A patient with bipolar disorder has stabilized and is being discharged from the hospital. The patient will live independently at home but lacks social skills and transportation. Which referral would be most appropriate?
a. A group home
b. A self-help group
c. A day treatment program
d. Assertive community treatment (ACT)
D
Assertive community treatment (ACT) provides intensive supervision, which includes assistance with medications and transportation that would support the goal of minimizing future hospitalizations. A group home is unnecessary, because the patient will reside at home. A day treatment program would provide a therapeutic program directed toward symptoms, but the patient's symptoms have stabilized so this service is not indicated. A self-help group would not provide the intensity of service this patient needs.
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The nurse caring for a child in skeletal traction should question which physician's orders? Select all that apply
a. Give Tylenol as necessary for pain. b. Release traction every 12 hours. c. Elevate the foot of the bed. d. Perform neurovascular checks every 1 to 2 hours for the first 24 hours.
Dorsal lithotomy position means the patient
A) is on their left side; right leg bent. B) has bent knees and legs separated. C) is on their knees; head on pillow. D) is flat on their back; head and knees raised.
The nurse executive suspects that the nurse managers see evidence-based management (EBM) as another management suggestion that will "blow-over" with time
What is the best way for the nurse executive to be assured that EBM strategies are being used in the facility? 1. Require a weekly report on the strategies from each nurse manager. 2. Call staff nurses in and ask them about how the managers are making day-to-day decisions on the unit. 3. Make daily walking rounds with a member of upper management to check on the progress of the EBM initiative. 4. Incorporate EBM into the performance evaluation of the nurse managers.
A client has been taking thyroid hormone replacement for several years. On today's clinic visit, the nurse remarks that the client has lost 20 pounds. The client states, "I was getting fat, so I started taking an extra thyroid pill every day or so." How should the nurse respond?
1. "Well, it certainly is working for you." 2. "You should follow the dosage instructions for your thyroid medication exactly as written." 3. "I'll ask your physician to increase the number of refills on your prescription." 4. "That could be dangerous to your health." 5. "I may ask the doctor to write a prescription for me."