A client with paranoid thinking has refused his morning dose of fluphenazine (Prolixin). Another client says, "You better take your medicine, or else they will throw you into the seclusion room and take away all your clothes."
Other clients murmur apprehensively. The nurse decides that the clients need information. Which of the following items should be addressed first?
1. Right to treatment
2. Purposes of seclusion
3. Commitment procedures
4. Advice on how to get discharged from the hospital
ANS: 2
Since the use of seclusion has been mentioned in an inappropriate context and clients seem con-cerned, the nurse should make this the priority issue to address. The other options are of lesser relevance.
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The nurse explains to ancillary staff that caffeine abuse is difficult to diagnose in the older adult patient because caffeine intoxication symptoms
a. can be confused with normal effects of aging. b. often mimic those of some cardiac dis-orders. c. produce fewer symptoms in older adults than in younger adults. d. resemble the side effects of several anti-hypertensive drugs.
Parents of Hispanic descent bring their child to the clinic. As you examine the child, which of the following is/are important to remember? (SELECT ALL ANSWERS THAT APPLY)
A) Avoid eye contact with the child. B) Respectful touching of the child during the examination is expected. C) Speak to the parents, not the child. D) Ask permission of the parents before touching the child. E) Maintain close eye contact with the father. F) Request permission from the father to ask questions of the mother.
A client who has recently lost 75 pounds continues to dress in loose, baggy clothing and frequently talks about being fat. The nurse realizes this finding most likely indicates:
1. Role confusion 2. Body image disturbance 3. Fear of success 4. Lack of education
What is the cause of the dyspnea resulting from a thoracic aneurysm?
a. Pressure on surrounding organs b. Poor oxygenation c. Formation of atherosclerotic lesions d. Impaired blood flow