A schizophrenic client arrives for a scheduled appointment with the mental health nurse. The nurse notes that the client's hygiene is poor and that the client is having difficulty concentrating on what the nurse is saying and responding appropriately. Which nursing intervention would be most appropriate?
A. Saying nothing and contacting the psychiatrist to sign a commitment order
B. Saying, "I notice that you don't seem to be caring for yourself. Are you taking your medication?"
C. Giving the client his antipsychotic medication and asking him to return in the morning for a follow-up visit
D. Asking, "Will you voluntarily admit yourself for a couple of days so that you can straighten out your medicine and thinking?"
Ans: B. Saying, "I notice that you don't seem to be caring for yourself. Are you taking your medication?"
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An older adult client is being transferred to another facility in order to continue physical therapy after having a total right hip replacement
What type of facility will provide skilled nursing and rehabilitative care for this patient who will go home after the rehabilitation? A) Acute care facility B) Long-term acute care C) Skilled nursing care D) Intermediate care facility
In what ways can a nurse help a demented person maintain orientation? (Select all that apply.)
a. Consistently calling the patient by name, usually the first name b. Referring the patient to a calendar to note special events c. Reminding the patient about the time of day by pointing to the clock d. Calmly taking the patient to an appointment without explanation e. Reminding the patient of her or his whereabouts frequently
A patient who is one day postoperative is complaining of nausea and refusing to eat. Upon auscultation of the abdomen, the nurse finds that the patient's bowel sounds are hypoactive. This is most likely due to
1. Peritonitis. 2. A bowel obstruction. 3. Anesthesia. 4. Paralytic ileus.
Which condition would be treated with therapeutic hypothermia?
a. Malnutrition b. Hypothyroidism c. Reimplantation surgery d. Parkinson disease