After hospital discharge, a priority intervention for a patient with bipolar disorder who is taking antimanic medication is:
a. decreasing physical activity.
b. increasing food and fluids.
c. meeting self-care needs.
d. psychoeducation.
D
During the continuation phase of treatment for bipolar disorder, the physical needs of the patient are not as important as they were during the acute episode. Treatment focuses on maintaining medication compliance and preventing relapse, both of which are fostered by ongoing psychoeducation.
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In an effort to promote clarity, the manager of a busy hospital unit has posted a copy of the hospital's organizational chart. What information will be conveyed by this chart?
A) Acceptable strategies for organizing patient care B) The specific responsibilities of the key staff members and the lines of authority C) The flow of nursing tasks that should take place over the course of a typical shift D) The correct responses to common events that occur on the unit
A nurse prepares to administer propranolol [Inderal] to a patient recovering from acute myocardial infarction. The patient's heart rate is 52 beats per minute, and the rhythm is regular. What action should the nurse take next?
a. Administer the drug as prescribed. b. Request an order for atropine. c. Withhold the dose and document the pulse rate. d. Withhold the dose and notify the pre-scriber.
A 75-year-old patient tells you he is not planning to receive a "flu shot" this year because he had one just a year ago. What is your best response?
a. "Because you are older and your immune system is more fragile, you should have one this year too as a booster." b. "The virus causing influenza often changes each year and a new influenza vaccination is needed every flu season." c. "The "flu shot" you had last year should still protect you for seasonal influenza, but you still need a vaccination for H1N1." d. "The fact that you have been vaccinated by injection just last year makes you a candidate to use the nasal vaccination this year."
A nurse is caring for a group of sick patients. Which patient would the nurse be less likely to use isolation precautions with?
a. Tuberculosis (TB) c. Botulism b. Plague d. Smallpox