In which instance would it be most important for the nurse to set limits?
a. An involuntarily hospitalized patient insists on being discharged.
b. Two patients are found kissing in an obscure area of the unit.
c. A patient with suicidal ideation asks to leave the unit.
d. A depressed patient seeks daily telephone privileges.
B
Limits should be set on acting-out behavior, self-destructive acts, physical aggressiveness, sexual behavior, lack of compliance, use of illicit substances, and elopement. The correct answer is an example of sexual behavior. The distracters depict instances in which a therapeutic response is indicated from the nurse but not necessarily limit-setting.
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Which of the following is an example of a natural disaster?
A) toxic spill B) war C) terrorist event D) earthquake
While completing a community assessment, the nurse notes that the computer companies in the community hire a disproportionate number of their employees from local suburban communities rather than the community in which the company is housed
To create an accurate assessment, the nurse should collect data on: A) All of the company's employees but count those living outside the community separately, as outliers B) Only the employees that live in the community, disregarding the others as statistically irrelevant C) All of the company's employees and include those living outside the community as part of the aggregate D) Only the employees that live in the community in your initial assessment; then collect data on the others as part of a separate assessment for the community in which they live.
After confirming this rhythm in another lead, CPR is started. What should the nurse prepare to implement?
A. Epinephrine (Adrenaline) IVP B. Transcutaneous pacemaker C. Atropine IVP D. Defibrillate
Bedtime care should be provided before
A) midnight. B) the nurse gives medication for sleep. C) 7:00 PM. D) the patient requests it.