Which principle should be followed by psychiatric inpatient staff when addressing a behavioral
crisis?
a. Resolve it with the least restrictive intervention possible.
b. Individual client rights are superseded by the rights of the majority.
c. Swift intervention is preferable to planned, structured intervention in nearly all
instances of dyscontrol.
d. Allow the client the opportunity to regain control without intervention when
safety of other clients is not compromised.
ANS: A
The rule of using the least restrictive treatment or intervention possible to achieve the desired
outcome is the client's legal right. Option B: This is not strictly true. Option C: Planned
interventions are nearly always preferable. Option D: Intervention may be necessary when the client
is threatening harm to self.
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A nurse has obtained donor tissue typing information about a patient who is waiting for a kidney transplant. Which results should be reported to the transplant surgeon?
a. Patient is Rh positive and donor is Rh negative b. Six antigen matches are present in HLA typing c. Results of patient-donor cross matching are positive d. Panel of reactive antibodies (PRA) percentage is low
What is the route of administration for TPN?
A) Oral B) Subcutaneous C) Intramuscular D) Intravenous
The nurse is explaining the pathophysiology of hyperglycemic hyperosmolar nonketotic syndrome (HHNS). Which statement will the nurse include when teaching? HHNS:
1. Is accompanied by severe metabolic acidosis 2. Results in cellular overhydration and interstitial space dehydration 3. Causes severe dehydration from very high osmolarity 4. Causes a severe decline in glucose production, resulting in increased metabolic rates to burn fat for energy
A person would be most likely to produce excessive ketones if his or her food intake that day consisted only of
a. green salad with oil and vinegar dressing. b. refried pinto beans and rice. c. cheeseburgers and French fries. d. fried eggs with bacon and hash brown potatoes.