The nurse's priority intervention for a newly hospitalized suicidal client is to:
1. Obtain a no-suicide contract for the day.
2. Have the client write a list of the client's weaknesses.
3. Require the client to participate in the goals group.
4. Request the client to describe previous stressors.
1
Rationale: Obtaining a no-suicide contract for the day conveys to the client that the staff members want to maintain client safety. Requiring the client to participate in the goals group may be overwhelming for a newly admitted client. Writing a list of weaknesses may reinforce the client's suicidality. The focus should be on the here and now; current stressors are more important than previous stressors.
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The hospital administration has changed from a traditional nursing system to self-governance. This change was recognized by nursing personnel as a positive change and is an example of which strategy?
1. Power-coercive strategy 2. Empirical-rational model 3. A driving force 4. A normative-reeducative strategy
The chief nursing officer utilizes the hospital's workplace advocacy to help the overwhelmed Emergency Department staff. Workplace Advocacy is designed to assist nurses by:
a. Creating professional practice climates in their institutions. b. Equipping them to practice in a rapidly changing environment. c. Negotiating employment contracts. d. Representing them in labor-management disputes.
The nurse is teaching a 15-year-old female patient and her parents about an antibiotic the adolescent will begin taking. The drug is known to decrease the effectiveness of oral contraceptive pills (OCPs). The nurse will
a. ask the adolescent and her parents whether she is taking OCPs. b. tell her parents privately that pregnancy may occur if she is taking OCPs. c. tell her privately that the medication may decrease the effectiveness of OCPs. d. warn her and her parents that she may get pregnant if she is relying on OCPs.
An ER nurse is completing an assessment on a patient that is alert but struggles to answer questions. When she attempts to talk, she slurs her speech and appears very frightened. What additional clinical manifestation does the nurse expect to find if nacy's sysmptoms have been caused by a brain attack (stroke)?
A. A carotid bruit B. A hypotensive blood pressure C. hyperreflexic deep tendon relexes. D. Decreased bowel sounds