HESI PN MENTAL HEALTH (VERSION 1). LATEST UPDATE
q q q q q q q
AqclientqwithqanqeatingqdisorderqisqplanningqtoqattendqgroupqmeetingsqwithqOvereatersqAno
nymous.qTheqLPN/LVNqdescribesqthisqgroupqtoqtheqclient,qknowingqthatqwhichqfinding(s)qa
reqcharacteristicqofqthisqformqofqself-helpqgroup?qSelectqallqthatqapply.
1) Aqcommonqgoalqisqsharedqbyqallqmembers
2) Membersqareqrequiredqtoqremainqanonymous
3) Theqleaderqisqaqprofessionalqmentalqhealthqcareqprovider
4) Attendanceqmustqbeqprescribedqbyqtheqhealthqcareqprovider
5) Theqprogramqisqdesignedqtoqprovideqsupportqandqbringqaboutqpersonalqchange
6) Theqgroupqisqcomposedqofqindividualsqwhoqareqexperiencingqsimilarqproblemsq-q1,5,6
Aqclientqwithqschizophreniaqisqexperiencingqdistressfulqthoughtsqsecondaryqtoqparanoia.qW
hichqintervention(s)qshouldqtheqLPN/LVNqincludeqinqtheqplanqofqcare?qSelectqallqthatqapply.
1) Avoidqlaughingqwhenqnearqtheqclient
2) Whisperqwhenqcommunicatingqnearqtheqclient
3) Increaseqsocializationqofqtheqclientqamongqhisqpeers
4) Haveqtheqclientqsignqaqwrittenqreleaseqofqinformationqform
5) Provideqfoodqitemsqthatqareqinqcontainersqthatqneedqtoqbeqopened
6) Beginqtoqeducateqtheqclientqaboutqsocialqsupportsqinqtheqcommunityq-q1,5
AqclientqisqpreparingqtoqattendqatqGamblersqAnonymousqmeetingqforqtheqfirstqtime.qTheqprot
otypequsedqbyqthisqgroupqisqtheq12-
stepqprogramqdevelopedqbyqAlcoholicsqAnonymous.qNumberqinqorderqofqpriorityqhowqtheqs
tepsqwouldqbeqaddressed.
1) Admittingqtoqoneselfqandqtoqanotherqhumanqbeingqtheqexactqnatureqofqone'sqwrongs
2) Acknowledgingqthatqoneqisqentirelyqreadyqtoqhaveqhisqorqherqdefectsqofqcharacterqr
emoved
3) Admittingqthatqoneselfqisqpowerlessqoverqgamblingqandqthatqone'sqlifeqhasqbecomeq
unmanageable
4) Makingqanqeffortqtoqpracticeqtheq12-
stepqprinciplesqinqallqaffairs,qandqtoqcarryqoutqthisqmessageqtoqotherqcompulsiveqgambler
s
5) Makingqdirectqamendsqwhereverqpossibleqtoqallqpeopleqthatqhaveqbeenqhurt,qexpectq
whenqtoqdoqsoqwouldqfurtherqharmqthemqorqothersq-q3,1,2,5,4
Anqoutpatientqclinicqwhoqhasqbeenqreceivingqhaloperidolq(Haldol)qfor
2qdaysqdevelopsqmuscularqrigidity,qalteredqconsciousness,qaqtemperature
ofq103,qandqtroubleqbreathingqonqdayq3.qTheqLPN/LVNqinterestqtheseqfindingsqasqindicating
qwhichqofqtheqfollowing.
1) NeurolepticqMalignantqSyndrome
2) Tardiveqdyskinesia
3) Extrapyramidalqadverseqeffects
4) Drug-inducedqparksonismq-q1
,Aqnewlyqadmittedqclientqdescribesqherqmissionqinqlifeqasqoneqofqsavingqherqsonqbyqeliminati
ngqtheq"provocativeqsluts"qofqtheqworld.qThereqareqseveralqattractiveqyoungqwomenqonqtheq
unit.qWhatqshouldqtheqLPN/LVNqdoqfirst?
