A patient diagnosed with borderline personality disorder impulsively self-mutilates and has severe mood lability with explosive outbursts, poor interpersonal relations, and inability to sustain employment
Which referrals should the nurse consider for the patient? Select all that apply.
a. Dialectic behavior therapy
b. Alcoholics Anonymous
c. Vocational rehabilitation
d. Desensitization therapy
e. Anger management
A, C, E
Referral to dialectic behavior therapy will address self-mutilation and interpersonal relations and might address mood lability. Vocational counseling can help with employment problems. Assertiveness training and anger management will address the explosive outbursts. Desensitization therapy is used for patients with phobias. There is no evidence of alcohol abuse.
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The nurse's evaluation of the outcomes of care for an older adult mentally ill client should be guided by the knowledge that:
1. Cultural preferences that conflict with treatment goals take precedence. 2. Complete absence of psychiatric symptoms is the gold standard. 3. Client's values and preferences should be honored whenever possible. 4. Families and significant others are not routinely involved in this process.
A patient is transported to the emergency room from a local skilled nursing facility and admitted for a bacterial blood infection. The nurse reviews the transferring physician notes, which indicate that the patient has dementia
The nurse contacts the patient's son for additional health history information. Information provided by the son would be considered: a. primary, objective data. b. primary, subjective data . c. secondary, objective data. d. secondary, subjective data.
A nurse is caring for an older adult man who has Alzheimer's disease (AD). The patient's daughter wants to know if testing can be done to determine her risk for developing the disease. What will the nurse tell her?
a. Female gender is known to increase the risk. b. Genetic testing can provide a definitive measure of the risk. c. Patients with the apolipoprotein E2 gene (apoE2) are more likely to develop the disease. d. Advancing age and family history are known risk factors.
Which nursing role may not be legally delegated to the LPN/LVN?
A) Assessment of the client B) Implementation of client care C) Monitoring of client condition D) Management of client care