charge temporarily. b. Arrange a bed in a local homeless shelter with nightly on-site supervision. c. Hospitalize the patient until the symptoms have stabilized. d. Ask the patient, “Do you feel like I am a traitor?”
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ANS: A Hospitalization may damage the nurse–patient relationship, even if it provides an opportunity for rapid stabilization. If medication is restarted, the patient may possibly be stabilized in the home setting, even if it takes a little longer. Programs are available to help patients who are unable to afford their medications. A homeless shelter is inappropriate and unnecessary. Hospitalization may be necessary later, but a less restrictive solution should be tried first, since the patient is not dangerous. A yes/no question is non-therapeutic communication.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Page 71 | Pages 4-17, 18, 40 (Table 4-1) TOP: Nursing Process: Planning MSC: Client Needs: Safe, Effective Care Environment
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24. Which activity is appropriate for a nurse engaged exclusively in community-based primary prevention? a. Medication follow-up b. Teaching parenting skills c. Substance abuse counseling d. Making a referral for family therapy
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ANS: B Primary prevention activities are directed to healthy populations to provide information for developing skills that promote mental health. The distracters represent secondary or tertiary prevention activities.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 4-10, 11, 16, 17, 49 (Box 4-3) TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
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25. A health care provider prescribed long acting antipsychotic medication injections every 3 weeks at the clinic for a patient with a history of medication nonadherence. For this plan to be successful, which factor will be of critical importance? a. The attitude of significant others toward the patient b. Nutrition services in the patient’s neighborhood c. The level of trust between the patient and nurse d. The availability of transportation to the clinic ANS: D The ability of the patient to get to the clinic is of paramount importance to the success of the plan. The long acting antipsychotic medication injections relieve the patient of the necessity to take medication daily, but if he or she does not receive the injection at 3-week intervals, non-adherence will again be the issue. Attitude toward the patient, trusting relationships, and nutrition are important but not fundamental to this particular problem.
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