1) Askqtheqclientqforqherqdefinitionqofq"provocativeqsluts"
2) Askqtheqyoungqfemaleqclientsqonqthequnitqtoqdressqlessqprovocatively
q3)qAskqtheqclientqtoqdiscussqherqconcernsqinqtheqnextqgroupqsession
4)qAskqtheqclientqtoqinformqtheqstaffqifqsheqhasqnegativeqthoughtsqaboutqotherqclientsq-q4
Theqwifeqofqaqclientqdiagnosedqwithqparanoidqschizophreniaqvisitsq2qdaysqafterqherqhusban
d;sqadmissionqandqstatesqtoqtheqnurse,q"Whyqisn'qheqeating?qHe'sqstillqtalkingqaboutqhisqfoo
dqbeingqpoisoning."qWithqofqtheqfollowingqappraisalsqbyqtheqLPN/LVNqisqmostqaccurate?
1) Theqwife'sqinquiryqisqreasonable
2) Educationqaboutqherqhusband'sqmedicationqisqneeded
3) Herqexpectationsqofqherqhusbandqareqrealistic
4) Anqincreaseqinqtheqclient'sqmedicationqisqneededq-q2
AqclientqstatesqthatqsheqhearsqGod'sqvoiceqtellingqherqthatqsheqhasqsinnedqandqneedsqtoqpunishq
herself.qWhichqresponseqbyqtheqLPN/LVNqisqmostqimportant?
1) "Howqdoqyouqthinkqyouqwillqbeqpunished?"
2) "Pleaseqtellqstaffqwhenqyouqthinkqyouqneedqtoqpunishqyourself."
3) "Whatqexactlyqdoqyouqthinkqyouqhaveqdoneqtoqbeqpunished?"
4) "Let'sqtalkqaboutqyourqstrengths"q-q2
Aqclientqdiagnosedqwithqparanoidqschizophreniaqisqstillqwithdrawn,qunkept,qandqunmotivat
edqtoqgetqoutqofqbed.qAqmentalqhealthqaideqasksqtheqnurseqwhyqtheqclientqisqthisqwayqafterqb
eingqonqfluphenazineq(Prolix)q10qmgqforq7qdays.qTheqLPN/LVNqshouldqtellqtheqhealthqaide:
1) "Prolixinqisqtheqmostqeffectiveqwithqpositiveqsymptomsqofqschizophrenia."
2) "TheqclientqwillqbeqlessqwithdrawnqandqunmotivatedqwhenqtheqProlixinqtakesqeffect."
3) "Theqclient'sqProlixqdoseqprobablyqneedsqtoqbeqincreasedqagain."
4) "LackqofqmotivationqisqaqcommonqsideqeffectqofqtheqProlixin."q-q1
Aqclientqisqbeingqsuccessfullyqtreatedqwithqclozapineq(Clozaril).qWhichqofqtheqfollowingqstateme
ntsqbyqtheqclientqreflectsqaqneedqforqfurtherqteachingqaboutqmanagingqtheqdrug'sqadverseqeffect
s?
1) "IfqIqeatqtooqmanyqfruits,qI'llqgetqconstipated."
2) Iqneedqtoqtakeqtheqmedicineqwithqfoodqtoqavoidqnausea."
3) "IqhaveqtoqgetqupqslowlyqsoqIqdon'tqgetqdizzy."
4) "SometimesqIqhaveqtoqpushqmyselfqbecauseqI'mqsleepy."q-q1
TheqLPN/LVNqisqassessingqaqclientqwhoqisqtakingqanqantipsychoticqmedication.qWhichqofqt
heqfollowingqsymptomsqisquniquelyqindicativeqofqneurolepticqmalignantqsyndromeq(NMS)qa
ndqrequiresqimmediateqattention?
