A nurse is interviewing a client who is distressed over the loss of a job that the client has worked for 15 years. Which questions would best assist the nurse determining the client's appraisal of the situation? Select all that apply
A) What resources do you rely on in difficult times?
B) Have you ever experienced a similar situation; if so, what did you do?
C) Who do you think is to blame for this situation?
D) What options are available to you at this time?
A, B, D
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An involuntarily committed client when offered a dinner tray pushes it off the bedside table onto the floor. Which nursing intervention should a nurse implement to address this behavior?
1. Initiate forced medication protocol. 2. Help the client to explore the source of anger. 3. Ignore the act to avoid reinforcing the behavior. 4. With staff support and a show of solidarity, set firm limits on the behavior.
A client has a body temperature of 95 °F and exhibits slurred speech and poor coordination. Which is the priority nursing diagnosis for this client?
A) Disturbed Sensory Perception B) Acute Confusion C) Hypothermia D) Imbalanced Body Temperature
The hospital has just provided its nurses with information about biologic threats and terrorism. After completing the course, a group of nurses are discussing their responsibility in relation to terrorism
The nurses who correctly understood the presentation are the ones who identify their action to be: 1. Separating clients according to cultural, religious, or ethnic group. 2. Disposing of blood-contaminated needles in the sharps container. 3. Notifying the Centers for Disease Control and Prevention (CDC) if a large number of persons with the same life-threatening infection present to the Emergency Department. 4. Initiating isolation precautions for a hospitalized client with methicillin-resistant Staphylococcus aureus (MRSA).
A surgical client is assessed by the nurse before, during, and after surgery. What type of assessment would this be?
1. focused 2. emergency 3. ongoing 4. maintenance