A nurse is determining the success of a client's plan of care by ...

[clippers!]

A nurse is determining the success of a client's plan of care by evaluating outcome indicators. A positive outcome for the client with schizophrenia who has been experiencing numerous hallucinations would be:
 
  A) On the day of discharge, the client reports they are hearing only two voices today.
  B) During the initial assessment, the nurse observes the client talking to themselves throughout the interview phase.
  C) At the initial interview, the client is unable or unwilling to answer all questions, at times just staring off in space.
  D) After some intense therapy sessions and medication readjustment, the client reports they are no longer hearing voices.

Question 2

A staff nurse on a psychiatric unit knows that clients often have trouble sleeping because of their psychiatric conditions. Which of the following reflects a psychiatric nursing intervention to appropriately address this problem?
 
  A) Limiting amounts of evening snacks and beverages
  B) Involving clients in a volleyball game immediately before bedtime
  C) Enforcing the rule that all patients be in bed with lights out by 10:30 p.m.
  D) Encouraging clients to take short naps in the afternoons

[TDubDCFL]

Answer to Question 1

Ans: D
The nurse usually determines outcome indicators during the assessment process. Outcomes can be expressed in terms of the client's actual responses (no longer reports hearing voices) or the status of a nursing diagnosis at a point in time after implementation of nursing interventions.

Answer to Question 2

Ans: A
Avoiding naps in the late afternoon or evening, eating lightly before retiring, and limiting fluid intake before retiring are nonpharmacologic sleep interventions that should be tried before administering sleep medications because of side effects associated with many pharmacologic sleep interventions.

[clippers!]

Thank you

[TDubDCFL]

No problemo