1) Veryqhighqtemperature
,2)qMuscularqrigidity
q
3) Tremors
4) Alteredqconsciousnessq-q1
Aqclientqdiagnosedqwithqundifferentiatedqschizophreniaqisqbeingqdischargedqonqaripiprazol
eq(Ability)q5qmgqeveryqnight.qWhenqdevelopingqtheqteachingqplanqaboutqtheqmostqcommonq
adverseqeffects,qwhichqofqtheqfollowingqshouldqtheqnurseqinclude?qSelectqallqthatqapply.
1) Headachesqthatqwillqsubsideqinqaqfewqweeks
2) Transientqmildqanxiety
3) Insomnia
4) Torticollisq-q4,1,2,3
AnqelderlyqclientqwasqprescribedqAtivanq1qmgqthreeqtimesqaqdayqtoqhelpqcalmqherqanxietyqaf
terqherqhusband'sqdeath.qTheqnextqdayqtheqclientqcallsqherqdaughterqaskingqwhenqsheqisqpic
kingqherqupqtoqgoqtoqtheqgraveside.qTheqclientqsaysqsheqhasqbeenqwalkingqupqandqdownqthe
qdrivewayqforqtheqpastqhourqwaitingqforqherqdaughter.qNotingqtheqclient'sqagitation,qhyperact
ivity,qandqinstance,qtheqdaughterqcallsqtheqnurseqtoqreportqherqmother'sqbehavior.qWhichqofq
theqfollowingqwouldqtheqnurseqsuspectqasqtheqcauseqofqtheqmother'sqbehaviorqandqwhatqact
ionqshouldqsheqsuggest?
1) Theqclientqisqmanicqandqmayqneedqaqsleepingqpill
2) TheqclientqisqexperiencingqaqmedicationqinteractionqandqshouldqgoqtoqtheqED
3) TheqclientqisqexperiencingqaqparadoxicalqreactionqtoqtheqAtivanqandqshouldqstopqtheq
newqmedicationqimmediately
4) Theqclientqisqovercomeqbyqgriefqandqprobablyqneedsqanqantidepressantq-q3
Aqclientqwhoqisqbeingqtreatedqwithqlithiumqcarbonateqforqbipolarqdisorderqdevelopsqdiarrhea
,qvomiting,qandqdrowsiness.qWhatqactionqshouldqtheqLPN/LVNqtake?
1) Notifyqtheqhealthcareqproviderqimmediatelyqandqprepareqforqadministrationqofqanq
antidote.
2) Notifyqtheqhealthcareqproviderqofqtheqsymptomsqpriorqtoqtheqnextqadministrationqofqtheqd
rug.
3) Recordqtheqsymptomsqasqnormalqsideqeffectsqandqcontinueqadministrationqofqtheq
prescribedqdosage.
4) Holdqtheqmedicationqandqrefuseqtoqadministerqadditionalqamountsqofqtheqdrug.q-q2
Theqparentsqofqaq14-year-
oldqboyqbringqtheirqsonqtoqtheqhospital.qHeqisqlethargic,qbutqresponsive.qTheqmotherqstates,
q"Iqthinkqheqtookqsomeqof qmyqpainqpills."qDuringqinitialqassessmentqofqtheqteenager,qwhatqin
formationqisqmostqimportantqforqtheqnurseqtoqobtainqfromqtheqparents?
1) Ifqheqhasqseemedqdepressedqrecently.
2) Ifqaqdrugqoverdoseqhasqeverqoccurredqbefore.
3) Ifqheqmightqhaveqtakenqanyqotherqdrugs.
4) Ifqheqhasqaqdesireqtoqquitqtakingqdrugs.q-q3
, Theqwifeqofqaqmaleqclientqrecentlyqdiagnosedqwithqschizophreniaqasksqtheqnurse,q"Whatqe
xactlyqisqschizophrenia?qIsqmyqhusbandqallqright?"qWhichqresponseqisqbestqforqtheqLPN/LV
Nqtoqprovideqtoqthisqfamilyqmember?
