Author Question: Upon arrival on the psychiatric unit this morning, which activity should be the nurse's focus? The ... (Read 42 times)

hubes95 · **on:** Jul 19, 2018

Upon arrival on the psychiatric unit this morning, which activity should be the nurse's focus? The nurse should do which of the following?

1. Review psychological testing results for all clients.
2. Schedule the individual therapy sessions for all clients.
3. Identify community resources for clients to be discharged this morning.
4. Assess each client for whom the nurse will be providing care.

Question 2

The sister of a client with schizophrenia asks the nurse what to do when her brother acts like he is talking to someone, but no one is there.

Which of the following responses by the nurse would help the sister gain insight into her brother's experience?
1. Tell your brother to go to his room to decrease the amount of stimuli he is experiencing.
2. Tell your brother there is no one else in the room.
3. Give your brother medication for increased anxiety.
4. Ask your brother to describe what he is seeing and hearing.

carojassy25 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

4
Rationale: The nurse is responsible for implementing the nursing process and nursing care for clients. The psychiatric social worker has major responsibility for the identification of post-discharge community resources. The clinical psychologist's primary foci are psychotherapy and psychological testing.

Answer to Question 2

4
Rationale: Asking your brother to describe what he is seeing and hearing serves to not only ask the client for information, but also helps validate the client's experiences. The other statements fail to ask the client what is being experienced. Telling your brother there is no one else in the room is phrased incorrectly. A better response would be for the sister to state, I do not see anyone else in the room. Tell me what you see and hear. Telling your brother to go to his room to decrease the amount of stimuli he is experiencing does not address what the client is experiencing. There is no indication the client is experiencing increased anxiety. Additionally, giving medication would not help the sister gain insight into her brother's experience.