A patient whose behavior has continued to escalate despite nursing interventions begins to kick and strike out at the nurse. What is the priority nursing intervention?
a. Offer an oral PRN medication.
b. Have staff stand by at a distance.
c. Physically control the patient's behavior.
d. Allow the behavior until the patient de-escalates.
C
When a patient loses control, staff must take physical control to prevent injury to the patient or others. A determination must then be made as what measures are necessary (intramuscular medication, involuntary seclusion, or restraint), keeping in mind the importance of using the least restrictive alternatives that will achieve the goal of safety.
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Which of the following events occurred in 1965?
a. State mental hospitals were created. b. The mentally ill were deinstitutionalized. c. Electroconvulsive therapy was discovered to help depression. d. Community mental health centers for outpatient care were established.
A shortcoming that needs to be addressed related to the advertising of open nursing positions is:
a. inadequate use of Internet advertising. b. insufficient funds allotted for advertising. c. lack of follow-up with potential candi-dates. d. short supply of advertising space in nurs-ing journals.
What can happen when a manager terminates an employee for continuous rule breaking?
A) The unit becomes permanently demoralized. B) The employee should be allowed to stay in the organization until he or she has secured future employment. C) The manager should tell the employee what, if any, references will be supplied to future employers. D) There is little cost in terms of managerial or employee time and little effect on unit morale.
The nurse is assessing a client exhibiting a sudden sense of fear and dread, heart palpitations, and shortness of breath. The nurse understands these findings to be consistent with which condition?
A) Hypomania B) Depression C) Bipolar disorder D) Panic attack