1) Itqsoundsqlikeqyou'reqworriedqaboutqyourqhusband.qLet'sqsitqdownqandqtalk.
2) Itqisqaqchemicalqimbalanceqinqtheqbrainqthatqcausesqdisorganizedqthinking.
3) Yourqhusbandqwillqbeqjustqfineqifqheqtakesqhisqmedicationsqregularly.
4) Iqthinkqyouqshouldqtalkqtoqyourqhusband'sqpsychologistqaboutqthisqquestion.q-q2
Theqcommunityqhealthqnurseqtalksqtoqaqmaleqclientqwhoqhasqbipolarqdisorder.qTheqclientqe
xplainsqthatqheqsleepsq4qtoq5qhoursqaqnightqandqisqworkingqwithqhisqpartnerqtoqstartqtwoqnew
qbusinessesqandqbuildqanqempire.qTheqclientqstoppedqtakingqhisqmedicationsqseveralqdaysq
ago.qWhatqnursingqproblemqhasqtheqhighestqpriority?
1) Excessiveqworkqactivity.
2) Decreasedqneedqforqsleep.
3) Medicationqmanagement.
4) Inflatedqself-esteem.q-q3
Atqaqsupportqmeetingqofqparentsqofqaqteenagerqwithqpolysubstanceqdependency,qaqparentqs
tates,q"Eachqtimeqmyqsonqtriesqtoqquitqtakingqdrugs,qheqgetsqsoqdepressedqthatqI'mqafraidqhe
qwillqcommitqsuicide."qTheqnurse'sqresponseqshouldqbeqbasedqonqwhichqinformation?
1) Addictionqisqaqchronic,qincurableqdisease.
2) Toleranceqtoqtheqeffectsqofqdrugsqcausesqfeelingsqofqdepression.
3) Feelingsqofqdepressionqfrequentlyqleadqtoqdrugqabuseqandqaddiction.
4) Carefulqmonitoringqshouldqbeqprovidedqduringqwithdrawalqfromqtheqdrugs.q-q4
TheqLPN/LVNqobservesqaqfemaleqclientqwithqschizophreniaqwatchingqtheqnewsqonqTV.qSh
eqbeginsqtoqlaughqsoftlyqandqsays,q"Yes,qmyqlove,qI'llqdoqit."qWhenqtheqnurseqquestionsqtheq
clientqaboutqherqcommentqsheqstates,q"Theqnewsqcommentatorqisqmyqloverqandqheqspeak
sqtoqmeqeachqevening.qOnlyqIqcanqunderstandqwhatqheqsays."qWhatqisqtheqbestqresponseqf
orqtheqnurseqtoqmake?
1) Whatqdoqyouqbelieveqtheqnewsqcommentatorqsaidqtoqyou?
2) Let'sqwatchqnewsqonqaqdifferentqtelevisionqchannel.
3) Doesqtheqnewsqcommentatorqhaveqplansqtoqharmqyouqorqothers?
4) Theqnewsqcommentatorqisqnotqtalkingqtoqyou.q-q1
Whichqdataqindicateqtoqtheqnurseqthatqaqclientqisqexperiencingqeffectiveqcopingqfollowingqt
heqlossqofqaqspouse?qSelectqallqthatqapply.
1. Looksqatqoldqsnapshotsqofqfamily
2. Constantlyqneglectsqpersonalqgrooming
3. Visitsqtheqspouse'sqgraveqonceqaqmonth
4. Visitsqtheqseniorqcitizens'qcenterqonceqaqmonth
5. Prefersqtoqspendqtimeqaloneqandqavoidsqcontactqwithqothersq
Lookingqatqoldqsnapshotsqofqfamily
VisitsqtheqSpouse'sqgraveqonceqaqmonth
q q q q q q q
AqclientqwithqanqeatingqdisorderqisqplanningqtoqattendqgroupqmeetingsqwithqOvereatersqAno
nymous.qTheqLPN/LVNqdescribesqthisqgroupqtoqtheqclient,qknowingqthatqwhichqfinding(s)qa
reqcharacteristicqofqthisqformqofqself-helpqgroup?qSelectqallqthatqapply.
