A teenage patient is brought to your hospital by her parents. The patient exhibits unusual behaviors, including illogical thought processes and strange combinations of words that you do not understand. She is wearing dirty clothes and has body odor.
The patient also appears to carry on a conversation with a person who is not seen by you. Your first priority for this patient is:
A) Have her shower and change clothes
B) Bring her a snack
C) Resocialize her
D) Ensure her safety
Question 2
You are working with the RN to plan short-term goals for a 28-year-old hospitalized manic client. Which is the most important goal?
A) Protection from self-inflicted harm
B) Meals in excess of metabolic requirement
C) Strict participation in unit activities
D) Enforced medication
(A) Scratch test; patient is exposed to allergens through a light scratch on the skin; (B) Positive
Measuring Patient Height
A nurse communicates with her non–English-speaking patient through an interpreter
Computerized Patient Record (CPR)
Cyanosis as shown here at the patient’s fingertips results from a lack of oxygen in the tissues
Algorithm for assessing a patient at risk for self-directed violence.