The patients below present in the emergency department. The psychiatric unit has one bed available. Which patient should be admitted? The patient:
a. feeling anxiety and a sad mood after separation from a spouse of 10 years.
b. who self-inflicted a superficial cut on the forearm after a family argument.
c. experiencing dry mouth and tremor related to haloperidol (Haldol).
d. who is a parent and hears voices saying, "Smother your baby."
D
Admission to the hospital would be justified by the risk of patient danger to self or others. The other patients have issues that can be handled with less restrictive alternatives than hospitalization.
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To promote good skin care with the ICU elderly patient, a nursing intervention should include
A) using soap more frequently to eradicate the oils. B) using an emollient after bathing. C) limiting fluid intake to 1200 to 1500 cc daily. D) decreasing bathing time to every other day.
A lawsuit is brought against a nurse in a rural hospital. The nurse replies that the standard of care for rural nurses is different from that for nurses working in large urban facilities. Is this a defensible position?
1. No; rural nurses work in a slower paced environment, so they have more time to provide quality personal care. 2. Yes; the rural nurse does not have access to the same quality of inservice education as the urban nurse. 3. No; nurses in rural settings must meet the same standards as those practicing in large urban areas. 4. Yes; it is well known that rural health care is substandard as compared to urban health care.
The patient with rheumatoid arthritis is prescribed an immunosuppressant drug. The patient asks the nurse what this drug is for. What is the nurse's best response?
a. "The doctor prescribes these drugs to strengthen your immune system." b. "The drug inhibits your immune system's normal response." c. "These medications are used to prevent organ rejection." d. "This medication will strengthen your joints and repair any joint damage."
A woman has gone to her gynecologist complaining of pain during intercourse. The physician orders a maturation index on her vaginal scrapings. The results return an index of 75-25-0
The nurse can interpret this to mean A) she is in the beginning of cervical cancer. B) she is in the prime of her reproductive years. C) she is in a perimenopausal phase. D) she is experiencing postmenopausal vaginal dryness.