Terms in this set (90)
The nurse provides care for a "Talk to me about what happened with the job." 3 multiple choice options
client who is in a state of crisis
due to loss of a job. The client
states, "I just can't believe this is
happening. I didn't do anything to
deserve this!" Which statement by
the nurse is most appropriate?
A client diagnosed with - Dizziness and lightheadedness
schizophrenia is prescribed - Muscle spasms and stiffness
haloperidol 5 mg twice per day.
The nurse observes the client
for which most concerning
symptoms? SATA
- Dizziness and lightheadedness
- Vomiting and diarrhea
- Diuresis and sodium loss
- Hypertension and weight loss
- Muscle spasms and stiffness
- Fatigue and frequent headaches
, - Always feeling tired, unable to sleep well, and wakes up early.
Case Study 1/6: - Symptoms began approximately 5 weeks ago and are getting worse.
Click to highlight the concerns - Also reports lack of interest in usual activities
noted in the nurse's notes and - Missed work due to fatigue and an inability to concentrate,
client history. and frequent crying spells.
- "I don't care if I never wake up. I feel hopeless and worthless."
- Loss of appetite with a 10lb weight loss in a month
, Frequent crying spells: Depressive disorder
Lack of appetite with 10lb weight loss: Bipolar 1 disorder,
Depressive disorder Difficulty concentrating: Bipolar 1 disorder,
depressive disorder, schizophrenia Unable to sleep well:
Bipolar 1 disorder, depressive disorder, schizophrenia Lack of
Case Study 2/6:
interest: Bipolar 1 disorder, depressive disorder, schizophrenia
Assessment findings:
Feeling hopeless and worthless: Depressive disorder
Case study 3/6: Depressive disorder 3 multiple choice options
The client is most likely
experiencing which condition?
Cognitive behavioral therapy (CBT):
Indicated Lithium carbonate PO daily:
Contraindicated Stress management:
Indicated
Bupropion PO daily: indicated
Case study 4/6: Outpatient substance abuse programs:
Specify whether the treatment contraindicated Self-care or safety plan
option is indicated or contract: Indicated
contraindicated for the client: Sertraline PO daily: Indicated
Case study 5/6: - Provide contact information for support groups
Which action does the nurse - Encourage the client to verbalize feelings
perform in the plan of care? - Encourage client to take a warm bath or listen to soft music prior to bedtime
SATA
- Discuss prescribed medication therapy
- Provide contact information for
support groups
- Encourage the client to verbalize
feelings
, - Inform client's boss of
anticipated date of return to
work
- Encourage client to take a
warm bath or listen to soft
music prior to bedtime
- Discuss prescribed medication
therapy