A psychiatric–mental health nurse determines that a client is competent when he is able to do which of the following?
A) Speak coherent English
B) Communicate his or her choices
C) Write a "living will"
D) Comply with the medical regimen
Ans: B
A client who is competent to give informed consent should be able to communicate choices, understand relevant information, appreciate the situation and its consequences, and use a logical thought process to compare the risks and benefits of treatment.
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The nurse is caring for a patient who states that he has been taking his medications and following his diabetic diet carefully. Which test result indicates to the nurse that the patient has not been compliant with the treatment plan?
a. Hemoglobin A1C 16% b. Random blood sugar (RBS) 112 mg/dL c. Lactate dehydrogenase (LDH) 55 units/L d. Erythrocyte sedimentation rate (ESR) 14 mm/hr
A mother questions the decreased effectiveness of methylphenidate (Ritalin), prescribed for her child's ADHD. Which nursing response best addresses the mother's concern?
1. "The physician will probably switch from Ritalin to a central nervous system stimulant." 2. "The physician may prescribe an antihistamine with the Ritalin to improve effectiveness." 3. "Your child has probably developed a tolerance to Ritalin and may need a higher dosage." 4. "Your child has developed sensitivity to Ritalin and may be exhibiting an allergy."
Which of these categories are included in a nursing minimum data set?
a. a client's major complaint and a listing of any known allergies b. nursing interventions classification c. demographics, service, and nursing care d. nursing diagnoses
What should a nurse include when developing a plan of care for a patient with human immuno-deficiency virus (HIV)?
a. Careful aseptic technique to prevent in-fection b. Instruction to limit fluids to prevent con-gestive heart failure c. Oral alcohol rinses to control mouth in-fections d. Selections of high-fat foods in the daily diet