A patient with acute mania has disrobed in the hall 3 times in 2 hours. The nurse should:
a. direct the patient to wear clothes at all times.
b. tell the patient that others feel embarrassed.
c. provide a hospital gown for the patient.
d. arrange one-on-one supervision.
D
A patient who repeatedly disrobes despite verbal limit setting needs more structure. One-on-one supervision may provide the necessary structure.
You might also like to view...
Neurotransmitters like catecholamines (e.g., dopamine and epinephrine) have a reaction time of
A) milliseconds. B) less than 10 minutes. C) 24 to 36 hours. D) 4 to 7 days.
A client is diagnosed with an infection with H. pylori. Which of the following drugs are commonly used in combination with certain antibiotics in the treatment of this infection? Select all that apply
A) Metoclopramide (Reglan) B) Omeprazole (Prilosec) C) Ondansetron (Zofran) D) Lansoprazole (Prevacid) E) Promethazine (Phenergan)
A pregnant woman must be questioned closely about all of the following, EXCEPT
a. first-trimester exposure to rubella. b. recent immunization with rubella or varicella. c. existing HIV, syphilis, or hepatitis B infections. d. all childhood immunizations.
The home health nurse notes that the elderly patient doubled up on his pain medication, even though the prescribed dose was at a therapeutic level. The patient says, "If one pill is good, two pills are better." Which statement best describes the result of the patient's action?
A. The patient develops tolerance and does not experience any difference. B. The patient experiences more pain relief from the additional dose. C. The patient develops tolerance and will need increased doses of the drug. D. The patient is more likely to exhibit side effects from the additional dose.