The nurse in the emergency department is using a triage system because this system ranks clients by:
1. severity of illness or injury.
2. body systems involved.
3. name.
4. age.
1
No one can predict when the next patient will arrive or the severity of their injury or illness; this is why emergency departments utilize a triage system, which is a method to rank or classify patients' illnesses and the severity of their injuries. The triage system does not rank clients by body systems involved, name, or age.
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To examine forced expiratory time, with your stethoscope over the patient's trachea, you measure the length of time that passes when the patient
a. takes a deep breath and exhales as much as possible through the mouth. b. exhales forcefully through the mouth. c. inflates a balloon with air. d. takes a normal breath and exhales as much as possible through the nose.
During an interaction between a nurse and client, the nurse conveys respect and an attitude that shows the nurse takes the client's opinions seriously. In which stage of the working relationship are the nurse and client engaged?
1. Exploring and understanding thoughts and feelings 2. Facilitating and taking action 3. Confrontation 4. Concreteness
Which of the following publications presented the first theoretical framework for the practice of psychiatric care?
a. Interpersonal Relations in Nursing b. Perspectives in Psychiatric Care c. The Dynamic Nurse-Patient Relationship d. The Future of Nursing
The nurse is speaking with a 14-year-old client who has attempted suicide by cutting his wrists in the past. How would the nurse implement a means-restriction approach to suicide prevention in this case?
A) Teach the client to block out all thoughts of self-harm as soon as they arise B) Encourage the client to seek out counseling C) Suggest to the client's parents that they lock up all sharp knives in the house D) Recommend to the client's parents that the client be under constant surveillance