The nurse is assessing a client who will be having an orthopedic ...

[kaid0807]

The nurse is assessing a client who will be having an orthopedic surgery. The client takes an anti-psychotic medication and shares that he has recently started using two herbal preparations for his nerves. The nurse should:
 
  1. Ask for the specific names of the herbal compounds
  2. Go on to another interview question since herbal compounds are not important
  3. Tell him to stop using the herbal preparations because they are not effective
  4. Explain that his physician will not be happy with his self-prescribing

Question 2

A client with schizophrenia is medication compliant and has well-controlled symptoms. He has, however, never been successful in holding a job because of poor social skills and lack of under-standing of basic job skills.
 
  The nurse case manager should consider referring the client:
  1. To a day hospital program
  2. For psychosocial rehabilitation
  3. For cognitive therapy
  4. To assertiveness training

[Viet Thy]

Answer to Question 1

ANS: 1
Some herbal compounds can interact with antipsychotic medications, and the nurse needs to gather more information. Option 2 is incorrect because herbal compounds can have effects on the person. The nurse should not give blanket advice concerning herbal medications without consult-ing the physician. Option 4 is not a correct response since the nurse should not speak for another health professional.

Answer to Question 2

ANS: 2
Psychosocial rehabilitation helps clients readjust to community living by promoting development of necessary skills. Social skills training and job skills training programs are usually available. 1. The client does not need the more intensive services found in a day hospital. 3. Cognitive therapy will not offer the needed community living skills training. 4. Assertiveness training is only a small portion of the community living skills the client needs.

[kaid0807]

TY

[Viet Thy]

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