An adolescent in a residential program threatens to throw a pool ball at another adolescent. Which comment by the nurse would set limits?
a. "You will be taken to seclusion if you throw that ball."
b. "Do not throw the ball. Put it back on the pool table."
c. "Attention everyone: We're all going to the gym."
d. "Please do not lose control of your behavior."
B
Setting limits uses clear, sharp statements about which behavior is not allowed and guidance for performing a behavior that is expected. The distracters represent a threat, use of restructuring (which would be inappropriate in this instance), and a direct appeal to the child's developing self-control that may be ineffective.
You might also like to view...
Which of the following disasters would most likely cause the most long-lasting mental health concerns for its victims?
a. For the fourth year in a row a flood hit an area, demolishing several houses, but families heard the warning siren and evacuated in time. b. A forest fire was deliberately set but was not a major concern until the fire suddenly changed direction and people attempting to evacuate at the last minute were burned in their cars. c. A tsunami hit the beach with unbelievable force, water sweeping over the entire harbor, although most boats had been moved to deep water. d. A volcano erupted and lava destroyed the main road to the village where several houses burned, but no one died in the eruption.
The nurse is caring for a client with a newly created ostomy. After changing the ostomy appliance, which items will the nurse include when documenting the procedure? Select all that apply
1. How the drainage was disposed 2. Quantity of drainage recorded on output record 3. Any client participation in the procedure 4. Assessment of stoma and skin around the stoma 5. The odor of the drainage
Which nursing actions would be recommended for a family nurse beginning a relationship with a family?
1. Welcoming care recipients and families. 2. Identifying medical problems. 3. Listening to family stories. 4. Being present with care recipients.
To effectively care for patients with heart disease, the staff development nurse is teaching new nurses hired for the intensive care unit about the Frank-Starling law. Which concept will the instructor teach?
A) Increasing preload causes an increase in left ventricular contractility. B) Increasing preload causes a decrease in left ventricular contractility. C) Increasing afterload causes a decrease in left ventricular contractility. D) Increasing afterload causes an increase in left ventricular contractility.