When working with a client who has exhibited a pattern of violent outbursts followed by remorse, a nurse's plan of care should focus on:
1. Decreasing the client's stressors.
2. Developing effective anger management techniques.
3. Offering the client family counseling.
4. Identifying the client's strengths.
2
Rationale: Among these answer choices, only anger management techniques may assist the client to develop healthier ways to deal with frustration that leads to violent outbursts. The other options may improve the client's and family's wellbeing, but do not address the abusive behaviors.
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The nurse assesses the client for depression using the geriatric depression scale. The client scores a 7, which indicates to the nurse that the client has:
1. An altered level of consciousness. 2. Depression. 3. Alzheimer's disease. 4. A normal result.
A nurse is caring for a client who is having occasional difficulty breathing. Which of the following bed accessories should the nurse use to provide a comfortable position to the client?
A) Chair B) Pillows C) Side rails D) Headboard
The nurse cares for a client who had an angiogram of the aorta with a contrast medium about 4 hours ago. Which is the priority client assessment for the nurse to monitor for early detection of delayed allergic reactions?
1. Pallor 2. Pruritus 3. Dyspnea 4. Cool skin
Then completing nursing care for a client, the nurse should complete an incident report if which of the following situations occurs during care of this client?
a. Blood samples were sent to the lab and results were reported in 4 hours. b. Diuril 1 g PO was ordered for 1530 and administered at 1600. c. A visitor stayed 2 hours beyond normal visiting hours. d. A client who is diabetic and insulin-dependent receives her roommate's regular diet tray.