Six hours after a client lost control and required seclusion and as-needed medication, she is out of

seclusion, calm, and sitting in her room reading.

Postassaultive stage care measures that should be
taken by the nurse include (more than one option may be chosen)
A. avoiding mention of the incident.
B. suggesting that the client may wish to apologize.
C. helping the client identify the precipitating event.
D. reviewing possible alternative coping strategies with client.


C, D
Rationale: Postincident processing should be attempted when the client is calm. This processing
helps the client and staff understand what happened and how further incidents of violence can be
avoided. Identification of the precipitating event is critical. Once this is accomplished, the client and
nurse can discuss possible alternative coping strategies and role play those chosen. Options A and B
do nothing to help the client learn more effective coping strategies.

Nursing

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A nursing student working in an Adult Care for Elders unit learns that frailty in the older population includes which components? (Select all that apply.)

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The nurse educator is discussing the charting used in the facility with a group of recently hired nurses. The facility uses the APIE method of charting

Which of the following responses by one of the newly hired nurses indicates understanding of the charting method? 1. "I will only need to chart by exception with this method." 2. "Only subjective data are included in the assessment portion." 3. "The ‘P' refers to the planning phase of the process." 4. "The activities implemented to manage the client's needs will be documented in the ‘I' section."

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An example of an athlete who is most likely to benefit from a multivitamin/mineral supplement that provides 100% of the DRI is a

a. gymnast. b. swimmer. c. bodybuilder. d. football player.

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A client has been seen in the clinic and has been diagnosed with endometriosis. The client asks the nurse to describe this condition. The best response by the nurse should be:

1. "It causes the cessation of menstruation." 2. "It is also known as primary dysmenorrhea." 3. "It is pain that occurs during ovulation." 4. "It is the presence of tissue outside the uterus that resembles the endometrium."

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