A 15-year-old client who has been diagnosed with conduct disorder has been prescribed medication to control aggressive behavior. For which medication is the nurse likely to be providing client education?
1. Methylphenidate (Ritalin)
2. Amitriptyline (Elavil)
3. Lithium carbonate (Lithobid)
4. Buspirone (BuSpar)
3
Rationale: Aggression in children and adolescents is most effectively treated with mood stabilizers and atypical antipsychotics. Nonbenzodiazepine anxiolytics, psychostimulants, and cyclic antidepressants are not indicated for treatment of aggression in children.
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You are teaching a patient from a general teaching plan that has been set up for all patients with type 2 diabetes. What would be your first consideration if this patient is unable to perform her blood glucose test without assistance?
1. The patient has not accepted her diagnosis. 2. The patient feels the test strip is wrong for testing her blood. 3. The patient is having problems understanding the process. 4. The learning objectives should be less specific for this patient.
Which concept provides the most helpful framework for the nurse who is caring for a patient at the
bedside? A) A nursing practice method B) A nursing conceptual framework C) A nursing paradigm D) A nursing theory
A client who has been in a wheelchair for several years is currently experiencing problems with skin breakdown and urinary retention in addition to depression. Which diagnosis should the nurse select for this client?
1. Syndrome diagnosis 2. Risk nursing diagnosis 3. Actual diagnosis 4. Wellness diagnosis
You are hired as an employee health nurse in a small community hospital. Each employee is informed that he or she needs a tuberculin skin test and the date that the test is due
The kitchen employees tell you that they don't need the test and never had to have it before. You respond that A) the test does not need to be given if you do not have client contact. B) TB guidelines require testing of an entire health care setting. C) the test will not hurt; we won't fire you if you test positive. D) the TB guidelines state kitchen workers are at risk.