A female client diagnosed with catatonic stupor is lying on the bed, hidden under the sheets, with her body pulled into a fetal position. The nurse should take which appropriate action?
1. Ask direct questions to encourage talking.
2. Leave the client alone but check on her every 30 minutes.
3. Sit beside the client in silence, with occasional open-ended questions.
4. Take the client into the dayroom with other clients for added supervision.
3
Rationale: Clients who are withdrawn may also be immobile and mute. These clients require consistent, repeated approaches to establish interpersonal contact. The nurse facilitates commu-nication with the client by sitting in silence and asking open-ended questions, with pauses to provide opportunities for the client to respond. This approach to communication with clients who are withdrawn requires much patience from the nurse. "Ask direct questions to encourage talk-ing," "leave the client alone but check on her every 30 minutes," and "take the client into the dayroom with other clients for added supervision" are not appropriate nursing interventions.
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The physician has started a patient on propranolol (Inderal LA), a beta blocker. The nurse knows this drug is used in the treatment of migraine headaches and which other conditions?
a. Angina b. Hyperlipidemia c. Bradycardia d. Bronchospasm
The nurse is teaching a community class on risk factors for heart disease. Which fact should be included about the effects of stress on the heart?
A) Hostility and anxiety are risk factors for heart disease. B) Psychosocial stress has a protective effect on the heart. C) A positive emotional state is a risk factor for heart disease. D) Psychosocial stress is not a risk factor for acute myocardial infarction.
An elderly client who has had a stroke is ready for hospital discharge. How should the gerontological nurse case manager support this client's independence?
1. Allow the client to be actively involved in all decisions made. 2. Make arrangements based on what the nurse feels is in the best interest of the client. 3. Work closely with the social worker and physician to make the decisions necessary for the client. 4. Set up a meeting with the family members so decisions can be made.
The main building blocks of a healthcare system include:
a. sound leadership and governance (stewardship). b. primary health care. c. social determinants of health. d. continual reform.