The greatest impact in the care of the mentally ill over the past 50 years has resulted from progress and improvement in which area?
a. Self-help groups
b. Outpatient therapy
c. Psychotropic drugs
d. Patients' rights awareness
C
The advent of psychotropic drugs allowed patients to normalize thinking and feeling. As psychosis diminished, the individual became accessible for psychotherapeutic interventions. Hospital stays were shortened. Hospital milieus improved. Though important, none of the other choices has had such a significant impact.
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To plan effective care for patients with somatoform disorders, the nurse must understand that the patients may have difficulty giving up the symptoms because they:
a. have impaired interpersonal skills. b. can be voluntarily controlled. c. provide relief of anxiety. d. have a physiological basis.
A client has been diagnosed with HIV and has been placed on antiretroviral therapy. What does the nurse inform the client will be required for determining the progression of the disease as well as guiding drug therapy?
A) The client will be required to stop the medication for 2 weeks and then have laboratory studies drawn to determine if the antiretroviral therapy has cured the disease. B) Viral load and T4-cell counts will be performed every 2 to 3 months. C) More antiretroviral medication will be added every 2 to 3 months. D) The Western blot test will be monitored every 6 months to see if the virus is still present.
Nurses need to know the basic definitions and incidence data about postpartum hemorr-hage (PPH). For instance:
a. PPH is easy to recognize early; after all, the woman is bleeding. b. Traditionally it takes more than 1000 ml of blood after vaginal birth and 2500 ml after cesarean birth to define the condition as PPH. c. If anything, nurses and doctors tend to overestimate the amount of blood loss. d. Traditionally PPH has been classified as early or late with respect to birth.
Nurses may experience values conflict if:
a. they develop and adhere to moral norms over time. b. what they prize and cherish is at odds with patients. c. what they see in practice reflects their own beliefs. d. they find a common ground in dealing with patients.