Author Question: Which aspects of the environment of a psychiatric unit comply with JCAHO environment-of ... (Read 55 times)

vHAUNG6011 · **on:** Jul 19, 2018

Which aspects of the environment of a psychiatric unit comply with JCAHO environment-of -carestandards? Select all that apply.

a. Visitor badges
b. Identification badges for employees
c. Telephones located in enclosed booths
d. Requiring patients to wear hospital-issue clothing
e. Guidelines for staff interaction with media representatives

Question 2

A patient has taken lithium (Lithobid) 300 mg three times daily for 1 week. The patient reports the presence of fine hand tremors and thirst. Select the nurse's best action.

a. Increase sodium in the patient's diet.
b. Immediately obtain a serum lithium level determination.
c. Comfort the patient that these effects will probably decrease over time.
d. Withhold the lithium until the patient no longer exhibits these side effects.

princessflame2016 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A, B, C, E
JCAHO standards mandate clothing suitable for the clinical environment, but they do not require patients to wear hospital-issue clothing. The other answers comply with standards.

Answer to Question 2

C
These side effects are common and often decrease or disappear over time with continued lithium therapy. Dietary sodium should remain unchanged to keep the lithium level stable. These side effects do not suggest the need for determination of a lithium level. Lithium should not be withheld, because these are not toxic symptoms.