A Review of Basic Patient Rights in Psychiatric Care

A Review of Basic Patient Rights in Psychiatric Care Related

Review A Review of Basic Patient Rights in Psychiatric Care related questions and content

A 20 year old male is brought to the hospital approximately 30 minutes after being stabbed in the chest. There is a 3cm wound just medial to the left nipple. His BP is 70/33 and HR is 140. Neck and arm veins are distende Breath sounds are normal. Heart sounds are diminished, IV access has been established and warm crystalloid is infusing. The next most important aspect of immediate management is:

  • A. "CT scan of the chest"
  • B. "12 lead ECG"
  • C. "FAST exam"
  • D. "Begin infusion of RBCs"
Correct Answer: C

Rationale: The correct answer is C: "FAST exam." In this scenario, the patient presents with signs of hypovolemic shock likely due to internal bleeding from the chest wound. FAST exam (Focused Assessment with Sonography in Trauma) is a rapid bedside ultrasound used to assess for free fluid in the abdomen or pericardium, which can help identify the source of bleeding. This is crucial for immediate management as it can guide further interventions such as surgery or angiography.

Choice A: "CT scan of the chest" is not the most immediate step as it takes time and may not provide rapid information needed for immediate management.

Choice B: "12 lead ECG" is not the priority in this situation as the patient is hemodynamically unstable and requires rapid assessment for potential life-threatening bleeding.

Choice D: "Begin infusion of RBCs" is important, but identifying the source of bleeding is crucial before deciding on the need for blood transfusion.

You may also like to solve these questions

What is one nursing assistant responsibility during the admission of a new resident?

  • A. The NA should make sure the resident unpacks all of his personal items right away.
  • B. The NA should give the resident a physical exam to help with care plan formulation.
  • C. The NA should explain how the bed controls and the call light work.
  • D. The NA should discuss the resident's advance directive choices with the resident and his family.
Correct Answer: C

Rationale: The correct answer is C because explaining how the bed controls and call light work is essential for the resident's safety and comfort. This information empowers the resident to communicate needs effectively. Unpacking personal items (A) is not a priority during admission. Giving a physical exam (B) is beyond the scope of a nursing assistant's role. Discussing advance directives (D) should be done by a nurse or physician, not a nursing assistant.

A young woman has been in an automobile crash that resulted in an amputation of her left lower leg. She verbalizes grief and loss. What knowledge by the nurse is used to provide interventions to help the patient cope?

  • A. The patient should be grateful to be alive.
  • B. This is a normal, appropriate response.
  • C. This is an abnormal, inappropriate response.
  • D. Tissue healing will help the patient adapt.
Correct Answer: B

Rationale: Grief after amputation is a normal emotional response; the nurse should support coping.

In order to lift objects safely the nursing assistant should

  • A. Keep objects away from her body
  • B. Lift objects above her waist line
  • C. Pull objects when possible
  • D. Keep objects close to her body
Correct Answer: D

Rationale: The correct answer is D: Keep objects close to her body. This answer is correct because keeping objects close to the body while lifting helps maintain proper body mechanics and reduces the risk of injury. By keeping objects close, the nursing assistant can utilize the strength of their core and leg muscles, which are stronger and more stable compared to the muscles in the arms. This technique also helps in maintaining balance and stability while lifting. Choices A, B, and C are incorrect because keeping objects away from the body can strain the back, lifting above the waist line can lead to improper lifting mechanics and increased risk of injury, and pulling objects may strain the arms and back muscles.

Which of the following is a symptom of dysphagia (difficulty swallowing)?

  • A. Eating everything on the tray at every meal
  • B. Sweating profusely during meals
  • C. Having a fever during meals
  • D. Watering eyes during meals
Correct Answer: D

Rationale: The correct answer is D because watering eyes during meals can be a symptom of dysphagia due to the body's natural response to difficulty swallowing. When swallowing is challenging, the body may produce excessive tears as a protective mechanism.

A - Eating everything on the tray at every meal is not a symptom of dysphagia but rather a behavior related to overeating or other eating disorders.
B - Sweating profusely during meals is not a direct symptom of dysphagia but can be related to anxiety, spicy foods, or other medical conditions.
C - Having a fever during meals is not a typical symptom of dysphagia but may indicate an underlying infection or illness.

You are called to assist an adult female with a possible allergic reaction. You arrive to find a 22-year-old patient who is just beginning to have difficulty breathing. She has itching, urticaria, and hives after a bee-sting. During the possible allergic reaction, what is occurring at the cellular level?

  • A. The mast cells are retaining the vasoactive amines, resulting in a localized response to the sting
  • B. The cells begin a hypermetabolic state associated with the patient's increased activity level after the sting
  • C. An anaerobic metabolism has begun at the local level and is now moving into the vasculature
  • D. The mast cells have degranulated, releasing serotonin and histamines into the general circulation
Correct Answer: D

Rationale: The correct answer is D because during an allergic reaction, mast cells degranulate, releasing histamines and other inflammatory mediators into the bloodstream. This leads to vasodilation, increased vascular permeability, and smooth muscle contraction, causing symptoms like itching, hives, and difficulty breathing. Choice A is incorrect because mast cells do not retain vasoactive amines; they release them. Choice B is incorrect as there is no hypermetabolic state associated with an allergic reaction. Choice C is incorrect because anaerobic metabolism is not a typical response to an allergic reaction.