bath water d. monitoring of blood glucose and sodium levels e. techniques for effective breastfeeding of the newborn f. monitoring of the maternal blood pressure, pulse, and temperature