An advanced practice nurse evaluates a patient for emergency commitment because of the likelihood the patient will do serious harm to others. Which statement best reflects the nurse's role as patient advocate during the assessment process?
a. "Tell me about any delusions you are experiencing."
b. "I understand you have had some difficulty today."
c. "Tell me why you need to threaten or hurt others around you."
d. "Threatening to hurt others will require that you be committed to the hospital."
ANS: B
The advocacy role of nurses to help patients to obtain, maintain, and fully make use of mental health benefits is critical. Assessment for commitment requires data collection from the pa-tient. This statement is the most neutral of the options given and the most open ended; therefore it will be most likely to elicit a response. It is an unfounded assumption that the pa-tient is delusional. "Why" questions will usually elicit rationalizations from the patient. Mak-ing a statement about the resulting hospitalization is not information gathering.
You might also like to view...
Theories of human behavior and health are expansions of health-promotion models
Indicate whether the statement is true or false
A patient taking amitriptyline (Elavil) is brought to the emergency department confused and agitated
As time progresses, her assessment reveals a heart rate of 120/minute, temperature 104° F, flushing, mydriasis, and blood pressure 170/90. Based on her assessment, which of the following would be the nurse's priority action? a. Gastric lavage, activated charcoal, and physostigmine b. Epinephrine and propranolol (Inderal) c. Gastric lavage, activated charcoal d. Cool IV fluids and a cooling blanket
In the discipline of psychiatric mental health, diagnosis involves scientific evaluation of signs, symptoms, history, lab tests, and procedures. One of the potential risks to the process of diagnosis in mental health is what?
A) The nurse may be led to a false, simplistic, or superior sense of an understanding of the patient's problem. B) The diagnosis provides a way to communicate with other health professionals using a common language. C) The diagnoses can help guide treatment decisions. D) Once diagnosis is established, it is possible to identify similar subjects for etiologic and epidemiologic research.
A client has been instructed on prevention of cardiovascular disease. The nurse shares publications with the client from which organization?
A) American Diabetic Association B) American Heart Association C) American Cancer Society D) American Dietary Association.