A client who has been seen responding to auditory hallucinations earlier in the morning approaches
the nurse and shakes his fist, saying "Back off, bitch!" and then goes into the day room.
The nurse
goes into the day room. The client continues to mumble and shake his fist. The nursing actions most
likely to be effective in achieving the outcome of de-escalation would be (more than one answer
may be correct)
A. telling the client that he is behaving inappropriately.
B. stating the client cannot be understood when he mumbles.
C. stating the expectation that the client will stay in control.
D. offering to provide the client with as-needed medication.
C, D
Rationale: Stating the expectation that the client will maintain control of his behavior reinforces
positive, healthy behavior and avoids challenging the client. Offering as-needed medication provides
support for the client trying to maintain control. Option A: Belittling remarks such as this may lead
to aggression. Option B will be considered a criticism and probably prompt the client to begin
shouting.
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A client receiving antiarrhythmic therapy develops a new arrhythmia due to the administration of the drug. The nurse documents this as which of the following?
A) Cinchonism B) Refractory period C) Proarrhythmic effect D) Action potential
A clinic nurse remarks on the numbers of clients with gout in the practice. Based on research, the nurse manager would provide which information?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "Our numbers are aberrant because the national prevalence has not increased." 2. "The obesity epidemic in the United States has increased the population's risk." 3. "The population is getting older, so gout is a greater possibility." 4. "Overuse injuries of the wrist due to high levels of computer use have increased the risk for gout." 5. "So many of our clients are hypertensive, and that increases the risk for gout."
A married couple has two children at home who have been diagnosed with the same autosomal dominant condition. The nurse is interviewing the couple after they become pregnant with their third child
Based on the nurse's understanding of related psychosocial issues, which statements by the mother may be expected? Select all that apply. 1. "I feel so guilty." 2. "I feel like my daughter is angry with me because I am the one who has this bad gene in my body." 3. "I am depressed and angry with myself." 4. "My son has been smoking marijuana and skipping school." 5. "I hope the new baby is a boy so he won't have the same illness."
A nurse in a master's degree program is considering a career as a nurse practitioner, a relatively new role for a nurse. The inception of nurse practitioners occurred in the
a. 1930s c. 1950s b. 1940s d. 1960s