A nurse is reviewing the assessment data of a client diagnosed ...

[futuristic]

A nurse is reviewing the assessment data of a client diagnosed with a mental illness. The client is to be prescribed medication to treat the illness. The nurse would identify changes in which laboratory values as being the least significant?
 
  A) Hemoglobin
  B) Alanine aminotransferase (ALT)
  C) Blood urea nitrogen (BUN)
  D) Serum creatinine

Question 2

A home health nurse is making a home visit to a psychiatric client who was recently discharged from a mental health unit. During the visit, the nurse plans on clarifying with the client when she will return for the next home visit.
 
  During which stage would the nurse discuss the next home visit with the client?
 
  A) Closure stage
  B) Service implementation
  C) Greeting stage
  D) Focus establishment

[mcni194]

Answer to Question 1

Ans: A
Hepatic, renal, or urinary abnormalities, such as ALT, BUN, and creatinine concentrations, are important to note because these systems metabolize or excrete many psychiatric medications. Changes in hemoglobin concentrations, such as a decrease, suggest anemia but would have little effect on medication being prescribed.

Answer to Question 2

Ans: A
Closure is the last phase, the end of the home visit. It is a time to summarize and clarify important points. The nurse should also schedule any additional visits and reiterate client expectations between visits. The greeting phase establishes the communication process and atmosphere for the visit. The focus of the visit is accomplished next. The third phase, implementation of service, uses most of the visit time and addresses the purpose of the visit.