A nurse discovers a client's suicide note that details the time, place, and means to commit suicide. What should be the priority nursing action, and why?
1. Administer lorazepam (Ativan) prn, because the client is angry about plan exposure.
2. Establish room restrictions, because the client's threat is an attempt to manipulate the staff.
3. Place client on one-to-one suicide precautions, because specific plans likely lead to attempts.
4. Call an emergency treatment team meeting, because the client's threat must be addressed.
3
Rationale: The priority nursing action should be to place this client on one-to-one suicide precautions, because the more specific the plan, the more likely the client will attempt suicide.
You might also like to view...
A nurse is giving anticipatory guidance to the mother of a 10-month-old child. The nurse is focusing on providing a safe environment for the child. Which of the following is the best state-ment regarding childhood safety?
a. "The car seat should be placed in a for-ward-facing position." b. "The majority of deaths in children be-tween the ages of 1 and 3 years old are caused by contagious diseases." c. "Injuries are a major cause of death during infancy, especially for children 6 to 12 months old." d. "Measles causes more deaths in children younger than 5 years old than all other diseases combined."
What knowledge or skill must the nurse possess to make the best use of the teleologic theory of ethics in decision-making?
1. Ability to predict the outcome of decisions. 2. What the rules are concerning the decision to be made. 3. Ability to see how good character traits impact the decision. 4. What the central caring goal of the decision is.
An emergency department nurse moves to a new city, where heat-related illnesses are common. Which clients should the nurse anticipate as at higher risk for heat-related illness? (Select all that apply.)
a. Homeless individuals b. Illicit drug users c. Whites d. Hockey players e. Older adults
The nurse is explaining the surgery transurethral resection of the prostate (TURP) to a 60-year-old client scheduled for the operation. Which of the following accurately describes this procedure?
A) It is the least commonly used of all procedures for prostatectomy. B) It has a shorter recovery time than other forms of prostatectomy. C) It is not recommended for those who are old or a poor surgical risk. D) It produces a smaller incision than other types of prostatectomy.