Psychosocial Integrity

The nurse is planning care for the elderly patient with dementia who experiences increased agitation and confusion during the evening hours. Which interventions does the nurse include to decrease evening agitation and confusion? Select all that apply.

The nurse is performing an admission assessment and interview of the patient diagnosed with paranoid schizophrenia. Which therapeutic communication techniques are used by the nurse to conduct the interview? Select all that apply.

The family of the dying Buddhist patient requests to burn incense in the patient’s hospital room for a religious ceremony. Which response by the nurse is most appropriate?

The nurse caring for a dying patient of the Buddhist faith approaches the charge nurse in distress to state, “My patient is going to die at any time and the family is nowhere near him. I’m not sure what to do to ensure he is not alone as he passes.” Which response by the charge nurse is most appropriate?

The baby born at 23-weeks-gestation is 6 hours old when a pneumothorax develops and the patient decompensates rapidly. Despite stabilization of the airway and evacuation of the pneumothorax, the baby is not responding to chest compressions and intravenous epinephrine and is deemed unlikely to survive. The parents request the baby to be baptized before life-saving interventions are ceased. The chaplain is called but is unable to make it to the hospital immediately. Which action by the nurse is most appropriate?

The nurse assesses the patient being treated for bipolar disorder for which signs of toxicity?  

The patient being treated for bipolar disorder is found to be lethargic, confused, and obtunded. It is determined that the morning dose of lithium was not taken. Which order does the nurse anticipate first?  

The 24-year-old otherwise healthy patient with bipolar disorder is found unconscious and brought to the emergency department. The patient is mildly febrile, significantly tachycardic, tachypneic, and hypotensive, with poor skin turgor and 5 second capillary refill. The patient’s EKG is notable for inverted T waves and sinus tachycardia. Which orders does the nurse anticipate for this patient? Select all that apply.  

The nurse is caring for the 16-year-old patient undergoing treatment for Ewing sarcoma. Which intervention is most helpful for the patient?  

The 24-year-old male patient presents to the clinic to request a consultation for rhinoplasty. He reports his unsightly nose ruined his most recent relationship because his girlfriend would not stop staring at it; he has missed work due to embarrassment and has started to use makeup to make it look smaller. Upon assessment, the nose appears normal and proportional to his face. Which course of action is the most appropriate?  

The 22-year-old patient presented 6 weeks ago to the clinic to request a consultation for rhinoplasty. He reports his unsightly nose ruined his most recent relationship because his girlfriend would not stop staring at it; he has missed work due to embarrassment and has started to use makeup to make it look smaller. Upon assessment, the nose appears normal and proportional to his face. Psychoeducation was started and the patient has been compliant. However, he reports minimal improvement in his perception. The nurse advocates for which treatment next?  

The 25-year-old patient is brought by her mother to the emergency department due to being unable to move the eyes or look down other than bending over. Her medical history is notable for schizophrenia and non-compliance with medication. A week ago, she was hospitalized and decided to pursue injectable haloperidol as a treatment option with which she could be more compliant. This morning, she was upset to find she could not move her eyes. The nurse prepares which therapy?