Blog

While hospitalized, a patient misses breakfast in the cafeteria three times in one weekend because of his ritualistic handwashing.  His handwashing ritual may go on for 30 minutes.  Which of the following nursing actions would be most appropriate at the present time for the client with an Obsessive Compulsive Disorder? a. Document the behavior, and work with the treatment team to design a treatment program to stop the behavior.b. Tell the client to stop washing his hands and design a care plan to decrease his anxiety.c. Ask the client why he feels he must wash his hands and ask the physician for an order for antianxiety agent.d. Change the client’s morning schedule to allow enough time for handwashing.

A nurse is discussing the possible physical effects of alcohol withdrawal with a newly licensed nurse. Which of the following effects should the nurse include?  “Select all that Apply.” a. Seizuresb. Hallucinationsc. Tremorsd. Polyphagiae. Nystagmus

A new client on the psychiatric unit has a diagnosis of obsessive-compulsive disorder.  After her initial assessment and introduction to the unit, she goes to her room to unpack her suitcase.  She begins to arrange her belongings in the drawers and closet.  Forty-five minutes later, when the nurse comes to check on her, she is still folding and unfolding her clothes and arranging and rearranging them in the drawers.  The most likely reason for her behavior is: a. it relieves her anxiety.b. her mother taught her to be very neat.c. she misunderstands instructions on the unit.d. none of the above.

A nursing intervention for a person with Schizophrenia is to: a. reinforce the hallucinations.b. redirect the person to reality and to the present.c. administer electroconvulsive therapy (ECT) as needed.d. encourage competitive activities.

A. Chlorhexidine Gluconate has low tissue toxicity including mucous membranes. [answer1]   B.  It is accepted practice to scrub a patient with a povidone-iodine product. [answer2]

Which needle and tissue combination is correct?

A client of the psychiatric day treatment program has been referred by his probation officer for treatment after an arrest for driving under the influence of substances.  He has a history of many arrests for assault, grand larceny, and other serious crimes and has served two prison sentences.  His diagnosis is antisocial personality disorder.  Which of the following quotes is most likely on his past behavior? a. “It’s not my fault.”b. “I’m too ashamed to talk about it.”c. “I just don’t remember doing it.”d. “I’m really sorry about all the people I’ve hurt.”

Silence can be used as an effective communication tool when: a. The nurse assumes the problem is resolved.b. The conversation is to be redirected.c. Your physical presence provides more support than words ever will.d. Communication needs to be blocked.

What needs to be done to the patient after the hair clip and before moving the patient into the OR?

Which blade size is more commonly chosen for clipping a surgical site?