A patient's behavior has continued to escalate despite nursing interventions designed to achieve de-escalation. The patient begins to kick and strike at staff. This behavior evidences which phase of the assault cycle?
a. Triggering
b. Depression
c. Escalation
d. Crisis
D
The crisis phase is characterized by a patient's loss of self-control with fighting, hitting, kicking, scratching, biting, and throwing things. Each of the other phases has selected characteristics, none of which were described in the scenario.
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A teenage boy has been brought to the emergency department (ED) by his football coach, who states that the boy has not responded to his normal rescue inhaler. The care team has opted for the administration of subcutaneous epinephrine
The ED nurse should anticipate what assessment finding subsequent to the administration of this drug? A) Increased level of consciousness within 2 to 5 minutes B) Immediate bronchodilation C) An immediate decrease in respiratory rate D) Bronchodilation within 5 to 10 minutes
A university nursing dean is particularly interested in attracting more male students. What action by the dean would most likely result in the best outcome for this goal?
a. Create an accelerated baccalaureate degree program. b. Establish a "fast track" program for business leaders. c. Partner with the local community college on seamless entry. d. Recruit heavily among male-dominated occupations.
A client has been diagnosed with myxedema from long-standing hypothyroidism. What clinical manifestations of this disorder does the nurse recognize are progressing to myxedema coma? Select all that apply
A) Hypothermia B) Hypertension C) Hypotension D) Hypoventilation E) Hyperventilation
What statement regarding renal insufficiency (stage II) is true?
A. Renal function is reduced, but there is no accumulation of metabolic wastes. B. The healthier kidney compensates for the diseased kidney. C. There is decreased responsiveness to diuretics. D. The kidneys are unable to maintain homeostasis.