The nurse enters the client's room to find that the spouse of the client is very angry. The spouse is shouting and making angry gestures
While attempting to diffuse the spouse's anger, the nurse maintains safety by doing which of the following? 1. Enter the room and stand close to the spouse.
2. Stand near the doorway to talk to the spouse.
3. Sit by the spouse.
4. Have the spouse come into the hall to talk.
2
Rationale 1: The safest position is near the doorway, so the nurse has a clear path out of the room if the spouse threatens to become violent. Under no circumstances should the student stand close to the spouse, because it might be interpreted as threatening or invading personal space, making the spouse angrier. Sitting down makes a quick exit difficult should it become necessary. Inviting the client out to the hallway exposes others to potential danger and reduces confidentiality of the things the spouse is discussing.
You might also like to view...
Cultural competence is the ongoing process in which a health care professional continuously strives to achieve the ability to work effectively within the cultural context. To do this effectively, what must the nurse do?
a. Understand the cultural norms of the pa-tient's community. b. See herself or himself as being culturally competent. c. Face the reality that cultural competence can take up to a year to achieve. d. View herself or himself as becoming cul-turally competent.
A nurse is providing patient education for a patient with peptic ulcer disease secondary to chronic nonsteroidal anti-inflammatory drug (NSAID) use
The patient has recently been prescribed misoprostol (Cytotec). What would the nurse be most accurate in informing the patient about the drug? A) It reduces the stomach's volume of hydrochloric acid B) It increases the speed of gastric emptying C) It protects the stomach's lining D) It increases lower esophageal sphincter pressure
Medications administered buccally are placed
A. under the tongue. B. between the tongue and cheek. C. in the rectum. D. in the nasal cavity.
A group of nurses working in a long-term care facility fails to keep the narcotic medications in a secure location. The nurses also fail to count the medications before and after each shift, as indicated by the institution's policies and procedures
These failures may result in what type of disciplinary action? A) Action against the nurses' licenses B) Action against the facility's state license C) Action against the state regulating body D) Action against the pharmacist's license