A nurse working in a walk-in clinic is approached by a person with a history of violent behavior. The person states, "I want to go to the hospital for a rest. You better get me in or I'll do something bad. I can get a gun."
An appropriate response from the nurse would be: a. "If I get you admitted, will you promise to behave yourself?"
b. "You seem very anxious to be hospitalized. What do you think will happen if you aren't hospitalized?"
c. "Do you have a gun? I'm not sure I believe you. Are you really threatening to kill yourself or someone else?"
d. "Do you really want to go to the hospital? Would you be satisfied if I were able to find you someplace safe to rest?"
B
The most therapeutic communication is the one in which the nurse assesses the potential for violence by ascertaining the patient's plan, means, and commitment. The remaining options fail to do that satisfactorily.
You might also like to view...
A client is responsible for 30% of his doctor bills due to insurance. The client sees a specialist and the bill is $240.00. How much will the client be responsible for?
ANS:
Which of the following best explains the purpose of the Outcome and Assessment Information Set (OASIS)?
a. To analyze the cost-effectiveness of health agencies b. To evaluate and improve clinical performance quality c. To measure and publicize hospital data on outcomes such as death rates d. To survey patient satisfaction with care received from health agencies
The nursing instructor is quizzing a student who is preparing to administer an alpha-specific adrenergic agonist to a patient. The instructor asks the student what the student will assess in this patient after administering the drug
What is the student's best response? A) Blood pressure B) Respirations C) Mental status D) Vision
The nurse manages an acute care unit that is beginning to provide care for more and more older adults after surgery. The nurse manager would encourage nurses to add which interventions to the plan of care for these patients?
1. Use of restraints to prevent falls and disruption of invasive lines 2. Early return to ambulation and self-care activities 3. Get patients out of bed to a chair for most of the day 4. Keep patients on bedrest until strength returns