The nurse cares for a patient who was verbally aggressive upon admission. Three days later the patient says, "My family put me here. They wanted to get rid of me." When should the nurse be most vigilant for signs of escalating aggression?

a. During one-on-one sessions
b. During group activities
c. During visiting hours
d. In the early morning


C
Patients are more likely to become aggressive at admission, at shift change, at mealtimes, during visiting hours, during the evening, when being transported, and during periods of change. In this case the patient will probably be increasingly upset if the family does not visit, because it will reinforce her thinking that they are against her. She is also likely to become increasingly upset if they do visit, because she accuses them of unfairly hospitalizing her. The other times are possible, but research has not supported them as being exceptionally high risk.

Nursing

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During cardiac examination you notice a new parasternal systolic murmur of 2/6 intensity. On palpation, the PMI is slightly higher than usual. What do you suspect?

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Nursing

A pre-existing factor that influences servant leadership process is

a. An outcome of servant leadership b. An antecedent condition of servant leadership c. An effect of servant leadership d. A behavior in servant leadership

Nursing