Police bring a patient to the mental health unit. The patient was directing traffic and shouting rhymes on a busy city street. The patient's spouse reports that the patient has not slept or eaten for 3 days
Which assessment findings have priority concern for this patient's plan of care? a. Pressured speech and grandiosity
b. Hyperactivity; not eating and sleeping
c. Poor concentration and decision making
d. Insulting, provocative behavior directed at staff
B
Hyperactivity, poor nutrition, hydration, and not sleeping take priority in terms of the needs listed above because they threaten the physical integrity of the patient. The other behaviors are less threatening to the patient's homeostasis.
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The nurse is called into the client's room by the family members, who report the client has stopped breathing. The nurse finds the client pulseless and not breathing
Which action by the nurse is the most appropriate in this situation? 1. Calling a code and asking the family to leave the room 2. Calling a code and providing the family with the option to leave the room 3. Calling a code and telling the family to stand out of the way 4. Calling a code and telling the family to ask any questions that might arise during the procedure
Which cultural considerations should a nurse identify with Western European Americans?
A. They are present-time oriented and perceive the future as God's will. B. They value youth, and older adults are commonly placed in nursing homes. C. They are at high risk for alcoholism due to a genetic predisposition. D. They are future oriented and practice preventive health care.
A dietician teaches a group of student nurses that omega-3 and omega-6 fatty acids are found in walnuts, flaxseed, and several types of fatty fish, and are essential for normal cell development. The dietician says these types of fats are known as
1. Trans fats. 2. Monounsaturated fats. 3. Saturated fats. 4. Polyunsaturated fats.
During the interview process, you should
A) make yourself comfortable. B) ask for a beverage. C) make good eye contact. D) interrupt to ask questions.