Psychiatric emergencies affect people of all ages and can occur ...

[pane00]

Psychiatric emergencies affect people of all ages and can occur at any time. The nurse is educating a group of student nurses completing their psychiatric rotation on when clients should be instructed to call for medical assistance.
 
  Based on this information, the student nurses properly identified when to call for medical assistance when which factors are present in an individual?
   1 . Threat to harm self or others
   2 . Suicidal thoughts
   3 . Willingness to talk when a psychiatric emergency is suspected
   4 . History of prior suicide attempts
  A) 1, 2, 3
  B) 1, 2, 4
  C) 1, 3, 4
  D) 2, 3, 4

Question 2

The nurse is explaining to a client with cystic fibrosis the goals of the oxygen therapy prescribed for her. Which of the following is a therapeutic effect of oxygen administration?
 
  A) It reverses high and low oxygen concentrations in the blood.
  B) It increases the work of the respiratory system, allowing it to work more efficiently.
  C) It decreases the heart's work in pumping blood and eases the heart's load.
  D) It affects ventilatory drive control mechanisms and increases the stimulus to breathe.

[Ksh22]

Answer to Question 1

B
Feedback:
Call for medical assistance when any of these factors are present in an individual: Threat to harm self or others; suicidal thoughts, especially if the person has a specific plan (e.g., weapons, pills, and so forth) or even if the person does not have a plan; refusal to talk further when a psychiatric emergency is suspected; and history of prior suicide attempts.

Answer to Question 2

C
Feedback:
Increasing the concentration (or percentage) of oxygen the client inhales accomplishes three goals: (1) it reverses hypoxemia (low oxygen concentration in the blood); (2) it decreases the work of the respiratory systemif the client receives supplemental oxygen, the respiratory muscles do not work as hard to pump air in and out of the lungs to maintain a sufficient blood oxygen supply; and (3) it decreases the heart's work in pumping bloodthe heart tries to compensate for hypoxemia by increasing output; supplemental oxygen can ease the heart's load.