A patient with severe depression signed permission for electroconvulsive therapy (ECT). Later, the patient tells the nurse, "I signed permission for treatment after my spouse told me I could be deported if my depression can't be cured."
The nurse assesses that: a. the patient's consent may have been coerced.
b. all the elements of informed consent were met.
c. the patient may not fully understand the risks and benefits.
d. the patient is not competent to sign permission for treatment.
A
The decision may have been coerced based on family pressure. Informed consent requires that the choice be freely made.
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The nursing diagnosis established for a client with fluctuating levels of consciousness, disturbed
orientation, and visual and tactile hallucinations that should be given priority is a. bathing/hygiene self-care deficit related to altered cerebral function, as evidenced by confusion and inability to perform personal hygiene tasks. b. risk for injury related to altered cerebral function, as evidenced by sensory perceptual alterations and unstable gait. c. disturbed thought processes related to altered cerebral function resulting from medication intoxication, as evidenced by confusion, disorientation, and hallucinations. d. fear related to sensory perceptual alterations, as evidenced by hiding from hallucinated dog and wanting nurse to remove hallucinated bugs from her legs.
After teaching a client about the use of a pessary, which statement by the client indicates the need for additional instruction?
A) "A white or yellow vaginal discharge is expected and normal." B) "I need to apply a sterile lubricant to the pessary before reinserting it." C) "After removal, I should wash the pessary with warm soapy water, rinse, and dry it." D) "I should call the physician if I notice any discomfort with the pessary."
A public health nurse is demonstrating one of the minimum competencies set forth by the National Coalition of Health Professional Education in Genetics (NCHPEG) when:
a. Organizing a meeting to discuss the care of cystic fibrosis clients b. Making a referral to a genetics specialist c. Advocating for legislation to support stem cell research d. Educating a client about the results of genetic testing
When assessing home safety of the adolescent, it is essential to ask about all of the following except:
1. Living arrangements. 2. If they feel safe at home. 3. Family income. 4. Relationships with siblings.