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A pt with postpartum depression, who is admitted to the behavioral health unit refuses to leave her room or eat meals. In addition to maintaining physical safety, which short term goal should the nurse include in the plan of care?
Attends one group activity per day
The psychiatric nurse is caring for pts on an adolescent unit. Which client requires the nurse's immediate attention
An 18-year-old pt with antisocial behavior who is being yelled at by other pts.
The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to situations and perceived stress. In addition to information about prescribed medication and administration, which instruction should the nurse include in the teaching?
Practice using muscle relaxation techniques
A preschool aged boy is admitted to the pediatric unit following successful resuscitation from a near drowning incident. While providing care to the child, the nurse begins with the brother who rescued the child from the swimming pool and initiated resuscitation. The nurse notices the older boy becomes withdrawn when asked about what happened. Which action should the nurse take?
Ask the older brother how he felt during the incident.
A pt presses the call bell and requests pain medication for a severe headache. To assess the quality of the pt. Pain, which approach should the nurse use?
Ask the patient to describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When exiting the room, which PPE should be removed first?
Gloves
An older pt is brought to the ED with a sudden onset of confusion that occurred after experiencing a fall at home. The daughter, who has power of attorney, has brought the client's prescriptions. Which information should the nurse provide first when reporting to the healthcare provider using SBAR communication?
Increasing confusion of the pt.
A pt tells the nurse about working out with a personal trainer and swimming three times a week in an effort to lose weight and sleep better. The pt states that it still is taking hours to fall asleep at night. Which action should the nurse implement?
Ask the pt for a description of the exercise schedule that is being followed
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