A psychiatric hospital was recently purchased by a large healthcare system
The new administration's business motto is "leaner and meaner," consequently, the staff mix has been adjusted by replacing some of the highly experienced nurses with robust male mental health technicians who cost less and are able to provide physical interventions. The change that is likely to increase the risk for violence in this hospital is the: 1. Change in hospital ownership.
2. Advanced age of nursing staff.
3. Adjustment in staff mix.
4. Motto that implies staff will be mean.
3
Rationale: One factor that has contributed to increased violence is the substitution of high-skilled staff with paraprofessionals (lower skill level). Ownership change could be positive or negative, thus is not a risk factor. A business motto is not necessarily indicative of the care provided. Younger and less experienced nursing staff are at increased risk for violence.
You might also like to view...
The nurse is caring for a patient who has a perforated esophagus as a result of a bullet wound to the neck. Which of the following interventions is the nurse most likely to implement in order to meet this patient's needs for nutrition and hydration?
A) Administering fluids and nutrients parenterally until the wound is closed. B) Providing enteral nutrition via a nasogastric tube for a minimum of 30 days. C) Administering feedings via a percutaneous endoscopic gastrostomy tube. D) Maintaining the patient in Fowler's position when offering fluids to minimize reflux.
All middle range theories include which of the following?
A) Relatively concrete and specific phenomena B) Models for use in practice C) Definitions of the nursing paradigm D) Specific application principles for practice
A nurse is reviewing the findings of a physical examination that have been documented in a client's record. Which piece of information does the nurse recognize as objective data?
A. The client is allergic to strawberries. B. The last menstrual period was 30 days ago. C. The client takes acetaminophen (Tylenol) for headaches. D. A 1 × 2-inch scar is present on the lower right portion of the abdomen.
A patient who is currently taking a diuretic should be informed by the nurse that he or she may experience which of the following effects?
a. Nocturia b. Nightmares c. Increased daytime sleepiness d. Reduced REM sleep