A client with a diagnosis of bipolar disorder has had several hospitalizations to treat this mental illness and feels that the care he received was not consistent with his best interests
The client's experience is indicative of which of the following needs? 1. Informed consent
2. Psychiatric advance directive (PAD)
3. Right to treatment
4. Competency
2
Rationale: Psychiatric advance directives (PADs) are modeled after advance directives for end-of-life care. They are legal instruments that allow competent persons to document their preferences regarding mental health treatment. Any person can prepare a PAD as a contingency plan to put in place should the person be incapacitated, found to be incompetent, or unable to make reliable decisions about psychiatric care. Informed consent is the right to understand the treatment process prior to consenting to treatment. Being competent means that a client must be cognitively able to understand the situation and the implications of treatment. Right to treatment ensures that clients are not in a treatment setting for custodial purposes only.
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An older woman is recovering from a bowel resection in the intensive care unit but remains intubated and on a mechanical ventilator. Which of the following should the nurse implement to help prevent delirium in this woman?
a. Assess cognition with MMSE-2. b. Provide uninterrupted periods of rest and sleep. c. Maintain adequate sedation and pain management. d. Cover the patient's eyes with protective ophthalmic ointment.
A nurse is assuming responsibility for a caseload of patients over a period of time. Which type of nursing care delivery models is the nurse practicing?
a. Team nursing b. Primary nursing c. Interprofessional collaboration d. Decentralized management
The patient is admitted with anemia and active bleeding. The nurse suspects intravascular disseminated coagulation (DIC). Definitive diagnosis of DIC is made by evidence of:
a. a decrease in fibrin degradation products. b. an increased D-dimer level. c. thrombocytopenia. d. low fibrinogen levels.
The major focus of play therapy is to:
a. help the child reveal emotions, feelings, and problems b. get the child to relax and be less anxious and upset c. teach the child how to play fairly and share toys with others d. evaluate whether the child has masculine or feminine type of play