A nurse has taken report for the evening shift on an adolescent inpatient unit. Which client should the nurse address first?
A. A client diagnosed with oppositional defiant disorder being sexually inappropriate with staff
B. A client diagnosed with conduct disorder who is verbally abusing a peer in the milieu
C. A client diagnosed with conduct disorder who is demanding special attention from staff
D. A client diagnosed with attention deficit disorder who has a history of self-mutilation
ANS: B
A client diagnosed with conduct disorder who is verbally abusing a peer in the milieu presents a potential safety concern that would need to be addressed by the nurse immediately.
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Conflict is best handled by:
1. managing it. 2. avoidance behavior. 3. aggressive management. 4. passive management.
The nurse has identified the diagnosis of Risk for Impaired Verbal Communication for a patient with limited English skills. Which intervention would be appropriate for this diagnosis?
1. Asking a family member to act as an interpreter 2. Writing questions on a clip board for the patient to read 3. Using an interpreter when communicating with the patient 4. Speaking loudly and slowly when attempting to communicate with the patient
The client is a 38-year-old male who is critically ill. He has not been eating well although the staff has been encouraging him to eat. He is afraid of gaining too much weight
Which of the following would be an example of a good meal for this client? A) Granola with honey, fresh strawberries and milk, and hot tea with honey B) Smoothie made with yogurt, instant breakfast mix, and skim milk and peaches C) Omelet with ham, cheese, mushroom, and spinach; whole wheat toast with butter and jelly; and milk and coffee with whipped cream D) 2 strips bacon, 2 scrambled eggs fried in butter, 1 slice sourdough bread, and coffee
A client is prescribed a medication that is a catecholamine. The nurse will expect the pharmacy to prepare the medication to be administered through which routes?
Standard Text: Select all that apply. 1. Intravenous 2. Inhalation 3. Oral 4. Topical 5. Subcutaneous