A client has, in the past, had a nursing diagnosis of ineffective coping related to impulsively acting
out anger as evidenced by striking others. An appropriate plan for forestalling such incidents would
be
a. explaining that restraint and seclusion will be used if violence occurs.
b. helping a client identify incidents that trigger impulsive acting out.
c. offer one-on-one supervision to help the client maintain control.
d. request that the client receive lorazepam (Ativan) every 4 hours to reduce anxiety.
B
Identification of trigger incidents allows the client and nurse to plan interventions to reduce irritation
and frustration, which lead to acting out anger, and eventually to put into practice more adaptive
coping strategies. Option A suggests restraint and seclusion are punitive interventions. Option C is
too costly. Option D provides chemical restraint without cause.
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A nurse examines birth and death certificates during an epidemiologic investigation. Which of the following data categories is being used?
a. Routinely collected data b. Data collected for other purposes but use-ful for epidemiologic research c. Original data collected for specific epide-miologic studies d. Surveillance data
When compared to physicians, poor conduct by nurses tends to be more
A. Aggressive B. Passive C. Passive-aggressive D. Assertive E. Both B and C
The parents of a 2-year-old girl are frustrated by the frequent confrontations they have with their child. Which is the best anticipatory guidance the nurse can offer to prevent confrontations?
A) "Respond in a calm but firm manner." B) "You need to adhere to various routines." C) "Put her in time-out when she misbehaves." D) "It's important to toddler-proof your home."
The best way to manage contaminated linen in a hospital setting is to
A) place it in a water-soluble bag only. B) place it in the washing machine immediately. C) roll it into a bundle and then place it on the floor. D) place it in a water-soluble bag that is then placed inside a regular plastic bag.