NURSING PRACTICE V 100 Items

PNLE V – CARE OF CLIENTS WITH PSYCHOLOGIC AND PSYCHOSOCIAL ALTERATIONS 1. Mr. Marquez reports of losing his job, not being able to sleep at night, and feeling upset with his wife. Nurse John responds to the client, “You may want to talk about your employment situation in group today.” The Nurse is using which therapeutic technique? Observations Restating Exploring Focusing 2. Tony refuses his evening dose of Haloperidol (Haldol), then becomes extremely agitated in the dayroom while other clients are watching television. He begins cursing and throwing furniture. Nurse Oliver first action is to: Check the client’s medical record for an order for an as-needed I.M. dose of medication for agitation. Place the client in full leather restraints. Call the attending physician and report the behavior. Remove all other clients from the dayroom. 3. Tina who is manic, but not yet on medication, comes to the drug treatment center. The nurse would not let this client join the group session because: The client is disruptive. The client is harmful to self. The client is harmful to others. The client needs to be on medication first. 4. Dervid, an adolescent boy was admitted for substance abuse and hallucinations. The client’s mother asks Nurse Armando to talk with his husband when he arrives at the hospital. The mother says that she is afraid of what the father might say to the boy. The most appropriate nursing intervention would be to: Inform the mother that she and the father can work through this problem themselves. Refer the mother to the hospital social worker. Agree to talk with the mother and the father together. Suggest that the father and son work things out. 5. What is Nurse John likely to note in a male client being admitted for alcohol withdrawal? Perceptual disorders. Impending coma. Recent alcohol intake. Depression with mutism. 6. Aira has taken amitriptyline HCL (Elavil) for 3 days, but now complains that it “doesn’t help” and refuses to take it. What should the nurse say or do? Withhold the drug. Record the client’s response. Encourage the client to tell the doctor