A community mental health nurse is often a member of a multidisciplinary Assertive Community Treatment (ACT) team. An example of a nursing intervention that focuses on the primary concentration of care for such a team is:
a. providing medication education to all patients.
b. volunteering to counsel homeless abused women.
c. involving a patient in the various aspects of his or her discharge planning.
d. conducting a support group for patients recovering from depression.
D
One of the primary concerns of the Assertive Community Treatment team is relapse prevention. All the other answers are true if needed by the individual patient, but a primary concern is to keep the individual healthy and out of an inpatient setting such as a support group.
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A female client on the mental health unit experiences periods of psychosis at intervals. She often asks what day she came to the facility and what day it is now, and she seems never to be aware of the time
Which nursing intervention would help this client the most? a. Remind her of the time of day every time she asks. b. Assist her to keep a written schedule, including her day of admission, on a calendar posted in her room and a clock beside the calendar. c. Tell her it doesn't really matter what day she came to the facility; what matters is what day and time it is now. d. Instruct the staff to not answer her repetitive questions because she has been told numerous times her day of admission, and there is a clock on the wall.
Based on the nurse's understanding about anti-infectives, the nurse would administer nitrofurantoin cautiously to a client with which condition? Select all that apply
A) Hypertension B) Diabetes C) Glucose-6-phosphate dehydrogenase (G6PD) deficiency D) Cerebral arteriosclerosis E) Myasthenia gravis
The nurse is planning to bathe a client who has thigh-high antiembolism stockings in place. Which of the following actions is correct?
A) Remove the antiembolism stockings during the bath. B) Leave the antiembolism stockings in place, but be sure to remove all wrinkles. C) Fold the antiembolism stockings half-way down to allow assessment of the popliteal pulse. D) Leave the antiembolism stockings in place and spot-clean any soiled areas on the stockings.
As part of an interdisciplinary team, a nurse is assisting in developing the plan of care for a client with a delusional disorder. Which of the following would the team be least likely to include in the plan?
A) Insight-oriented therapy B) Psychoeducation C) Cognitive therapy D) Support therapy