A factory abruptly closes during hard economic times. Six weeks later, an office worker has not received a single call-back from a prospective employer
He cannot sleep, is irritable, does not want to interact with his family or peers, paces frequently, and spends several hours most days alone in a local bar. Bills are piling up. He has given up applying for jobs. Which nursing intervention would be most important at this time? a. Explore his feelings supportively and guide him to focus on one concern at a time.
b. Discuss ways to improve mood and reduce anxiety, such as exercise and interaction.
c. Help him apply for financial assistance such as food stamps and utility reductions.
d. Work with patient and family to assure that any guns have been removed from the home.
D
All of these interventions would be appropriate, but given his risk to self secondary to depression, hopelessness, ineffective coping, and isolation, safety is the highest priority. Persons in phase 4 of a crisis can also become violent towards others. Removing weapons from the home removes a common, lethal means of harming others.
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A client with exophthalmos is pictured below. Which conclusion by the nurse is appropriate?
A) This condition is caused by hypothyroidism. B) Treatment for this condition reverses the symptoms of exophthalmos. C) This condition is caused by Hashimoto thyroiditis. D) Women with this condition may have fertility problems.
Before administration of epidural anesthesia, a woman should be adequately hydrated with which intravenous solution?
a. 5% dextrose in water b. Normal saline with added potassium c. Ringer's lactate solution d. 10% dextrose in water
Patient in the emergency department exhibits disorganized behavior and incoherence after a friend suggested a homosexual encounter. In which room should the nurse place the patient?
a. Interview room furnished with a desk and two chairs b. Small, empty storage room with no windows or furniture c. Room with an examining table, instrument cabinets, desk, and chair d. Nurse's office, furnished with chairs, files, magazines, and bookcases
A group of students are working on a presentation for a local health fair about safety for children. When developing this presentation, the students would address what cause as the most common in pediatric injury?
A) Sports B) Firearm use C) Falls D) Automobile accidents