A client being admitted to the inpatient unit suddenly removes a knife from his coat pocket and
threatens to kill himself or anyone who tries to take him into a room.
A psychiatric emergency code
is called and the client is safely disarmed and placed in seclusion. The rationale for use of seclusion
was that the client
a. clearly evidenced a thought disorder, rendering him incapable of rational
decision.
b. presented a clear and present danger to self and others.
c. presented a clear escape risk.
d. was psychotic.
B
The client's threat to kill himself or others with the knife he possessed constituted a clear and
present danger to self and others. The other three options are not considered sufficient reasons for
seclusion.
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A nurse is actively involved in the political arena and is educating a colleague about becoming involved in the election process. The nurse knows that their teaching has been effective when a colleague states:
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A nurse consistently remains past her shift for report or charting. The amount of overtime accumulated is equivalent to a full-time nurse's salary for 1 month
The nurse manager counsels the nurse and emphasizes that one of the responsibilities to the institution is: a. Quality patient care. b. Fiscal accountability. c. Accurate documentation. d. Accurate medication administration.