A client with obsessive-compulsive disorder who continually cleans her room with paper towels becomes enraged with her roommate for throwing the package of paper towels into the waste basket, begins to yell, and slaps the roommate. Which action would the nurse take first?
A. Restraining the client
B. Filling out an incident report
C. Removing both clients to safe locations
D. Calling the hospital's risk-management department
Ans: C. Removing both clients to safe locations
You might also like to view...
Which statement, made by a research student, provides evidence that the student understands the mission of the Academic Center for Evidenced-Based Nursing (ACE)?
1. ACE distributes evidence to clinicians, educators, administrators, and policy makers. 2. ACE promotes the efforts of evidence-based nursing practice through education, research, and development. 3. ACE takes evidence-based practice and turns it into improved health care and client outcomes. 4. ACE is a source of funding for the novice researcher of evidence-based nursing practice.
In light of her recent diagnosis of chronic obstructive pulmonary disease (COPD), a 66-year-old woman has been prescribed bronchodilators and corticosteroids, both of which will be administered by metered dose inhaler
How should the nurse instruct the patient on the correct administration of her medications? A) "Gauge the dose of your medications based on the severity of your symptoms on that particular day." B) "When you're taking your inhalers, breathe in as deeply as you can and hold each breath for several seconds." C) "Inhale for several short, forceful breaths after depressing your inhaler in order to get the medication well-distributed in your lungs." D) "Exhale through your inhaler prior to and after using it so that you purge the old medication from the device."
The informatics nurse is preparing a presentation for new nursing staff. Which definition should the nurse use when explaining informatics to these colleagues?
A) A subspecialty of nursing that focuses on training in the use of computers B) A specific area of medicine that highlights the importance of technology in patient care C) A profession that is seeking an identity separate from medicine, nursing, or other behavioral sciences D) An interdisciplinary field that includes computer, decision, information, management, and cognitive sciences
The client is admitted to the acute care unit with a phosphorus level of 2.3 mg/dL. Which nursing intervention would support this client's homeostasis?
1. Encourage consumption of milk and yogurt. 2. Enforce strict isolation protocols. 3. Encourage consumption of a high-calorie carbohydrate diet. 4. Strain all urine.