The nurse is continuing to care for the client.

The nurse is assessing the client. Which of the following findings indicate an improvement in the client's condition? Select all that apply.

The client takes 2 short naps during the day.

The client engages in quiet activities in their room.

The client slept 5 hr the previous night.

The client appears to listen to unseen others.

The client consumes 8 oz of high-calorie fluids each hour.

Answer and Explanation

Correct Answer : A,B,C,E

A. The client takes 2 short naps during the day: The ability to rest indicates decreased hyperactivity and improved regulation of sleep-wake cycles, reflecting early stabilization of manic symptoms.

B. The client engages in quiet activities in their room: Participation in calm, structured activities demonstrates reduced agitation and impulsivity, suggesting improvement in mood stability and ability to focus.

C. The client slept 5 hr the previous night: Improved sleep duration is a positive sign, as insomnia and decreased need for sleep are hallmark symptoms of mania. Achieving rest indicates partial symptom resolution.

D. The client appears to listen to unseen others: Continued auditory hallucinations indicate persistent psychotic features and do not represent improvement. These symptoms require ongoing monitoring and treatment.

E. The client consumes 8 oz of high-calorie fluids each hour: Adequate fluid and calorie intake reflects improved self-care and nutrition, which are often compromised during acute manic episodes. This is a positive indicator of functional recovery.

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Correct Answer is C

Explanation

A. Ecomaps: Ecomaps are visual tools that depict the social and family relationships of an individual or household. They are used in nursing assessments at the family or individual level, not typically in community health report cards.

B. Geographic boundaries: While geographic boundaries may be referenced in a community health report, they are not a primary feature of the report card itself. Boundaries help define the community, but the report card focuses on population health data and outcomes.

C. Needs assessments: Community health report cards summarize data regarding the health status, risks, and needs of a population. Needs assessments identify gaps in services, priority health issues, and areas for intervention, making them a key component of the report card.

D. Care maps: Care maps are individualized or population-based plans that outline interventions for specific diagnoses or conditions. They are tools for planning care, not typically included in the summary findings of a community health report card.

A. "Your device is set to allow you to deliver small doses more frequently." B. "Using this device allows you to use less medication than other methods." C. "Your family member can push the PCA button for you if you're sleeping" D. "You will need to keep track of each dose you administer to avoid taking too much."

Correct Answer is A

Explanation

A. "Your device is set to allow you to deliver small doses more frequently.": PCA (patient-controlled analgesia) allows the client to self-administer small, controlled doses of pain medication as needed. This statement accurately explains how the device works and emphasizes client control within safe limits.

B. "Using this device allows you to use less medication than other methods.": While PCA can improve pain management, it does not necessarily reduce the total amount of medication used. The primary benefit is timely pain relief and maintaining therapeutic levels, not automatically using less medication.

C. "Your family member can push the PCA button for you if you're sleeping": Only the client should activate the PCA device to prevent overdose. Allowing others to push the button, a practice called “PCA by proxy,” is unsafe and can lead to serious complications.

D. "You will need to keep track of each dose you administer to avoid taking too much.": The PCA device is programmed with safety limits, including lockout intervals, to prevent overdose. The client does not need to manually track doses, as the device automatically controls and records administration.

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The nurse is continuing to care for the client. The nurse is assessing the client. Which of the following findings indicate an improvement in the client's condition? Select all that apply.

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