A client with schizophrenia is in the rehabilitative phase. Which nursing diagnosis would be appropriate for the nurse to use during this phase?
a. Disordered Thought Process, related to persecutory delusions
b. Disturbed Sensory Perceptions, related to auditory hallucinations
c. Disturbed Sleep Pattern, related to fear of falling asleep
d. Social Isolation, related to absence of inability to engage in satisfying personal relationships
D
During the rehabilitative phase, nursing diagnoses would focus on social isolation, ineffective role performance, or ineffective therapeutic regimen management. Nursing diagnoses that focus on delusions, hallucinations, and paranoia would most commonly be used during the acute phase of the client's illness.
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The home health nurse is making an initial home visit to a 76-year-old male widower. During the assessment, the nurse finds that the patient is taking multiple medications
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The nurse documents in the progress notes: "Admitted to emergency department accompanied by wife. Patient is alert and oriented, blood pressure is 120/80 mm Hg, and pulse is 80 beats/min
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In teaching the family about caring for the newborn, you would advise the caregiver to:
a. place the neonate directly on a scale b. place the newborn's crib close to the window c. expose baby completely, bathing in as few a motions as possible d. block sunlight from the newborn while the newborn is in the car
Which pregnancy risk drug category indicates the greatest risk of fetal harm?
A. X B. D C. C