A 42-year-old female has had 12 hospitalizations for chronic schizophrenia. Since being dis-charged 9 days ago, she appears poorly motivated and sits around her house most of the day

Her brother asked the advanced practice nurse to arrange for her to be committed because he thinks she needs more treatment. The nurse evaluates the data and informs the brother that she cannot be committed because:
1. It has been less than 2 weeks since her discharge
2. There is no evidence she is a danger to herself or others
3. She has used up her managed care insurance coverage
4. She has not voluntarily requested hospitalization


ANS: 2
Emergency or judicial commitments are reserved for individuals who pose a threat to self or oth-ers. Options 1 and 3 are irrelevant. Option 4 is unnecessary.

Nursing

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The organization of a patient's care on the palliative care unit is based on interdisciplinary collaboration. How does interdisciplinary collaboration differ from multidisciplinary practice?

A) It is based on the participation of clinicians without a team leader. B) It is based on clinicians of varied backgrounds integrating their separate plans of care. C) It is based on communication and cooperation between disciplines. D) It is based on medical expertise and patient preference with the support of nursing.

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The nurse explains that to detect inborn errors of metabolism, state law requires that certain diagnostic tests be performed on the newborn, such as:

a. blood glucose. b. phenylketonuria (PKU). c. blood urea nitrogen (BUN). d. prothrombin time (PT).

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Following a traumatic birth of a 10-pound infant, the nurse should assess:

a. gestational age status. b. flexion of both upper extremities. c. infant's percentile on growth chart. d. blood sugar to detect hyperglycemia.

Nursing

The margin of user error is greatest when using which type of thermometer?

A) Oral B) Axillary C) Temporal artery D) Tympanic

Nursing