A level III disaster has occurred and the hospital is receiving clients by ambulance and those who have walked in to the emergency department
The wife of a man who is critically injured screams, "Why doesn't someone do something for my husband? He is dying!" How should the nurse manager respond? 1. "Ma'am, you should not be back here. You will have to leave."
2. "I'm so sorry, but your husband's injuries are very severe. We have to take care of the others first."
3. "Is there someone who can stay with this woman? She is distraught."
4. "He doesn't pass the triage screen for someone we can save."
2
Rationale 1: The manager should take measures other than just making the woman leave.
Rationale 2: This is a kind statement of fact and is a good way to address this wife.
Rationale 3: This is a true statement, but does not explain to the wife why her husband is not being cared for.
Rationale 4: Even though this is a true statement, the wife will probably not understand what a triage screen is.
Global Rationale:
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a. Cerebral cortex c. Cerebellum b. Thalamus d. Brainstem
A terminally ill patient says, "I know I will never get well, but...," and the patient's voice trails off. Select the most therapeutic response by the nurse
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A client with severe mental illness who lived independently in an apartment and attended a
psychosocial rehabilitation program 5 days a week appears at the emergency department seeking admission to the inpatient unit. The mental status examination reveals no acute symptoms of psychiatric disorder. Her chief complaint is that she has no money to pay her rent or refill her antipsychotic medication prescription. The best action for the emergency department nurse would be to a. arrange for a short in-patient admission and begin discharge planning. b. send the client to a homeless shelter until housing can be arranged. c. involve the client's case manager to provide crisis intervention. d. explain that one must have psychiatric symptoms to be admitted.
A nurse appointed to the state board of nursing would expect work focused on which basic purpose of that body?
1. Establishing a means of protecting the public at large 2. Ensuring that all schools of nursing seek national accreditation 3. Ensuring that all practicing nurses are competent 4. Restricting nursing practice through regulations