A patient with antisocial personality disorder yells, "Shut up about that, or I'll punch you in the nose!" and shakes his fist at another patient in a group meeting after the patient speaks negatively of illicit drug use
The nurse quickly determines that the patient is at risk to act violently against others as evidenced by his aggressive behavior, verbal threats, and a history of impulsivity. Which is the best approach for the nurse to use?
a. Secluding the patient to protect the other patients and staff
b. Putting the patient in restraints to protect the entire milieu
c. Exploring alternate ways to handle frustrating topics in the group
d. Telling the patient to leave the group until he can behave appropriately
ANS: C
Discussing angry feelings in a group setting that is focused on exploring alternative prob-lem-solving options will both distract the patient from angry feelings and help to focus ener-gy on constructive activities. Seclusion and restraints are not necessary until verbal interven-tions prove unsuccessful. Making the patient leave the group is not an approach that will lead to meaningful learning.
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While conducting an assessment interview regarding stress and coping patterns, the nurse identifies the following questions that will encourage the client to communicate information: Standard Text: Select all that apply
1. How do you usually handle stressful situations? 2. How would you describe yourself as a person? 3. Do you like your work? 4. What are your strengths in relationships? 5. Are you having any stress at work?
Which question is a problem-focused trigger?
a. What is known about reduction of urinary tract infections in the older adult with di-abetes? b. How can chronic pain best be described when the patient is nonverbal? c. How long can an intravenous catheter re-main in place in an obese patient? d. What measures can the nurse take to re-duce the rising incidence of urinary tract infections on the elder care unit?
The daily recommendation for protein is 0.8 gm/kg/day for a client with chronic kidney disease (CKD). In a client with nephrotic syndrome, the daily protein recommendation is also 0.8 gm/kg/day plus:
1. 1–3 grams of sodium. 2. 2–3 grams of potassium from dietary sources. 3. An additional 20 kcals/kg of calories from other sources. 4. Additional protein equal to the amount of protein lost in the client's 24-hour urine collection.
The focus of population-focused practice is that problems or needs are defined and solutions are implemented for
a. Individuals b. Aggregates c. Communities d. Geographic regions