The community mental health nurse calls on a highly suspicious psychiatric client, saying "I'm a
nurse from the mental health center. I'd like to come in and find out how you're doing.".
The client
refuses to allow the nurse access to her apartment, saying "My neighbor talks to me every day. I
don't know you. You could be from the IRS or the CIA. The less you know about me, the better.".
The best initial intervention for the nurse to take to try to gain access would be to
a. ask the client's neighbor to go with her.
b. have the police accompany her.
c. deny a relationship with the IRS or CIA.
d. mention the client will have to go to the hospital unless she sees the nurse.
ANS: A
Having a person the client trusts intercede on the nurse's behalf may smooth the way for the nurse
and client to develop a trusting relationship. Option B: This measure would be a last resort. Option
C: This would be ineffective because of the client's high level of suspicion. Option D: This is a
threat that could be construed as an assault.
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The home health assistant contributes to the ____________________ component of the nursing process by actively participating in care plan conferences.
Fill in the blank(s) with the appropriate word(s).
A nurse is reading a research study that is based upon Martha Rogers' Science of Unitary Being model. The nurse notices that Rogers is not listed in the article references. How should the nurse interpret this finding?
1. This is likely a simple error of omission in the reference. 2. The researcher erroneously identified Martha Rogers as the developer of that model. 3. The researcher used secondary sources to learn about Rogers' theory. 4. Since Martha Rogers is no longer living, it is not necessary to include her in the reference list.
A woman presents at the emergency department with sharp, colicky pain in her right abdomen that radiates to her right shoulder
She tells the nurse that she has been spotting lightly for the past few days. Based on the assessment data what is a major nursing diagnosis the nurse would include in this patient's care plan? A) Deficient knowledge related to the treatment and effect on future pregnancies B) Unplanned anticipation related to the pregnancy C) Acute pain related to the progression of the pregnancy D) Anticipatory effect on future pregnancies
Health plan administrators are designing methods to assure that consumers have appropriate access to emergency services. Which standard should guide the development of these methods?
1. That of a reasonable physician 2. That of a prudent layperson 3. That of an ethical insurance provider 4. That of a prudent and reasonable nurse