A patient with bipolar disorder is hyperactive and has not slept for 3 days. Mood and behavior are labile. The patient threatens to hit another patient. Which response by the nurse is appropriate?
a. "Stop that now. No one did anything to provoke an attack by you.".
b. "If you try that again, you will be placed in seclusion immediately.".
c. "Do not hit anyone. If you are unable to control yourself, we will help you.".
d. "You know we will not let you hit anyone. Why do you continue this behavior?"
C
When the patient is unable to control his or her behavior and violates or threatens to violate the rights of others, limits must be set to deescalate the situation. Limits should be set in simple, concrete terms.
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A client, age 75, voices frustration at receiving a new, stronger prescription for a pair of glasses. He states, "My vision just seems to be getting worse with each year." The nurse asks additional questions for clarification
The client indicates his chief complaint is visual acuity. Which of the following statements by the nurse is most accurate at this time? A) "I certainly understand your frustration." B) "Perhaps you should be evaluated for an underlying medical problem that may be causing these drastic visual problems." C) "The visual problems you are reporting become increasingly common after age 70." D) "The problems you are experiencing are likely the early stages of glaucoma."
A client brought to the emergency room following a myocardial infarction is found to be hypotensive. What effect from baroreceptor stimulation on this client's heart rate would be expected?
A. The heart rate would increase. B. The heart rate would decrease. C. There would be no effect on heart rate. D. The heart rate would vacillate between accelerations and deceleration.
The nurse has provided education for a client prescribed lisinopril (Prinivil). Which statement made by the client indicates further teaching is required?
A. "I will monitor my blood pressure until my next appointment." B. "I will avoid using salt substitutes for seasoning." C. "It takes a while for this medication to take effect." D. "I will not need to worry about having additional blood tests done."
A nursing student is learning the difference between theoretical and conceptual frameworks. Which statement, if made by the student, indicates the need for further teaching?
1. A theoretical framework presents a broad, general explanation of the relationships between the concepts of interest in a research study. 2. A conceptual framework helps to explain the relationship between concepts. 3. A conceptual framework is a less well-developed structure than a theoretical framework but may serve as the impetus for the formulation of a theory. 4. A theoretical framework is based on many existing theories.