The nurse should refer which of the following patients to a ...

[KWilfred]

The nurse should refer which of the following patients to a partial hospitalization program? A patient who:
 
  a. has a therapeutic lithium level and reports regularly for blood tests and clinic follow-up.
  b. needs psychoeducation for relaxation therapy related to agoraphobia and panic episodes.
  c. spent yesterday in a supervised crisis care center and continues to have active suicidal ideation.
  d. states, I'm not sure I can avoid using alcohol when my spouse goes to work every morning.

Question 2

A health care provider prescribed depot injections every 3 weeks at the clinic for a patient with a history of medication noncompliance. For this plan to be successful, which factor will be of critical importance?
 
  a. The attitude of significant others toward the patient
  b. Nutrition services in the patient's neighborhood
  c. The level of trust between the patient and nurse
  d. The availability of transportation to the clinic

[ebe]

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 responsibility for supervision. A suicidal patient needs inpatient hospitalization. The other patients can be served in the community or with individual visits.

Answer to Question 2

ANS: D
The ability of the patient to get to the clinic is of paramount importance to the success of the plan. The depot medication relieves the patient of the necessity to take medication daily, but if he or she does not receive the injection at 3-week intervals, non-adherence will again be the issue. Attitude toward the patient, trusting relationships, and nutrition are important but not fundamental to this particular problem.

[KWilfred]

Excellent

[jackie]

Thanks for the timely response, appreciate it