A client on the psychiatric unit has had a hand amputated. During the admission interview, the client is generally cooperative but says, "I'll answer anything, but do not ask about my hand."
Thinking that the injury may have been self-inflicted, the nurse would recognize that the statement represents which stage in self-injurious behavior? A) Attempts to cope B) Identification of feelings
C) Action D) Aftermath
D
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An older adult diagnosed with dementia is receiving risperidone (Risperdal). This medication is classified as which of the following?
A) Parkinson's drug B) Antipsychotic C) NMDA receptor antagonist D) Cholinesterase inhibitor
The nurse is caring for a client with Ménière's disease. The client asks the nurse how to prevent another acute episode from occurring. Which is the nurse's best response?
a. "Stop or reduce cigarette smoking." b. "Use aspirin rather than acetaminophen (Tylenol) for pain." c. "Reduce the quantity of saturated fats in your diet." d. "Avoid crowds and people with upper respiratory infection."
A case manager is reviewing the records of the clients in the nursing unit. Which note(s) in a client's record indicate an unexpected outcome and the need for follow-up?
A. A client is performing his own colostomy irrigations. B. A client with a central venous catheter has a temperature of 100.6° F. C. A client with a new diagnosis of diabetes mellitus is self-administering insulin. D. A client who has just undergone surgery has a urine output of more than 30 mL/hr. E. A client who has just undergone surgery is getting relief from the prescribed pain medication.
The nursing assistant is responsible for emptying the Hemovac after surgery
Indicate whether the statement is true or false