After completing a crisis intervention course, the nurse recognizes the signs of escalating violence as:\
a. pacing and cursing.
b. repeatedly pushing the call bell.
c. crying and complaining of no pain relief.
d. staring out the window and not respond-ing to questions.
A
Signs of escalating violence include pacing, using foul language, cursing, raising of fists, and threats. The other options are typical behaviors that are noted in the hospital setting that do not reflect a situation where the person is escalating out of control.
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A student nurse asks for an explanation of "refractory hypoxemia." What answer by the nurse instructor is best?
a. "It is chronic hypoxemia that accompanies restrictive airway disease." b. "It is hypoxemia from lung damage due to mechanical ventilation." c. "It is hypoxemia that continues even after the client is weaned from oxygen." d. "It is hypoxemia that persists even with 100% oxygen administration."
A nurse cares for a client who is having trouble voiding. The client states, "I cannot urinate in public places." How should the nurse respond?
a. "I will turn on the faucet in the bathroom to help stimulate your urination." b. "I can recommend a prescription for a diuretic to improve your urine output." c. "I'll move you to a room with a private bathroom to increase your comfort." d. "I will close the curtain to provide you with as much privacy as possible."
A nurse working on the medical unit mistakenly administers the wrong medication to a patient. This type of error would be classified as which of the following?
a. Poisoning accident b. Equipment-related accident c. Procedure-related accident d. Accident related to time management
The nurse is serving on a panel to evaluate the hospital staff's reliance on evidence-based practice in their decision-making processes
Which practices characterize the basic competencies related to evidence-based practice? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Recognizing which clinical practices are supported by good evidence 2. Recognizing and including clinical practice supported by intuitive evidence 3. Using data in clinical work to evaluate outcomes of care 4. Including quality-improvement measures in clinical practice 5. Appraising and integrating scientific bases into practice