1) Aqcommonqgoalqisqsharedqbyqallqmembers
2) Membersqareqrequiredqtoqremainqanonymous
3) Theqleaderqisqaqprofessionalqmentalqhealthqcareqprovider
4) Attendanceqmustqbeqprescribedqbyqtheqhealthqcareqprovider
5) Theqprogramqisqdesignedqtoqprovideqsupportqandqbringqaboutqpersonalqchange
6) Theqgroupqisqcomposedqofqindividualsqwhoqareqexperiencingqsimilarqproblemsq-q1,5,6
Aqclientqwithqschizophreniaqisqexperiencingqdistressfulqthoughtsqsecondaryqtoqparanoia.qW
hichqintervention(s)qshouldqtheqLPN/LVNqincludeqinqtheqplanqofqcare?qSelectqallqthatqapply.
1) Avoidqlaughingqwhenqnearqtheqclient
2) Whisperqwhenqcommunicatingqnearqtheqclient
3) Increaseqsocializationqofqtheqclientqamongqhisqpeers
4) Haveqtheqclientqsignqaqwrittenqreleaseqofqinformationqform
5) Provideqfoodqitemsqthatqareqinqcontainersqthatqneedqtoqbeqopened
6) Beginqtoqeducateqtheqclientqaboutqsocialqsupportsqinqtheqcommunityq-q1,5
AqclientqisqpreparingqtoqattendqatqGamblersqAnonymousqmeetingqforqtheqfirstqtime.qTheqprot
otypequsedqbyqthisqgroupqisqtheq12-
stepqprogramqdevelopedqbyqAlcoholicsqAnonymous.qNumberqinqorderqofqpriorityqhowqtheqs
tepsqwouldqbeqaddressed.
1) Admittingqtoqoneselfqandqtoqanotherqhumanqbeingqtheqexactqnatureqofqone'sqwrongs
2) Acknowledgingqthatqoneqisqentirelyqreadyqtoqhaveqhisqorqherqdefectsqofqcharacterqr
emoved
3) Admittingqthatqoneselfqisqpowerlessqoverqgamblingqandqthatqone'sqlifeqhasqbecomeq
unmanageable
4) Makingqanqeffortqtoqpracticeqtheq12-
stepqprinciplesqinqallqaffairs,qandqtoqcarryqoutqthisqmessageqtoqotherqcompulsiveqgambler
s
5) Makingqdirectqamendsqwhereverqpossibleqtoqallqpeopleqthatqhaveqbeenqhurt,qexpectq
whenqtoqdoqsoqwouldqfurtherqharmqthemqorqothersq-q3,1,2,5,4
Anqoutpatientqclinicqwhoqhasqbeenqreceivingqhaloperidolq(Haldol)qfor
2qdaysqdevelopsqmuscularqrigidity,qalteredqconsciousness,qaqtemperature
ofq103,qandqtroubleqbreathingqonqdayq3.qTheqLPN/LVNqinterestqtheseqfindingsqasqindicating
qwhichqofqtheqfollowing.
1) NeurolepticqMalignantqSyndrome
2) Tardiveqdyskinesia
3) Extrapyramidalqadverseqeffects
4) Drug-inducedqparksonismq-q1
,Aqnewlyqadmittedqclientqdescribesqherqmissionqinqlifeqasqoneqofqsavingqherqsonqbyqeliminati
ngqtheq"provocativeqsluts"qofqtheqworld.qThereqareqseveralqattractiveqyoungqwomenqonqtheq
unit.qWhatqshouldqtheqLPN/LVNqdoqfirst?
