A patient has been well controlled on an oral liquid medication for schizophrenia. Today the patient's caregiver reports return to both positive and negative symptoms over the last week. Which nursing assessment questions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. "Have you changed the fluid you are using to mix with the medication?"
2. "Have you changed pharmacies?"
3. "What was the patient's last fasting blood glucose measurement?"
4. "Has the patient started smoking again?"
5. "Is the patient drinking more milk than usual?"
1,2,4
Rationale 1: Mixing the liquid medication in cola, tea, or caffeine-containing liquids may change effectiveness.
Rationale 2: The patient should not switch brands of medication.
Rationale 3: Blood glucose management is important but would not cause these symptoms.
Rationale 4: Smoking may decrease effectiveness of some medications.
Rationale 5: Drinking more milk is not an issue with these medications.
Global Rationale: Mixing the liquid medication in cola, tea, or caffeine-containing liquids may change effectiveness. The patient should not switch brands of medication. Smoking may decrease effectiveness of some medications. Blood glucose management is important but would not cause these symptoms. Drinking more milk is not an issue with these medications.
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1. "The correct order of the nursing process is diagnosis, assessment, planning, implementation, evaluation." 2. "The correct order of the nursing process is assessment, diagnosis, planning, implementation, evaluation." 3. "The correct order of the nursing process is planning, assessment, diagnosis, implementation, evaluation." 4. "The correct order of the nursing process is assessment, planning, diagnosis, implementation, evaluation."
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The nurse who overhears this should make the assessment that the patient is: a. demonstrating a sense of humor. b. using confabulation. c. perseverating. d. delirious.
The staff on a nursing unit notes that patient satisfaction varies from month to month
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Which of the following statements best reflects the autocratic style of leadership?
1. "Let's discuss this case study thoroughly and decide on a plan of action as a group." 2. "I'll try to pair you in comparable work teams, and let's evaluate the success of this approach in 2 weeks." 3. "Everyone knows their work assignment, so let's not meet together unless we have an unexpected crisis." 4. "I'll consider each of your requests, and then I'll give you the guidelines for es-tablishing new acuity ratings for our clients."