Which of the following clients should be assessed as demonstrating aggression? The client who:
1. Tells the nurse, "I don't need that medication and no one can make me take it."
2. Walks into the group room and says to another client, "You stole my seat. That is where I always sit. You had better move!"
3. Paces back and forth in the hall singing loudly to the music the client is listening to with headphones.
4. Bursts into tears when the doctor says, "I don't think you are ready for discharge today."
2
Rationale: Aggression is a physical or verbal threat that reflects rage, hostility, and potential for physical or verbal destructiveness. Aggressive behavior violates the rights of others. Pacing and singing are disruptive to others but do not violate anyone else's rights. Refusing to take medication and treatment noncompliance could arise for a multitude of reasons and is not necessarily driven by aggression. Crying does not reflect any threat or violation of others' rights.
You might also like to view...
A patient, diagnosed with diabetic ketoacidosis, presents with Kussmaul respirations at a rate of 28. A newly licensed nurse asks the patient to try to slow his breathing. What instruction should the preceptor provide?
1. "Keep trying to slow the patient's respirations because breathing so fast is hard on his heart." 2. "If he keeps breathing like that he will develop respiratory acidosis." 3. "Let the patient set his respiratory rate as rapid breathing helps to compensate for his acidosis." 4. "The patient is breathing deeply to help offset diabetes-induced hypoxemia."
A client is 27 years old and delivered her first baby yesterday. She and her husband do not want to have another baby for at least 3 to 4 years. The best method of birth control to meet their needs is:
a. withdrawal. b. fertility awareness method. c. combination of condoms and foam. d. vasectomy with a reversal in 3 years.
The nurse is holding a class for newly pregnant couples, and discussing good and bad influences on their baby
Prenatal influences on the intrauterine environment include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The use of saunas or hot tubs 2. The use of drugs 3. The quality of the sperm or ovum 4. Maternal nutrition 5. Vitamins and folic acid
Select the available strengths of the sublingual nitroglycerin tablet Nitrostat.
A. 40-mg CR tablets and capsules B. 0.3-, 0.4-, and 0.6-mg sublingual tablets C. 2.5-, 5-, and10-mg sublingual tablets D. 1-, 2-, and 3-mg extended-release buccal tablets