Risk assessment for a patient shows these findings
schizophrenia but not acutely psychotic at the moment; not a danger to self or others; lives in parents' home. Which decision regarding placement on the continuum of care is appropriate?
a. Hospitalize the patient.
b. Discharge the patient from the system.
c. Refer the patient to outpatient services.
d. Refer the patient to self-help resources in the community.
C
Referral should be made to the least restrictive, most effective, and most cost-conscious source of services. Because the patient is not a danger to self or others, hospitalization is not needed. However, follow-up as an outpatient would be more appropriate than referral to a self-help group, in which structure might be lacking, or discharge from the system.
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A nurse is caring for a client with paraplegia who is scheduled to participate in a rehabilitation program. The client states, "I do not understand the need for rehabilitation; the paralysis will not go away and it will not get better." How should the nur
a. "If you don't want to participate in the rehabilitation program, I'll let the provider know." b. "Rehabilitation programs have helped many clients with your injury. You should give it a chance." c. "The rehabilitation program will teach you how to maintain the functional ability you have and prevent further disability." d. "When new discoveries are made regarding paraplegia, people in rehabilitation programs will benefit first."
The nurse reviews the care plan for a patient with cancer of the liver and learns the plan of care focuses on palliative measures. Noting that over the last 3 weeks the patient's condition has continued to deteriorate, the nurse recognizes that:
A) Death will occur in the next week. B) The patient is in the trajectory phase of chronic illness. C) The patient is in the downward phase of chronic illness and should be reassessed. D) The patient should immediately be admitted into the hospital.
The home care nurse delegates to the home health aid on a routine basis. When Delegating, the nurse must consider the five rights of delegation. These rights include which of the following elements? (Select all that apply.)
A) The right task B) The right circumstances C) The right time D) The right person E) The right supervision
Criteria for defining cases of different disease are essential for having a uniform, standardized method of reporting and monitoring diseases. Case definitions may include
1. The precise point of contact 2. Laboratory confirmation 3. Source of contamination 4. Clinical symptoms, laboratory values, and epidemiologic criteria.