Which patient would a nurse refer to partial hospitalization? An ...

[wenmo]

Which patient would a nurse refer to partial hospitalization? An individual who:
 
  a. spent yesterday in the 24-hour supervised crisis care center and continues to be actively suicidal.
  b. because of agoraphobia and panic episodes needs psychoeducation for relaxation therapy
  c. has a therapeutic lithium level and reports regularly for blood tests and clinic follow-up.
  d. states, I'm not sure I can avoid using alcohol when my spouse goes to work every morning.

Question 2

A patient tells the nurse at the clinic, I haven't been taking my antidepressant medication as directed. I leave out the midday dose. I have lunch with friends and don't want them to ask me about the pills.
 
  Select the nurse's most appropriate intervention.
 
  a. Investigate the possibility of once-daily dosing of the antidepressant.
  b. Suggest to the patient to take the medication when no one is watching.
  c. Explain how taking each dose of medication on time relates to health maintenance.
  d. Add the nursing diagnosisIneffectiv e therapeutic regimen management, related to lack of knowledgeto the plan of care.

[patma1981]

Answer to Question 1

ANS: D
This patient could profit from the structure and supervision provided by spending the day at the partial hospitalization program. During the evening, at night, and on weekends, the spouse could assume supervision responsibilities. The patient who is actively suicidal needs inpatient hospitalization. The patient in need of psychoeducation can be referred to home care. The patient who reports regularly for blood tests and clinical follow-up can continue on the same plan.

Answer to Question 2

ANS: A
Investigating the possibility of once-daily dosing of the antidepressant has the highest potential for helping the patient achieve compliance. Many antidepressants can be administered by once-daily dosing, a plan that increases compliance. Explaining how taking each dose of medication on time relates to health maintenance is reasonable but would not achieve the goal; it does not address the issue of stigma. The self-conscious patient would not be comfortable doing this. A better etiologic statement would be related to social stigma. The question asks for an intervention, not analysis.

[wenmo]

Excellent

[upturnedfurball]

Gracias!