An effective nursing intervention for helping angry clients learn to manage anger without violence
would be
a. using cognitive strategies to identify a thought that increases anger, find proof for
or against the belief, and substitute reality-based thinking.
b. providing negative reinforcement such as restraint or seclusion in response to
angry outbursts, whether or not violence is present.
c. administering antipsychotic medications.
d. administering antianxiety medications.
A
Anger has a strong cognitive component, so using cognition to manage anger is logical. Option B is
punitive. Options C and D may not be necessary and do nothing to help the client learn anger
management.
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The nurse is utilizing limit setting for a manipulative client. Which of the following is an appropriate action to apply limit-setting strategies to this client?
A) Encourage instant gratification. B) Reinforce negative behavior. C) Recognize what the client is attempting to do. D) Apply firm boundaries intermittently.
You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler when Evelyn makes visits to Mrs. N. and also to check whether Mrs. N. is receiving any positive effect from the medication
Evelyn reports for 3 weeks that Mrs. N. is using the inhaler and that there is enough medication left in the device. The day of her last visit to Mrs. N., Mrs. N. is admitted to the hospital in severe respiratory distress. When she is admitted, she tells the physician that she has not been using the inhaler for 4 weeks. This incident is an example of: a. Incompetence of the UNP. b. Failure to follow through. c. Skills but no motivation. d. Lack of accountability.
The nurse is obtaining the intershift report for a group of assigned clients. Which of the following assigned clients should the nurse monitor closely for signs of hyperkalemia?
1. A client with ulcerative colitis 2. A client with Cushing's syndrome 3. A client admitted 6 hours ago with a 40% burn injury 4. A client who has a history of long-term laxative abuse
An example of verbal abuse is
A. making gestures that frighten the patient. B. acting in a way that causes the patient to be afraid of you. C. calling the patient unkind names. D. seductive, sexually demeaning behavior.