The client asks the psychiatric nurse if certain changes can be made in the unit milieu. What is the nurse's best initial action?
A) Instruct the client about the current practices within the therapeutic milieu.
B) Assess the desired changes that the client is proposing.
C) Refer the client's requests to the psychiatrist.
D) Refer the client's requests to the mental health team.
B
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The wife of a married couple in your facility requests she be moved into a different room. What is your response?
a. "This is against the facility policy, which encourages couples to be in the same room." b. "Don't you think your husband will miss you?" c. "We will have to get your husband's permission for you to move." d. "This must have been a difficult decision for you to make."
An 81-year-old woman who lives alone is in the clinic for an annual physical. She reports that she has noticed that her sense of smell is not as acute as it used to be
Which nursing interventions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Ask the patient if her kitchen stove is gas or electric. 2. Remind the patient of the need to change batteries in her smoke detectors twice a year. 3. Suggest that the patient use fewer spices when cooking. 4. Recommend that the patient limit the amount she drives her car. 5. Ask the patient if she has a cat or dog living in her house.
A patient is being treated in the emergency department for barbiturate toxicity. Select the findings in the "triad" of symptoms seen in this situation. You may select more than one answer
1. Tachycardia 2. Pinpoint pupils 3. Unresponsiveness 4. Hypertension 5. Respiratory depression
A client is taking a diuretic such as Lasix. When implementing client teaching, what information should be included?
A) Increased sodium levels B) Increased potassium levels C) Decreased potassium levels D) Decreased oxygen levels