If you are working on a medical-surgical unit and your hospital has limited psychiatric services, what can you do if your medicalsurgical patients are having psychiatric problems, such as depression or anxiety?
What will be an ideal response?
Question 2Ms. P, a 25-year-old woman, comes to the emergency department for lower abdominal pain and light vaginal bleeding with fatigue, nausea, and breast tenderness. She reports a history of endometriosis.
Which question will help you to identify a possible lifethreatening condition for this patient?
A. Have you been running a high fever?
B. When was your last menstrual period?
C. Have you ever experienced this pain before?
D. Are you being treated for endometriosis?
Question 3Which comments by Mr. D suggest that it is unsafe to discharge him? (Select all that apply.)
A. My niece will pick me up tomorrow to take me to see my family doctor for a follow-up appointment.
B. I want you to have this necklace. It belonged to my wife and you remind me of her.
C. I am willing to take my medication if someone can go to the pharmacy and pick it up for me.
D. I don't want to participate in any rehabilitation programs, but I would like to have a physical therapist do home visits.
E. I have a few items of business to finish, but most of my personal affairs are in order.
Question 4The health care provider informs you that Ms. P needs diagnostic testing to confirm an ectopic pregnancy. Which task should be delegated to the licensed practical nurse (LPN)/licensed vocational nurse (LVN)?
A. Assisting the provider to perform a pelvic examination.
B. Obtaining a blood sample to test for luteinizing hormone.
C. Premedicating before the procedure with a mild analgesic.
D. Explaining the purpose and procedure of an ultrasound.
Question 5Mr. D has no history of psychiatric disorders; however, you are concerned that his mood will affect his recovery. What questions can you use to assess his mood? (Select all that apply.)
A. Do you feel hopeless or sad? B. Are you interested in resuming your activities?
C. Do you feel generally satisfied with your life?
D. Have you been hearing voices?
E. Are you experiencing palpitations?
F. Are you having trouble concentrating?
G. Does your family plan to visit you?
Question 6Based on Mr. D's answers to your assessment questions, you suspect that Mr. D might be depressed. What should you do first?
A. Locate community resources that he can use after he is discharged.
B. Call the physician and obtain an order for antidepressant medication.
C. Identify nursing diagnoses that are based on your assessment findings.
D. Contact the psychiatric clinical nurse specialist and report your concerns.
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