Nokea
An individual is being admitted for psychiatric treatment. The initial role of the nurse regarding this individual's psychopharmacologic therapy is to:
- A. Gather data to create a baseline assessment that includes a medication history.
- B. Assess the individual's understanding of the therapeutic value of his or her current medications.
- C. Evaluate the effectiveness of the medication regime by focusing on the client's current symptoms.
- D. Begin the admission interview in such a manner that will foster a therapeutic nurse-client relationship.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Gathering data to create a baseline assessment is crucial to understanding the individual's medication history and current status.
2. This baseline assessment helps identify potential interactions, allergies, and previous responses to medications.
3. It allows the nurse to make informed decisions regarding the individual's psychopharmacologic therapy.
4. Assessing understanding (B) and evaluating effectiveness (C) are important but come after establishing the baseline assessment.
5. Building a therapeutic relationship (D) is essential but not the initial step in psychopharmacologic therapy.
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The nurse is reviewing the use of a condom to prevent the transmission of HIV with a young adult patient seeking testing for HIV. Which patient statement indicates an understanding of how to use a condom?
- A. Use a non-latex condom.
- B. Apply adequate oil-based lubricant.
- C. Apply condom before penile erection occurs.
- D. Withdraw from partner while the penis is erect.
Correct Answer: D
Rationale: The correct answer is D because withdrawing from the partner while the penis is erect helps prevent leakage of semen and reduces the risk of HIV transmission. Applying a condom before penile erection (Choice C) is incorrect as it may lead to condom slippage. Using a non-latex condom (Choice A) is important for those with latex allergies, but it doesn't address proper condom use. Applying oil-based lubricant (Choice B) is incorrect as it can weaken latex condoms, increasing the risk of breakage.
When could ministers or elders from the religious community play a role in patient care?
- A. Only when the patient is put under hospice care
- B. At the request of the patient or family member
- C. At the request of the physician
- D. When their involvement is welcome by the patient and their family
Correct Answer: D
Rationale: Welcomed involvement respects patient and family preferences.
Which action by a nurse on the psychiatric nursing unit best supports effective use of evidence-based practice on the unit?
- A. Asking that the nurse manager arrange for a subscription to an evidence-based nursing journal to be included in the unit's yearly budget
- B. Suggesting that the unit staff take part in a research study that involves care of the newly diagnosed obsessive-compulsive client
- C. Recommending changes to a client's care plan based on information provided from randomized controlled research trials
- D. Volunteering to recruit clients for a unit-based research project that focuses on the abused teenage client
Correct Answer: C
Rationale: The correct answer is C because recommending changes to a client's care plan based on information from randomized controlled research trials directly aligns with evidence-based practice. This action involves using the best available evidence to inform and improve client care, which is a key principle of evidence-based practice. By utilizing research trials, the nurse ensures that interventions are based on proven effectiveness rather than assumptions or personal beliefs.
Option A is incorrect because subscribing to a journal alone does not guarantee application of evidence-based practice. Option B involves participation in a research study, which may not directly translate to immediate improvement in client care. Option D focuses on recruiting clients for a research project rather than directly applying evidence to individual client care plans.
Which statement made by a client demonstrates a prominent behavior related to noncompliance with prescribed treatment?
- A. I broke my hip last fall and it's still hard to get around.'
- B. I have type 2 diabetes but I can still eat the way I always have.'
- C. Weight has been a problem I've struggled with my entire adult life.'
- D. My wife says I need to exercise if I'm ever going to get my blood pressure down.'
Correct Answer: B
Rationale: The correct answer is B because the client's statement indicates a lack of adherence to prescribed treatment for type 2 diabetes, which typically includes dietary modifications. The client's belief that they can continue eating the same way shows a resistance to making necessary lifestyle changes. Choices A, C, and D do not directly relate to noncompliance with prescribed treatment but rather reflect challenges or concerns related to health issues.
Which levels of families can require case management services?
- A. Level 1 & 2
- B. Level 3
- C. All levels
- D. Level 4
Correct Answer: C
Rationale: All levels may need case management depending on their specific challenges.