A 16-year-old youth comes into the clinic you are working at and states I hear angels. What would you ask the youth or family to determine if he is showing the early stages of schizophrenia? Provide a rationale for why you ask the question.

How do we write a nursing care plan for vsim pediatric assimilation Eva Madison

List three contrasting characteristics of the fat and water soluble vitamins.

Jamie, 20 year old female, visits the outpatient healthcare provider for a consultation. As the nurse gathers data prior to the healthcare provider appointment, the client reveals that she feels that she has been drinking too much recently, has tried to quit unsuccessfully several times, but is not comfortable abstaining from drinking when she is around her friends who are socially drinking alcohol. She notes that alcohol helps her relax as she is taking college classes and feels very stressed with deadlines and workload in addition to her part-time job. She wants to talk with someone about how to modify her drinking but not give it up altogether.

The nurse responds to this by saying, “I don’t think cutting down on your drinking will help when you have not been able to quit before. Do you really think anything other than totally quitting will work? I have never seen that to be successful in our patients.”

1. Is the nurse’s communication with the patient appropriate? Why not?

2. What communication technique (block) did the nurse use?

3. How should the nurse communicate with this patient? Provide an example of a therapeutic response and name which therapeutic technique you are using.

Jamie tells the nurse that she thinks she can control her drinking if she does not have so much stress. It was her only way to deal with her problems and that going out with her friends caused her to drink too much.

4. What defense mechanism(s) is Jamie using?
   

What critical roles do nurses serve in emergency preparedness at the local, state and national levels?

How can health disparity ( health immunization) be addressed for undocumented?

Question-Discuss the personal toll of social distancing and isolation on those ill and their families.

Disease surveillance systems are evaluated to determine their quality and identify characteristics needing improvement. List two of the surveillance system attributes that CDC recommends evaluating (there are 9 to choose from) and define them (minimum 2 sentences; one sentence each).

Attribute:

Platelets circulate in the blood for about 10 days, so they need to be constantly replenished. What possible pathology may a patient have with the number of platelets indicated above?

do you think that having PLC's out of the classroom can be refreshing to the students and create some more attention and curiosity to the project?

Pt is a 52 yr old male. He was admitted for Right Total Hip Arthroplasty and had surgery for hip replacement. He's on telemetry. He has hx of hyperlipedemia, sleep apnea, HTN, PTSD, osteoarthritis, chronic back pain, narcotic dependence. He's allergic to Gabapentin and bee sting (anaphylaxis reaction). Past surgical hx are appendectomy, arthroscopy of left knee, left knee surgery, and tonsillectomy. His vital signs were stable yesterday, afebrile. No bowel movement since his surgery 10/26/20. Dressing to his right hip tegaderm and gauze CDI, no breakthrough drainage. Pt reported continuous 8/10 "burning, tightness, throbbing, radiating" pain to his incision site, lower back, right knee, and groin. Medicated hydromorphone dilaudid 2x and oxycodone 2x as needed. His pain didn't decrease at the end of my shift. Physical therapy came in to ambulate him and transfer him to reclining chair with an abduction pillow. Lidocaine patch to his right leg, using ice pack for comfort. He was not able to take a nap due to the pain. Getting discharge today.

MEDICATIONS:

Mag-Tab Sr tablet 84 mg PO daily

Morphine Sulf ER tablet 15 mg PO BID

Tylenol Tab 975 mg PO TID

Norvasc tab 5 mg PO daily

Protonix tab 40 mg PO daily

Senna 8.6/50mg tab PO daily

Lovenox Inj. 40 mg SQ 0.4mL

Miralax packet 17gm PO daily

Oxycodone 5mg PO Q4HP PRN

Hydromorphone HCL 1mg IVP Q2HP PRN

LAB TEST:

RBC 3.65L

Hgb 11.4L

Hct 35.6L

Neutrophils 76.8H

Lympocytes 12.9L

Creatinine 0.76L

Glucose 162H

- What is the most important nursing diagnosis for this patient?

- What is one biggest problem or biggest concern for this patient? Include "related to" and "as evidenced by".

- What are the goals presented for priority problems listed with measurable outcomes?

- What are the interventions (at least one education intervention) Relationships apparent between interventions and each goal/outcome and problem. Be concise and clear, achievable, relates to the stated diagnosis and client outcome.

- Evaluation: States how client outcome was met, what might have helped or hinder attainment of the outcome, analyzes the care given. If needed, revisions in the care plan done; interventions, assessment, state if should have done something differently in retrospect.

- Labs: (discussed how the labs relates to the patient’s specific condition).

4.which statement is an example of the therapeutic communication technique of confrontation
A. are you saying you would like to leave the hospital
B. we’re talked about your medications now lets look at the trouble your having taking them on time
C. I see that you are staring out the window. Tell me what you’re thinking
D. You say you’ve already decided what to do; yet you are still talking about your options

5.The nurse has just attended a conference on therapeutic communication. Which of the following behaviors would have a negative impact on the development of patient rapport?
      a. offering advice and solutions
      b. initiating conversation with no initial introduction
      c. encouraging self-disclosure
     d. assist patient to deal with emotional stress
patient

28. The nurse is planning a patient-centered care goal for a patient after surgery. Which of the following is an appropriate short-term goal for the patient? The patient will
a. Ambulate every 2 hours to prevent fatigue
b. Ambulate often to prevent atelectasis
c. Walk the length of the hallway with minimal assistance every 4 hours
d. Be walked by the nursed more frequently