Author Question: The nurse must make a referral of a client to a community-based service. The choice lies between an ... (Read 39 times)

JGIBBSON · **on:** Jul 19, 2018

The nurse must make a referral of a client to a community-based service. The choice lies between an adult residential treatment program and a day treatment program. The primary difference be-tween the two is:

1. Only the adult residential treatment program focuses on symptom reduction
2. The adult residential treatment program provides 24-hour supervision
3. The day treatment program provides only dementia programming
4. The day treatment program is directed toward vocational rehabilitation

Question 2

Which client in the home health care nurse's caseload should be given the nursing diagnosis Risk for other-directed violence? A client experiencing:

1. Severe agoraphobia that never leaves her bedroom
2. Depression related to deteriorating physical condition associated with AIDS
3. Generalized anxiety disorder with panic attacks
4. Auditory hallucinations commanding him to shoot infidels

emsimon14 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 2
The adult residential program is more intense than a day treatment program. It provides 24-hour care and supervision, whereas a day program usually operates on an 8-hour day, 5 days a week. Both are aimed at symptom reduction. Option 1 is untrue. Day treatment programs (options 3 and 4) offer a full range of treatment services; they are not limited to dementia programs. Day treatment programs are therapeutic in their programming; rehabilitation services are usually of-fered by separate organizations.

Answer to Question 2

ANS: 4
Command hallucinations are of particular concern because the client may feel compelled to obey them. Those commanding the client to harm self or others suggest the nursing diagnosis Risk for harm either self-directed or other-directed. 1. The agoraphobic client is rarely a risk for violence. 2. This client would probably be at greater risk for self-harm. 3. Clients with GAS are rarely homicidal, even during panic attacks.