Responding to a code called in the psychiatric unit where she works, a staff nurse finds that a patient has attempted suicide. The staff nurse correctly identifies this as a ____
a. Benchmark incident
b. Quality improvement issue
c. Performance breach
d. Sentinel event
D
A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.
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The nurse is planning care for an Asian client who is Buddhist. Which of the following actions is most important for the nurse to take to provide culturally relevant mental health care?
1. Explain western medical ideas to assist cultural adaptation. 2. Develop a thorough understanding of Buddhist religion. 3. Seek clarification of this client's health beliefs. 4. Use standard nursing interventions for this client.
While evaluating the effectiveness of a drug administered to an older client 1 hour ago the nurse notes that the client is confused and disoriented. What should the nurse conclude about this observation?
1. Expected response to the drug 2. Client is demonstrating normal aging confusion. 3. This might be an effect of polypharmacy. 4. The client has a fever.
The nurse admits a client who self-injures and needs intensive supervision. Which should the nurse include in the end-of-shift report?
1. "The client cried off and on all day.". 2. "The client's family is not concerned.". 3. "The client might try something drastic.". 4. "The client in room 204 is a real problem.".
Four patients arrive at the emergency department. All have attempted suicide by overdosing on medication. Which patient will the nurse plan to transfer to the renal failure unit?
1. The patient who overdosed on lorazepam (Ativan) 2. The patient who overdosed on amitriptyline (Elavil) 3. The patient who overdosed on ibuprofen (Advil) 4. The patient who overdosed on quetiapine (Seroquel)