Discharge planning is underway for an elderly client who has been ...

[laurencescou]

Discharge planning is underway for an elderly client who has been hospitalized for 2 weeks for
  treatment of major depression with selective serotonin reuptake inhibitors.
 
  The client has been
  determined to need ongoing mental status assessment, socialization opportunities, health education
  regarding medication, and relapse prevention. The client lives with her daughter, who works during
  the week. The best referral for the client would be
  a. partial hospitalization.
  b. home care.
  c. a nursing home.
  d. a halfway house.

Question 2

Which medication is the nurse most likely to see ordered as part of the treatment plan for both a
  client who is in an alcoholism treatment program and a client who is in a program for treatment of
  opioid addiction?
 
  a. Methadone
  b. Disulfiram
  c. Naltrexone
  d. Bromocriptine

[mcabuhat]

Answer to Question 1

A
Partial hospitalization would provide the services the client needs and would give supervision and
meals to the client while her daughter is at work. Home care would not provide socialization. The
nursing home could not as easily provide the necessary teaching. A halfway house provides 24-hour
care and usually expects involvement in off-campus programs.

Answer to Question 2

C
Naltrexone (ReVia) is useful for treating both opioid and alcohol addiction. An opioid antagonist, it
blocks the action of opioids and because it blocks the mechanism of reinforcement; it also reduces or
eliminates alcohol preference.

[laurencescou]

Thank you

[mcabuhat]

No problemo