The nurse is providing care to a college student having a psychiatric emergency and related suicide attempt. Which action should the nurse take first?

a. Obtain a list of drug allergies from the student.
b. Determine if alcohol or illicit drugs have been used recently.
c. Instruct the student how to place an order with dietary services.
d. Encourage the patient to verbalize his or her feelings about the event.


ANS: B
It is important to start with a complete assessment and information regarding recent use of alcohol or illicit drugs should be obtained because these substances can heighten psychiatric emergencies. A. Drug allergies can be obtained at a later time. C. Placing an order for food is not a priority at this time. D. Verbalization of feelings about the event can occur at a later time.

Nursing

You might also like to view...

A 78-year-old man has a history of a cerebrovascular accident. The nurse notes that when he walks, his left arm is immobile against the body with flexion of the shoulder, elbow, wrist, and fingers and adduction of the shoulder

His left leg is stiff and extended and circumducts with each step. What type of gait disturbance is this individual experiencing? a. Scissors gait b. Cerebellar ataxia c. Parkinsonian gait d. Spastic hemiparesis

Nursing

A client with MS is being taught self-care measures to prevent constipation. The nurse would realize goals for teaching had been met when the client states he/she will avoid

a. a high-fiber diet. b. citrus fruits. c. laxatives. d. stool softeners.

Nursing

How important is record keeping after you have assisted someone to eat and drink?

a. very important b. not very important c. quite important.

Nursing

A nurse takes the history of a middle-aged patient in a health clinic. Which information indicates the patient has achieved generativity?

a. Married for 30 years b. Teaches preschoolers c. Has no regrets with life choices d. Cares for aging parents after work

Nursing