1) Askqtheqclientqforqherqdefinitionqofq"provocativeqsluts"
2) Askqtheqyoungqfemaleqclientsqonqthequnitqtoqdressqlessqprovocatively
q3)qAskqtheqclientqtoqdiscussqherqconcernsqinqtheqnextqgroupqsession
4)qAskqtheqclientqtoqinformqtheqstaffqifqsheqhasqnegativeqthoughtsqaboutqotherqclientsq-q4
Theqwifeqofqaqclientqdiagnosedqwithqparanoidqschizophreniaqvisitsq2qdaysqafterqherqhusban
d;sqadmissionqandqstatesqtoqtheqnurse,q"Whyqisn'qheqeating?qHe'sqstillqtalkingqaboutqhisqfoo
dqbeingqpoisoning."qWithqofqtheqfollowingqappraisalsqbyqtheqLPN/LVNqisqmostqaccurate?
1) Theqwife'sqinquiryqisqreasonable
2) Educationqaboutqherqhusband'sqmedicationqisqneeded
3) Herqexpectationsqofqherqhusbandqareqrealistic
4) Anqincreaseqinqtheqclient'sqmedicationqisqneededq-q2
AqclientqstatesqthatqsheqhearsqGod'sqvoiceqtellingqherqthatqsheqhasqsinnedqandqneedsqtoqpunishq
herself.qWhichqresponseqbyqtheqLPN/LVNqisqmostqimportant?
1) "Howqdoqyouqthinkqyouqwillqbeqpunished?"
2) "Pleaseqtellqstaffqwhenqyouqthinkqyouqneedqtoqpunishqyourself."
3) "Whatqexactlyqdoqyouqthinkqyouqhaveqdoneqtoqbeqpunished?"
4) "Let'sqtalkqaboutqyourqstrengths"q-q2
Aqclientqdiagnosedqwithqparanoidqschizophreniaqisqstillqwithdrawn,qunkept,qandqunmotivat
edqtoqgetqoutqofqbed.qAqmentalqhealthqaideqasksqtheqnurseqwhyqtheqclientqisqthisqwayqafterqb
eingqonqfluphenazineq(Prolix)q10qmgqforq7qdays.qTheqLPN/LVNqshouldqtellqtheqhealthqaide:
1) "Prolixinqisqtheqmostqeffectiveqwithqpositiveqsymptomsqofqschizophrenia."
2) "TheqclientqwillqbeqlessqwithdrawnqandqunmotivatedqwhenqtheqProlixinqtakesqeffect."
3) "Theqclient'sqProlixqdoseqprobablyqneedsqtoqbeqincreasedqagain."
4) "LackqofqmotivationqisqaqcommonqsideqeffectqofqtheqProlixin."q-q1
Aqclientqisqbeingqsuccessfullyqtreatedqwithqclozapineq(Clozaril).qWhichqofqtheqfollowingqstateme
ntsqbyqtheqclientqreflectsqaqneedqforqfurtherqteachingqaboutqmanagingqtheqdrug'sqadverseqeffect
s?
1) "IfqIqeatqtooqmanyqfruits,qI'llqgetqconstipated."
2) Iqneedqtoqtakeqtheqmedicineqwithqfoodqtoqavoidqnausea."
3) "IqhaveqtoqgetqupqslowlyqsoqIqdon'tqgetqdizzy."
4) "SometimesqIqhaveqtoqpushqmyselfqbecauseqI'mqsleepy."q-q1
TheqLPN/LVNqisqassessingqaqclientqwhoqisqtakingqanqantipsychoticqmedication.qWhichqofqt
heqfollowingqsymptomsqisquniquelyqindicativeqofqneurolepticqmalignantqsyndromeq(NMS)qa
ndqrequiresqimmediateqattention?
