The nurse is educating a young man with bipolar disorder who is staying at the homeless shelter
He has recently been released from a detention center and has nowhere to live. In educating him about his lithium therapy, the nurse knows teaching has been effective when the client states:
A) "I need to restrict how much water I drink."
B) "I will take the lithium whenever I feel like I'm starting to get hyper."
C) "If the medicine makes me sleepy, I will come back to the clinic and tell the doctor."
D) "If I need money for food, I can always sell some of my medicine to someone else who needs it."
Ans: C
Feedback:
A homeless mentally ill client has special medication management needs. Many medications have sedating effects that place clients in danger when facing the vulnerability of street life. Because homeless people must stay consistently vigilant for safety reasons, they cannot afford drowsiness. Carrying medications also increases the risk of assault or theft because most medications have street value. The nurse also must caution clients against combining medications with alcohol and drugs. Nurses involve clients in medication management. The clients alone can determine when they have access to their medication, how they can carry the medication safely, and specific daily risk factors.
You might also like to view...
A supervisor is reviewing the documentation of the nurses in the unit. The documentation that most accurately and correctly contains all the required parts for a narrative entry is the entry that reads:
1. "1630 Catheterized using an 8 French catheter, 45 ml clear yellow urine obtained, specimen sent to lab, squirmed and cried softly during insertion of catheter. Quiet in mother's arms following catheter removal. M. May RN" 2. "1/9/05 2 P.M. g-tube accessed, positive air gurgle over stomach: 5 ml air injected, 10 ml residual stomach contents returned to stomach, Pediasure formula hung on Kangaroo pump infusing at 60 mL/hr for 1 hour. Child grunting intermittently throughout procedure. K. Earnst RN" 3. "4:00 Trach dressing removed with dime-size stain of dry serous exudate. Site cleansed with normal saline. Dried with sterile gauze. New sterile trach sponge and trach ties applied. F. Luck RN" 4. "Feb. '05 Portacath assessed with Huber needle. Blood return present. Flushed with NaCl sol., IV gammaglobulins hung and infusing at 30mL/hr. Child smiling and playful throughout the procedure. P. Potter, RN"
Which of the following beliefs is an essential component of holistic healthcare? Select all that apply
a. Illness occurs when there is a shift in an individual's balance. b. Regardless of the type of care received, ultimately all healing is self-healing. c. More healthcare resources should be focused on alternative healers. d. Illness can create an opportunity for personal and spiritual growth.
The patient with the crushed forearm cannot get pain relief with opioids. The injury is swollen, cool, and cyanotic, with weak distal pulses. The nurse assesses that this is a(n):
1. compartment syndrome. 2. overwhelming infection. 3. fat embolus. 4. osteomyelitis.
The nurse assesses a Protestant ethic in place with a family of a dying patient. Having assessed this, the nurse will plan the care to respect their feelings of (select all that apply):
1. independence. 2. privacy. 3. expressions of grief only with family. 4. repression of feelings. 5. "toughing it out."