Hostile or angry patients present unique nursing challenges from a legal perspective. Which option reflects a basic intervention that a nurse can take with a hostile or angry patient?
1. Allow the patient to be alone and have long periods of quiet time.
2. Ensure that family members are always present to calm the patient.
3. Spend additional time with the patient, showing that he or she is important.
4. Sedate the patient to diffuse further encounters with the patient.
3
Rationale: Spending additional time with the patient and showing that he or she is important provides the opportunity to express concern for the patient's issues and allows the nurse the opportunity to identify strategies for resolution of the patient's problems. Isolating the patient with time alone can exacerbate the problem of aggression. The nurse cannot divert professional responsibility for patient observation onto the family. Sedation of the patient does not solve the problem and may be seen as improper use of chemical restraints.
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Which information is an example of what should be included in the position description for the RNs who will staff a newly opened hospital unit? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Standard Text: Select all that apply. 1. Base salary is $22.00 per hour with a 10 percent shift differential for hours worked after 7:00 p.m. 2. Communicates changes in client condition to appropriate staff 3. Will accrue sick time at a rate of 4 hours per month 4. Reports directly to the nurse manager of the unit 5. Must maintain ACLS certification
The nurse is caring for a child who has been admitted for a sickle-cell crisis. In order to provide adequate pain management, what should the nurse do initially?
A) Administer NSAIDs as ordered. B) Use guided imagery and therapeutic touch. C) Administer meperidine as ordered. D) Initiate pain assessment with a standardized pain scale.
For nurses caring for clients in high-risk areas such as newborn nurseries, visitor teaching should include a minimum time required for hand hygiene of:
a. 30 seconds c. 90 seconds b. 60 seconds d. 2 minutes
Which outcome or overall purpose would be consistent with a qualitative study?
a. Development of creative solutions to practical problems b. Prediction and control of a human phenomenon c. Description of behavior within a context-free theoretical framework d. Use of statistical analyses to determine significant differences between variables