A client with antisocial personality disorder yells, "Shut up about that, or I'll punch you in the nose!" and shakes his fist at another client in a group meeting after the client speaks negatively of illicit drug use
The nurse quickly determines that the client is at risk to act violently against others as evidenced by his aggressive behavior, verbal threats, and a history of impulsivity. Which is the best ap-proach for the nurse to use?
1. Seclude the client to protect the other clients and staff.
2. Put the client in restraints to protect the milieu.
3. Explore alternate ways to handle frustrating topics in the group.
4. Tell the client to leave the group until he can behave appropriately.
ANS: 3
This would be an opportune time for the group to explore ways of handling frustration that may occur in the group setting. This approach may also help defuse the client's anger in a constructive way. Options 1 and 2 are not necessary until verbal interventions prove unsuccessful. Option 4 is not an approach that will lead to meaningful learning.
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A community group is meeting to discuss the most critical issues related to the community's health care delivery system. The nurse in charge of the meeting is encouraging all group members to participate and is trying to provide positive reinforcement for
all group contributions. The nurse is most likely trying to: 1. Establish a climate in which group members feel respected. 2. Manipulate the discussion so that all must participate. 3. Resolve conflict before it can occur. 4. Encourage more discussion.
A viable approach to addressing the quality of primary studies included in a meta-analysis is:
A) Ignoring the problem of quality by using all studies, regardless of rigor B) Doing sensitivity analyses to assess whether the effects change when low-quality studies are included C) Using a random effects model rather than a fixed effects model D) Using a funnel plot to assess the degree to which study quality is related to effect size
The nurse administers vitamin K intramuscularly to the newborn based on which of the following rationales?
A) Stop Rh sensitization B) Increase erythopoiesis C) Enhance bilirubin breakdown D) Promote blood clotting