Using a cognitive approach, a nurse would choose which intervention for assisting clients to manage their anger without the use of violence?

A. Assist the client to identify thoughts that trigger anger and substitute reality-based thinking.
B. Provide consequences, such as removal from group therapy, in response to angry outbursts.
C. Administer antipsychotic medications and use limit-setting such as a room restriction.
D. Administer anti-anxiety medication and encourage participation in a group on medication actions.


A
By assisting the client to identify thoughts that trigger anger and encourage the substitution of more reality-based thinking, the nurse can help the client to alter dysfunctional beliefs that predispose the client to distort experiences.

Nursing

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The emergency department nurse is caring for a patient who has gone into cardiac arrest. The nurse is performing external defibrillation. Which of the following is a vital step in the procedure?

A) Gel pads are placed anteriorly, over the apex, and posteriorly for better conduction. B) No one is to be touching the patient at the time shock is delivered. C) Continue to ventilate the patient via endotracheal tube during the procedure. D) Second shock cannot be administered for 1 minute to allow recharging.

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When documenting nursing care in the client's chart, the nurse does so accurately and honestly. The nurse is demonstrating which essential value of professionalism in nursing?

a. Altruism b. Integrity c. Human dignity d. Asepsis

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Vitamin B2 (riboflavin) may be prescribed to:

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A nurse on an inpatient psychiatric unit prepares for the arrival of a client who has threatened to kill himself and his wife if his wife follows through with divorce proceedings

The client has a history of violent behavior toward his wife and their four young children. What should be the priority nursing intervention in the orientation (introductory) phase of this nurse–client relationship? A) Acknowledging the client's actions and generating alternative behaviors B) Establishing a rapport and developing treatment goals C) Attempting to find alternative placement D) Exploring how the nurse's thoughts and feelings about this client may adversely impact the provision of care.

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