After disturbing the peace, an aggressive, disoriented, unkempt, homeless individual is escorted to an emergency department. The client threatens suicide
Which of the following criteria would enable a physician to consider involuntary commitment? (Select all that apply.) 1. Being dangerous to others
2. Being homeless
3. Being disruptive to the community
4. Being gravely disabled and unable to meet basic needs
5. Being suicidal
1, 4, 5
Rationale: The physician could consider involuntary commitment when a client is dangerous to others, gravely disabled, or is suicidal. If the physician determines that the client is mentally incompetent, consent should be obtained from the legal guardian or court-approved guardian or conservator. A hospital administrator may give permission for involuntary commitment when time does not permit court intervention.
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A nursing instructor is teaching about the impaired nurse and the consequences of this impairment. Which statement by a student indicates that further instruction is needed?
1. "The state board of nursing must be notified with factual documentation of impairment." 2. "All state boards of nursing have passed laws that, under any circumstances, do not allow impaired nurses to practice." 3. "Many state boards of nursing require an impaired nurse to successfully complete counseling treatment programs prior to a return to work." 4. "After a return to practice, a recovering nurse may be closely monitored for several years."
The nurse is assessing the client's head and neck. The nurse provides the client with a glass of water. Which of the following structures will the nurse most likely need to assess as the client drinks?
1. Temporomandibular joint 2. Lymph nodes 3. Temporal artery 4. Trachea
A 38-year-old black obese diabetic patient is being evaluated for the use of propranolol (Inderal) in controlling his hypertension. The nurse points out that a contraindication for that drug's use in this patient would be his:
1. race. 2. age. 3. diabetes. 4. weight.
The nurse closely assesses clients who experience crushing injuries and are in shock because they are more prone than other clients to develop
a. adult respiratory distress syndrome. b. disseminated intravascular clotting. c. fat emboli and respiratory distress. d. uncompensated metabolic alkalosis.