Which patient behavior would require the most immediate limit-setting?
a. The patient makes self-deprecating remarks.
b. At a goal-setting meeting, the patient interrupts others to express delusions.
c. A patient shouts at a roommate, "You are perverted! You watched me undress."
d. During dinner, a patient manipulates an older adult patient to obtain a second dessert.
C
Behaviors that require the most immediate limit-setting are verbal and physical aggression, self-destructive behavior, fire setting, alcohol or drug use, manipulation, inappropriate sexual behaviors, and attempts to leave the hospital without consent. In this case the verbal aggression toward the roommate requires immediate intervention to prevent further escalation.
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The parents of a preschooler express concern to the nurse about their son's new habit of masturbating. Which of the following is an appropriate response to this concern?
A) Tell the child in a firm manner that this behavior is not acceptable. B) When the child displays this behavior, place him in a "time-out." C) Treat the action in a matter-of-fact manner emphasizing safety. D) Consult a psychotherapist to determine the reason for this behavior.
A grant-awarding organization is reviewing a nurse-led program promoting weight loss and healthy eating habits in a minority population. The program has a high success rate. The organization's members might conclude that
a. members of the cultural group have specific health needs the program helps meet. b. nurse-run programs have better outcomes than those led by other providers. c. the nurse sought assistance from cultural leaders to develop the program. d. this cultural group is well assimilated and uses Western medical practices.
The emergency department calls to say a patient experiencing symptoms of mania is being admitted. Which room placement should a nurse choose for the patient?
a. A single room near the unit entrance b. A single room near the nurse's station c. A double room shared with a patient with depression d. A double room shared with a patient with schizophrenia
A nurse is explaining to a group of nursing students in a clinic about the interventions to
be taken while caring for clients with herniation. Which is a common site for herniation in men that the students should be aware of? A) Inguinal canal B) Prostate gland C) Cowper's glands D) Scrotum