1) Veryqhighqtemperature
,2)qMuscularqrigidity
q
3) Tremors
4) Alteredqconsciousnessq-q1
Aqclientqdiagnosedqwithqundifferentiatedqschizophreniaqisqbeingqdischargedqonqaripiprazol
eq(Ability)q5qmgqeveryqnight.qWhenqdevelopingqtheqteachingqplanqaboutqtheqmostqcommonq
adverseqeffects,qwhichqofqtheqfollowingqshouldqtheqnurseqinclude?qSelectqallqthatqapply.
1) Headachesqthatqwillqsubsideqinqaqfewqweeks
2) Transientqmildqanxiety
3) Insomnia
4) Torticollisq-q4,1,2,3
AnqelderlyqclientqwasqprescribedqAtivanq1qmgqthreeqtimesqaqdayqtoqhelpqcalmqherqanxietyqaf
terqherqhusband'sqdeath.qTheqnextqdayqtheqclientqcallsqherqdaughterqaskingqwhenqsheqisqpic
kingqherqupqtoqgoqtoqtheqgraveside.qTheqclientqsaysqsheqhasqbeenqwalkingqupqandqdownqthe
qdrivewayqforqtheqpastqhourqwaitingqforqherqdaughter.qNotingqtheqclient'sqagitation,qhyperact
ivity,qandqinstance,qtheqdaughterqcallsqtheqnurseqtoqreportqherqmother'sqbehavior.qWhichqofq
theqfollowingqwouldqtheqnurseqsuspectqasqtheqcauseqofqtheqmother'sqbehaviorqandqwhatqact
ionqshouldqsheqsuggest?
1) Theqclientqisqmanicqandqmayqneedqaqsleepingqpill
2) TheqclientqisqexperiencingqaqmedicationqinteractionqandqshouldqgoqtoqtheqED
3) TheqclientqisqexperiencingqaqparadoxicalqreactionqtoqtheqAtivanqandqshouldqstopqtheq
newqmedicationqimmediately
4) Theqclientqisqovercomeqbyqgriefqandqprobablyqneedsqanqantidepressantq-q3
Aqclientqwhoqisqbeingqtreatedqwithqlithiumqcarbonateqforqbipolarqdisorderqdevelopsqdiarrhea
,qvomiting,qandqdrowsiness.qWhatqactionqshouldqtheqLPN/LVNqtake?
1) Notifyqtheqhealthcareqproviderqimmediatelyqandqprepareqforqadministrationqofqanq
antidote.
2) Notifyqtheqhealthcareqproviderqofqtheqsymptomsqpriorqtoqtheqnextqadministrationqofqtheqd
rug.
3) Recordqtheqsymptomsqasqnormalqsideqeffectsqandqcontinueqadministrationqofqtheq
prescribedqdosage.
4) Holdqtheqmedicationqandqrefuseqtoqadministerqadditionalqamountsqofqtheqdrug.q-q2
Theqparentsqofqaq14-year-
oldqboyqbringqtheirqsonqtoqtheqhospital.qHeqisqlethargic,qbutqresponsive.qTheqmotherqstates,
q"Iqthinkqheqtookqsomeqof qmyqpainqpills."qDuringqinitialqassessmentqofqtheqteenager,qwhatqin
formationqisqmostqimportantqforqtheqnurseqtoqobtainqfromqtheqparents?
1) Ifqheqhasqseemedqdepressedqrecently.
2) Ifqaqdrugqoverdoseqhasqeverqoccurredqbefore.
3) Ifqheqmightqhaveqtakenqanyqotherqdrugs.
4) Ifqheqhasqaqdesireqtoqquitqtakingqdrugs.q-q3
, Theqwifeqofqaqmaleqclientqrecentlyqdiagnosedqwithqschizophreniaqasksqtheqnurse,q"Whatqe
xactlyqisqschizophrenia?qIsqmyqhusbandqallqright?"qWhichqresponseqisqbestqforqtheqLPN/LV
Nqtoqprovideqtoqthisqfamilyqmember?
