A nurse is seeing a patient for individual treatment who has been diagnosed with bipolar disorder. Although the patient has been compliant with prescribed medications, the patient is experiencing an increase in symptoms, including disturbed sleep patterns
hyperactivity, increased credit card use, and grandiose statements. What treatment option might the nurse consider?
1. Family education
2. Peer support group
3. In-patient hospitalization
4. Partial hospitalization program (PHP)
Answer: 4
Explanation: PHPs are often used to support an individual's mastery over acute symptoms and serve as an alternative to a psychiatric hospitalization. Family education and peer support groups are useful adjuncts to individual treatment but do not address the individual's symptom exacerbation. When a partial hospitalization program is available, inpatient hospitalization may be avoided, if the patient does not present a danger to his or herself or others.
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An ICU manager has noted increased tension amongst her staff. The manager believes staff are aware of the source of the tension but is not completely sure. What would assist this manager in determining what has caused the tension on the unit?
1. Rotate staff to leadership positions. 2. Survey staff to determine what is causing the tension. 3. Take a client assignment to determine what is causing tension among the staff. 4. Arrange for human resources to meet with staff.
Which outcome would be most appropriate for a symptom-management group for persons with schizophrenia? Group members:
a. state the names of their medications. b. resolve conflicts within their families. c. describe ways to cope with their illness. d. rate anxiety at least two points lower.
In order to have wound healing occur, the client must receive adequate nutrition. Diets must be high in protein and calories with vitamin and nutritional supplements
Evidence supports that what additional requirements are needed for wound closure? Select all that apply. 1. Supplemental amino acids 2. Supplemental fat-soluble vitamins 3. Supplemental water-soluble vitamins 4. Supplemental antioxidants 5. Supplemental fluids
A patient with a suspected mental health disorder having blood drawn to check electrolyte levels asks what blood work have to do with mental health. Which response by the nurse is correct?
a. "Electrolyte imbalances are the cause of certain mental health disorders." b. "Some mental health disorders cause the electrolytes to be out of balance." c. "The doctor wants to make sure your symptoms are not caused by a physical problem." d. "People with mental illnesses frequently take illicit drugs that can cause electrolyte imbalances."