The nurse conducts ongoing evaluation of the crisis situation to ensure the client's right to the least restrictive intervention. This means the assessment factor receiving the highest priority is:
A) The client's mental status.
B) The client's condition in comparison to the adequacy of the environment designed to prevent injury.
C) The comfort level of the environment.
D) The client-staff ratio.
B
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The client admits to cleaning his ears with a cotton-tipped applicator. As a consequence, the client has developed impacted cerumen and unilateral hearing loss
As the nurse prepares the client's plan of care, which of the following nursing diagnoses is most applicable? 1. Acute pain 2. Knowledge deficit 3. Acute confusion 4. Unilateral neglect
The T wave in an ECG strip represents:
a. repolarization of the atria c. SA node firing b. repolarization of ventricles d. AV node firing
The areas of the newborn's body that are most susceptible to infections include the:
a. Umbilical cord b. Urinary tract c. Respiratory system d. Intestinal tract
A patient with metastasized cancer says to the nurse, "I've been reading about some of the cancer research, and I am still hoping for a cure in the next few months."
In formulating a response to the patient, which should the nurse consider first? a. The patient's religion and/or faith-based beliefs b. The need for a consultation with a professional grief counselor c. The purpose that would be served in confronting the patient's denial d. The patient's ability to understand the meaning of this particular research