A patient with schizophrenia had an exacerbation related to ...

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A patient with schizophrenia had an exacerbation related to medication noncompliance. During 4 days of hospitalization, medication was resumed. The patient's thought processes are now more organized, and discharge is planned.
 
  The patient's family is upset and tells the nurse, It's too soon for discharge. We will just go through all this again. The nurse should: a. call the psychiatrist to explain the discharge rationale.
  b. explain that health insurance will not pay for a longer stay.
  c. call security to handle the disturbance, and escort the family off the unit.
  d. explain that the patient will continue to improve if medication is taken regularly.

Question 2

A male client with the diagnosis of depression is taking a monoamine oxidase inhibitor (MAOI). Which is the most important teaching point the nurse must include in his care plan?
 
  a. Avoid foods high in sodium content.
  b. Avoid alcoholic beverages.
  c. Ensure that protein intake is 60 grams per day.
  d. Take a potassium supplement.

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Answer to Question 1

D
Patients no longer stay in the hospital until every vestige of a symptom disappears. The nurse must assume responsibility to advocate for the patient's right to the least restrictive setting as soon as the symptoms are under control and for the right of citizens to control health care costs. The health care provider will use the same rationale. Shifting blame will not change the discharge. Security is unnecessary. The nurse can handle this matter.

Answer to Question 2

B
This client should be given a list of foods and beverages that are restricted when taking MAOIs, such as some alcoholic beverages, sausage and bologna, and some cheeses. Sodium, protein, and potassium are not factors when MAOIs are taken.

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Excellent