1) Itqsoundsqlikeqyou'reqworriedqaboutqyourqhusband.qLet'sqsitqdownqandqtalk.
2) Itqisqaqchemicalqimbalanceqinqtheqbrainqthatqcausesqdisorganizedqthinking.
3) Yourqhusbandqwillqbeqjustqfineqifqheqtakesqhisqmedicationsqregularly.
4) Iqthinkqyouqshouldqtalkqtoqyourqhusband'sqpsychologistqaboutqthisqquestion.q-q2
Theqcommunityqhealthqnurseqtalksqtoqaqmaleqclientqwhoqhasqbipolarqdisorder.qTheqclientqe
xplainsqthatqheqsleepsq4qtoq5qhoursqaqnightqandqisqworkingqwithqhisqpartnerqtoqstartqtwoqnew
qbusinessesqandqbuildqanqempire.qTheqclientqstoppedqtakingqhisqmedicationsqseveralqdaysq
ago.qWhatqnursingqproblemqhasqtheqhighestqpriority?
1) Excessiveqworkqactivity.
2) Decreasedqneedqforqsleep.
3) Medicationqmanagement.
4) Inflatedqself-esteem.q-q3
Atqaqsupportqmeetingqofqparentsqofqaqteenagerqwithqpolysubstanceqdependency,qaqparentqs
tates,q"Eachqtimeqmyqsonqtriesqtoqquitqtakingqdrugs,qheqgetsqsoqdepressedqthatqI'mqafraidqhe
qwillqcommitqsuicide."qTheqnurse'sqresponseqshouldqbeqbasedqonqwhichqinformation?
1) Addictionqisqaqchronic,qincurableqdisease.
2) Toleranceqtoqtheqeffectsqofqdrugsqcausesqfeelingsqofqdepression.
3) Feelingsqofqdepressionqfrequentlyqleadqtoqdrugqabuseqandqaddiction.
4) Carefulqmonitoringqshouldqbeqprovidedqduringqwithdrawalqfromqtheqdrugs.q-q4
TheqLPN/LVNqobservesqaqfemaleqclientqwithqschizophreniaqwatchingqtheqnewsqonqTV.qSh
eqbeginsqtoqlaughqsoftlyqandqsays,q"Yes,qmyqlove,qI'llqdoqit."qWhenqtheqnurseqquestionsqtheq
clientqaboutqherqcommentqsheqstates,q"Theqnewsqcommentatorqisqmyqloverqandqheqspeak
sqtoqmeqeachqevening.qOnlyqIqcanqunderstandqwhatqheqsays."qWhatqisqtheqbestqresponseqf
orqtheqnurseqtoqmake?
1) Whatqdoqyouqbelieveqtheqnewsqcommentatorqsaidqtoqyou?
2) Let'sqwatchqnewsqonqaqdifferentqtelevisionqchannel.
3) Doesqtheqnewsqcommentatorqhaveqplansqtoqharmqyouqorqothers?
4) Theqnewsqcommentatorqisqnotqtalkingqtoqyou.q-q1
Whichqdataqindicateqtoqtheqnurseqthatqaqclientqisqexperiencingqeffectiveqcopingqfollowingqt
heqlossqofqaqspouse?qSelectqallqthatqapply.
1. Looksqatqoldqsnapshotsqofqfamily
2. Constantlyqneglectsqpersonalqgrooming
3. Visitsqtheqspouse'sqgraveqonceqaqmonth
4. Visitsqtheqseniorqcitizens'qcenterqonceqaqmonth
5. Prefersqtoqspendqtimeqaloneqandqavoidsqcontactqwithqothersq
Lookingqatqoldqsnapshotsqofqfamily
VisitsqtheqSpouse'sqgraveqonceqaqmonth
