A community psychiatric nurse assesses that a serious and persistently mentally ill patient with a mood disorder is more depressed than on the clinic visit a month ago, but the patient says, "I feel the same."
Which intervention supports the nurse's assessment while preserving the patient's autonomy?
a. Arrange for a short hospitalization.
b. Schedule weekly clinic appointments.
c. Refer the patient to the crisis intervention clinic.
d. Call the family and ask them to observe the patient closely.
B
Scheduling clinic appointments at shorter intervals will give an opportunity for more frequent assessment of symptoms and allow the nurse to use early intervention. If the patient does not have a crisis, referral to crisis intervention would be useless. The other distracters may or may not produce reliable information, may violate the patient's privacy, and/or waste scarce resources.
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A desirable outcome for the initial stage of a nurse-client relationship is that the client will
demonstrate behaviors that indicate he or she has a. developed a greater sense of independence. b. developed rapport and trust with the nurse. c. developed self-responsibility. d. resolved transferences.
The nurse is caring for an 80-year-old client with the medical diagnosis of heart failure. The client has edema, orthopnea, and confusion. Which nursing diagnosis is most appropriate for this client?
A) Heart Failure related to edema, as evidenced by confusion B) Excess Fluid Volume related to retention of fluids as evidenced by edema and orthopnea C) Fluid Volume Deficit related to loss of fluids as evidenced by edema D) Excess Fluid Volume related to congestive heart failure as evidenced by edema and confusion
A nurse is working with a family and using the Calgary Family Model. Problems have been identified, and the family being in which stage of the model?
A) Engagement B) Assessment C) Intervention D) Termination
The patient has Parkinson's disease, and develops depression. What is the best education the nurse can give the patient's family?
1. "Anytime someone has a brain disease, depression will result." 2. "Depression is very easy to treat with medications we have available." 3. "This is a common problem with Parkinson's disease." 4. "This is a result of the medications taken for control of symptoms."