A tearful, anxious man comes to the clinic with the chief complaint, "I should be dead.". The first task of the nurse conducting the assessment interview is to:
a. assess the lethality of his suicide plan.
b. establish initial rapport with the patient.
c. encourage the expression of anger.
d. determine risk factors for suicide.
B
Establishing rapport is key to developing a therapeutic relationship, which in turn increases the likelihood of candid and helpful responses to the nurse's assessment. The nurse would then assess lethality and risk factors but not encourage the expression of anger during the assessment phase.
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A unit has a continuous problem with a certain complication in a specific patient population
One nurse has read extensively about this issue and thinks the problem lies mainly in the unit's failure to follow one or two particular best practices because they use a standardized order set preferred by their physician group. Using the disposition of critical thinking known as analyticity, the best action for this nurse to take is to a. get support from other staff nurses and collectively stop implementing specific orders. b. go directly to the physician group's weekly meeting, asking them to change the orders. c. show evidence to unit management and ask for help in speaking with the physicians. d. take the issue to the hospital's policy and procedures committee, asking for a review.
When assisting the older adult who is despondent about the need to leave his home, the nurse uses which technique?
a. Ask him if he has a drinking problem. b. Explore the option of his moving in with someone. c. Reminisce with the patient and review his life. d. Assess for hopelessness and helplessness.
The nurse is providing care to a newborn born after 37 weeks gestation. The newborns weight is 1,750 g (3 pounds, 10 ounces). The head circumference and length are at the 25th percentile
What statement would the nurse use to describe these assessment findings? A) Preterm appropriate for gestational age, asymmetrical intrauterine growth restriction B) Preterm appropriate for gestational age, symmetrical intrauterine growth restriction C) Preterm small for gestational age, asymmetrical intrauterine growth restriction D) Term small for gestational age, symmetrical intrauterine growth restriction
After teaching a group of nursing students about antianxiety drugs, the instructor determines that the teaching was successful when the students identify which as an example? Select all that apply
A) Alprazolam B) Buspirone C) Hydroxyzine D) Chlordiazepoxide E) Lorazepam