The nurse caring for a patient with bipolar disorder understands that which is a priority consideration when planning patient care goals?
1. Establishing a therapeutic alliance
2. Improving mood symptoms through psychotherapy
3. Educating patients about the trajectory of improvement
4. Determining the therapeutic efficacy of the patient's lithium therapy
Answer: 1
Explanation: Monitoring lithium therapy, educating patients about their disorder, and improving mood symptoms are important nursing considerations for patients with bipolar disorder, but they are difficult to achieve without a successful therapeutic alliance. Establishing a therapeutic alliance increases the likelihood that the patient will participate in interventions and adhere to the plan of care.
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The school nurse is helping parents choose books for their preschoolers. What literacy skills present in the preschooler would the nurse consider when making choices? Select all answers that apply
A) Preschoolers enjoy books with pictures that tell stories. B) Preschoolers like stories with repeated phrases as they help keep their attention. C) Preschoolers like stories that describe experiences different from their own. D) Preschoolers demonstrate early literacy skills by reciting stories or portions of books. E) Preschoolers may retell the story from the book, pretend to read books, and ask questions about the story. F) Preschoolers do not have enough focus and expanded attention to notice when a page is skipped during reading.
The client's arterial blood gas report reveals a pH of 6.58. How does the nurse evaluate this value?
1. There is a slight elevation. 2. This value is incompatible with life. 3. This is a low normal value. 4. This value is extremely elevated.
Diabetic ketoacidosis may occur in a patient with type 1 diabetes who
a. gets caught in traffic and misses a meal. b. participates in an all-day sporting event. c. accidentally takes a double dose of insu-lin. d. goes away for the weekend and forgets to take his or her insulin.
The nurse manager participates in organizational planning by:
a. Identifying competing health care agencies b. Identifying goals and objectives c. Identifying new physicians d. Identifying health care vendors