A highly suspicious client who has delusions of persecution about being poisoned has refused all
hospital meals for 3 days. Assuming all interventions listed are possible, the one likely to be most
acceptable to the client is
a. allowing the client to contact a local restaurant to deliver his meals.
b. offering to taste each portion on the tray for the client.
c. allowing the client supervised access to lobby food machines.
d. providing tube feedings or total parenteral nutrition.
C
The client who is delusional about his food being poisoned is likely to believe restaurant food might
still be poisoned and to say that the staff member tasting the food has taken an antidote to the poison
before tasting. Attempts to tube feed or give nutrition intravenously are seen as aggressive and
usually promote violence. Clients perceive foods in sealed containers, packages, or natural shells as
being safer.
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The nurse has been accused of negligence resulting in patient harm. She was not informed about the complaint, and her employment was terminated before a hearing before the State Board of Nursing. What best legal recourse does the nurse have?
A) Safe harbor provision in state law B) Fifth Amendment of the U.S. Constitution C) Civil and tort law allows the nurse to sue the accuser. D) Automatic dismissal of case by the State Board of Nursing
What is identified in the second portion of the nursing diagnosis?
1. Steps to resolve the problem 2. The cause of the problem 3. The focal pattern, problem, or behavior that is observed 4. Data that indicate or support the problem statement
When the nurse is evaluating the effectiveness of nursing interventions, which of the following is done?
a. Comparing nursing diagnoses to goals and outcomes b. Comparing nursing diagnoses to medical diagnoses c. Comparing goals and outcomes to client's progress d. Comparing medical orders to client vital signs data
The inequality of pupillary size is called:
a. mydriasis. b. diopter c. ptosis. d. anisocoria.