Dawn is a 36-year-old Indigenous woman. She was admitted to a local short-term psychiatric facility for treatment and stabilization following a psychotic episode at a community mental health drop-in centre. Medical History: Social anxiety Schizophrenia No known allergies Medications: not currently taking any Orders: Olanzapine 10 mg PO once daily RECOGNIZE CUES: What positive symptoms of schizophrenia would indicate to the nurse that the Olanzapine is not yet therapeutic? Select 2 correct answer(s) Question 38 options: Poverty of speech Avolition Anhedonia Delusions of grandeur Auditory hallucinations Question 39 (1 point) 4) Manuel is an 82-year-old male resident newly admitted to a long-term care facility (nursing home). Medical History: Moderate Stage Alzheimer Disease Hypertension Atrial Fibrillation Non-smoker, occasional alcohol GENERATE SOLUTIONS: What activity should the nurse initiate for a client with Alzheimer Disease who is admitted to a long-term care facility? Question 39 options: Psychotherapy Daily weights Keep the client in pajamas and robe for most of the day Establish a schedule of activities with periods of rest Question 40 (1 point) 5) Jordan is a 23-year-old male in the Emergency Department. Jordan’s partner states that he attempted suicide by overdosing on alcohol and has been drinking heavily for the past 6 months. Jordan is now awake with stupor and incoordination. Medical History: None Orders: Consult social services and mental health CIWA Protocol ACTION: What intervention is a priority for the nurse to implement to prevent suicide? Question 40 options: Allow client to has cell phone and charger in the room Keep the door closed for privacy Monitor bathroom activities Allow client to self-manage medications Question 41 (1 point) 6) Justin is 19-year-old man brought to a Mental Health Clinic for assessment by his friends. The friends report that Justin: Recently quit his job Changed his major from business administration to religion Is sleeping very little Is engaging in high-risk drinking and sexual relation behaviours that are unusual for him Is very irritable Believes he is immortal PRIORITIZE HYPOTHESIS: Which of the following nursing diagnoses is the priority for Justin? Question 41 options: Ineffective coping Risk for injury Acute confusion Self-care deficit Question 42 (1 point) 7) Jessica is a 16 year old adolescent girl. She is attending a community education and support group for teens living with suicidal ideation. EVALUATE: What desired outcome would indicate that Jessica’s treatment is effective? Question 42 options: The client appears clean and well-dressed at 3 consecutive meetings. The client reports feelings of anxiety have decreased from 9/10 to 8/10 in 4 weeks. The client reports that she is thinking about suicide less and no longer has a plan in 4 weeks. The client reports to the group she has a plan for suicide at the next meeting.
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[Solved]: Dawn is a 36-year-old Indigenous woman