The client statements that identify aspects of nursing functions ...

[jake]

The client statements that identify aspects of nursing functions of high therapeutic value to a client
  being followed by an interdisciplinary community mental health team are
 
  The nurse (more than one
  answer may be correct)
  A. talks in language I can understand..
  B. looks at me as a whole person with lots of needs..
  C. lets me do whatever I choose without interfering..
  D. helps me keep track of my medication..
  E. is willing to go on a date with me..

Question 2

The nurse at the adult outpatient clinic plans to use the Abnormal Involuntary Movement Scale to
  examine a client who has taken typical antipsychotic medication (chlorpromazine, haloperidol) over
  a period of several years.
 
  The purpose of this examination is to detect
  a. neuroleptic malignant syndrome.
  b. anticholinergic side effects.
  c. tardive dyskinesia.
  d. akathisia.

[cswans24]

Answer to Question 1

ANS: A, B, D
Rationale: Each of the correct answers is an example of appropriate nursing foci: communicating at
a level understandable to the client, using holistic principles to guide care, and providing medication
supervision. Option C suggests a laissez faire attitude on the part of the nurse, when the nurse should
provide thoughtful feedback and help clients test alternative solutions. Option E is a boundary
violation.

Answer to Question 2

C
The Abnormal Involuntary Movement Scale is a tool used to detect symptoms of tardive dyskinesia,
a serious, often irreversible side effect of typical antipsychotic medication use. Early detection and
changing to an atypical antipsychotic medication can prevent worsening of the symptoms. Clients
with severe mental illness should be monitored regularly for signs of medication side effects. This
scale is not useful for detecting neuroleptic malignant syndrome, anticholinergic side effects, or
akathisia.

[jake]

Gracias!

[ecabral0]

Excellent