The nurse volunteers for a committee that must develop hospital policy and procedure for
implementing suicide precautions.
Of the following resources, the one(s) that would provide the best
guidance would be (more than one answer may be correct)
A. the DSM-IV-TR.
B. the state's Nurse Practice Act.
C. the regulations that govern hospital licensure.
D. a summary of common practices of several local hospitals.
E. the American Nurses Association Scope and Standards of Practice for Psychiatric-Mental
Health Nursing Practice.
ANS:
C, E
Rationale: State regulations regarding hospital licensure provide information about the minimal
standard. American Nurses Association national standards focus on elevating practice by setting
high standards for nursing practice. Options A and B would not provide relevant information. Option
E cannot be guaranteed to be helpful because the customs may or may not comply with laws or best
practices.
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A client is being admitted to the inpatient psychiatric unit. Which actions would be appropriate for the nurse to assess the client's risk of violence? Standard Text: Select all that apply
1. Wait to assess the client's risk of violence once the psychiatric symptoms have stabilized. 2. Assess history of psychotic illness as this is the most important predictor of violence potential. 3. Ask the client, "What is the most violent thing you have ever done?" 4. Review the client's past records and get information from the client's family. 5. Avoid discussing the client's past history of violence as this could provoke the client.
When teaching a patient about adverse drug reactions (ADRs), which precaution is most important to include?
a. "Take your medications right before you go to bed so that you can sleep through an ADR." b. "Keep a written record of the date and time an ADR occurs." c. "Stop taking the drug and flush it down the toilet." d. "Immediately seek medical help."
Which of the following are examined with the patient in a reclining 45-degree position?
a. Bilateral hips and popliteal angles b. Facial bones and cranial nerves V and VII c. Jugular venous pulsation and pressure d. Oropharynx and thyroid gland placement
When the solute is a dry medication, the percent strength represents the number of ______ of medication
in each 100 mL of the fluid mixture. Fill in the blank(s) with correct word