The day nurses in a psychiatric unit are receiving report from the night shift. While this is occurring, a client approaches the nurses' station, becomes very loud and offensive, and demands to be seen by the physician immediately
The appropriate nursing intervention is which of the following? 1. Inform the client that the behavior is unacceptable.
2. Tell the client to wait in his or her room until report is over.
3. Offer to assist the client to an examination room until the physician is notified.
4. Tell the client that the physician will be called as soon as report is completed.
3
Rationale: Safety of the client, other clients, and staff is of prime concern when dealing with a client who may be angry and demanding. Offering to assist the client to an examination room until the physician is notified is in effect an isolation technique that allows for separation from others and provides a less stimulating environment, where the client can maintain dignity. "In-form the client that the behavior is unacceptable," "tell the client to wait in his or her room until report is over," and "tell the client that the physician will be called as soon as report is complet-ed" place the client's concern on hold and will only cause the behavior to escalate.
You might also like to view...
A nurse is caring for a 30-year-old client who is receiving albuterol for asthma. The client complains of feeling dizzy, especially when he stands up after sitting
The nurse suspects that a possible interaction with another drug could be causing the client's problem. Which of the following drugs should the nurse consider as a possible cause? A) Warfarin B) Uterine stimulants C) Methylxanthines D) Methyldopa
A client is prescribed ferrous sulfate. Before administering the drug, the nurse reviews the client's medical record. The nurse would withhold the drug and contact the primary health care provider if the client's history revealed which of the following?
Select all that apply. A) Hemolytic anemia B) Vitamin B12 deficiency anemia C) Anemia of chronic kidney disease D) Hemochromatosis E) Hypertension
A patient was positive for hepatitis B virus, although she had the disease 4 years ago and now is symptom free. What is the nurse aware is true regarding this patient?
a. Is likely to have hepatitis B again b. Now has noninfectious hepatitis c. Is an infectious carrier and always will be d. Is at risk for hepatitis E
The chief nursing officer (CNO) of a hospital system works with senior leadership for approval to initiate an electronic health system
He recruits a nursing informaticist and a chief medical in-formatics officer to begin the process of planning the education and roll-out of the new electronic system. The CNO could be viewed as the: a. resistor. b. innovator. c. change agent. d. strategist.