The treatment team is making a discharge decision regarding a previously suicidal client. Which client assessment information should a nurse recognize as contributing to the team's decision?
A. No previous admissions for major depressive disorder
B. Vital signs stable; no psychosis noted
C. Able to comply with medication regimen; able to problem-solve life issues
D. Able to participate in a plan for safety; family agrees to constant observation
ANS: D
Participation in a plan of safety and constant family observation will decrease the risk for self-harm. All other answer choices are not directly focused on suicide prevention and safety.
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The chief nurse officer (CNO) receives a call that the candidate for a nurse opening has arrived, but that the unit manager who was to have interviewed the candidate had to work an unscheduled night shift and is unavailable
Which action by the CNO is appropriate? 1. Inform the candidate the interview will have to be rescheduled. 2. Have the HR department refer the candidate to a nurse on the unit. 3. The CNO should conduct an initial interview and arrange for a second interview with the manager. 4. The CNO should call the manager and conduct an interview via a conference call.
Incivility is a disruptive behavior or communication that creates a negative environment and interferes with quality patient care and safety. The manager can implement the following steps that help to alleviate uncivil behavior on a unit
A) Suspending the staff member from work, B) Providing written admonishment that is discussed and placed in the employee's file, C) Providing verbal admonishment, D) Terminating the staff member a. A, B, C, D b. B, A, C, D c. C, B, A, D d. C, A, B, D
An infant is delivered and diagnosed with an omphalocele. The nurse develops a plan of care for this infant. The nurse understands that an omphalocele:
a. Is a small defect involving the bowel b. Is a large defect involving bowel, liver, spleen, bladder, uterus, or ovaries c. Should be ruptured as soon as possible d. Does not require surgical repair
The nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of labor. The mother will most likely experience which of the following at that time?
A) Dysuria B) Dyspnea C) Constipation D) Urinary frequency