A client is admitted to the inpatient psychiatric unit with the preliminary nursing diagnosis of risk for violence to others
What assessment data can the unit staff expect to find in the medical record to support this diagnosis? Select all that apply. A) Possession of a firearm
B) Report of past violent behavior
C) Uncontrolled anger
D) Non-adherence to medication regimen
E) Self-destructive behaviors
A, B, C
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Which of the following employment opportunities are among the most dangerous?
a. Food processing, textiles, and transportation b. Highway construction, ranching, and public utilities c. Large mechanized factory positions d. Mining, forestry, and fishing
A patient being assessed by the physician states, "I wet my pants every time I cough." The nurse recognizes this as which type of incontinence?
a. Reflex b. Overflow c. Urge d. Stress
A client in her 34th week of gestation is diagnosed with amnionitis due to group B streptococcus (GBS). The nurse monitors the client closely on the basis of the understanding that the client is at risk for which of the following conditions?
A) Fetal hydrops B) Fetal macrosomia C) Preterm birth D) Neural tube defect
At a community meeting, a homeowner states, "I don't want mentally ill people in the neighborhood. They're dangerous!" The community mental health nurse should respond:
a. "Former patients need care and concern, not stigmatization.". b. "I sincerely believe your fears and concerns are really unfounded.". c. "The way you act toward former patients will determine how they act toward you.". d. "Our residents are more apt to be withdrawn and timid than aggressive or violent.".