The unit milieu most likely to have a low incidence of violent behavior is one that has
a. a rigid and authoritarian structure.
b. little structure and haphazard unit routines.
c. unpredictable routines and allows clients to vent anger at staff.
d. predictable routines and high client autonomy.
D
The milieu that is predictable and permits clients to behave autonomously as much as possible is less
likely to be the scene of violence than units with authoritarian staff, little structure, haphazard
routines, or permissive limits about directing anger at staff. Less structured routines create situations
in which clients feel slighted, ignored, and insecure, all feelings known to underlie anger. Direct
venting of anger at staff often leads to escalation.
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The nurse works in an emergency department in a town with a large proportion of retired persons. The nurse should consider which difference between older and younger adults as it pertains to emergency care?
1. Younger patients are at greater risk for rib fractures and flail chest because their chests are not as compliant as those of older adults. 2. Older patients have a greater capacity to increase their cardiac output on demand, and therefore can tolerate greater blood loss than younger patients. 3. Older patients have an increased incidence of subdural hematomas because their veins are more fragile and less elastic compared to those of younger patients. 4. The aorta is comparatively closer to the surface in younger adults, so they are at greater risk of tearing injuries.
A client is ordered to receive a nonopioid analgesic. The nurse knows that the client is experiencing _____ pain
a. acute severe b. visceral (deep) c. acute mild d. superficial moderate to severe
Older adults experience a number of changes in the structure or function of their cardiovascular system. Which of the following changes is considered to be a normal, age-related change?
A) Veins become thinner and more elastic. B) Regulation of blood pressure and heart rate becomes less efficient. C) Heart valves become atrophied and regurgitation occurs. D) Heart rate becomes slower and ejection fraction increases.
A nurse is teaching a health class about the nutritional requirements throughout the life span. Which information should the nurse include in the teaching session? (Select all that apply.)
a. Infants triple weight at 1 year. b. Toddlers become picky eaters. c. School-age children need to avoid hot dogs and grapes. d. Breastfeeding women need an additional 750 kcal/day. e. Older adults have altered food flavor from a decrease in taste cells.