A homeless client with an antisocial disorder is brought to the emergency department by the police after disturbing customers in a department store. The client says to the nurse, "I need to be hospitalized. It's getting cold out, and I need a warm bed. If you don't get me into a hospital, I'll jump off a bridge." Which nursing intervention would be therapeutic?
A. Sending the client to the psychiatric hospital intake center immediately for evaluation
B. Asking the police to pick the client up and arrest him for vagrancy, as they should have done immediately
C. Discharging the client with a follow-up appointment for the next day and guaranteeing him a hospital bed if he shows up
D. Sending the client to a shelter that will provide temporary housing if he signs a contract agreeing not to attempt suicide
Ans: D. Sending the client to a shelter that will provide temporary housing if he signs a contract agreeing not to attempt suicide
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Which of the following makes decision making during an emergency more difficult?
1. The institution's policies and procedures may not address the specific issue. 2. The situation may fit Watson's but not Maslow's theory. 3. The consequences to each decision are not known. 4. The decision may conflict with the nurse's personal values.
A 41-year-old female with a family history of breast cancer has had a baseline mammogram. She states that she performs monthly self-breast exams but really has a hard time evaluating her lumps since she has numerous cysts
At her annual mammogram, the technician views a suspicious area and refers her to the radiologist. She asks the nurse in the office, "How can a lump appear so quickly?" The nurse's response is based on which of the following principles? A) A tumor is undetectable until it has doubled 30 times and contains at least 1 billion cells. B) Many tumor cells never leave the M-phase of the cell cycle. C) Cancer cells are undifferentiated and come in various shapes and sizes. D) If the breast has a lot of cysts, then the fluid within those sacs makes it difficult to feel the hard lumps of a cancer.
On one of the first days working alone, the new nurse with limited patient teaching experience needs to instruct tracheostomy care to a client and spouse. What action should the nurse take?
1. Ask the nurse mentor to assist with the teaching after reviewing the procedure. 2. Read the policy and procedure manual before the teaching session. 3. Do the best the nurse can by remembering what was taught in nursing school. 4. Ask for a different assignment until the nurse feels comfortable with this one.
Risperdal is a(n) ________.
Fill in the blank(s) with the appropriate word(s).