Residents in a new long-term care facility attend a large dining hall for meals. In reviewing reports of aggression and violence, you note that behaviors such as hitting, or attempting, to hit staff are increasing
Further investigation suggests that this behavior occurs most often at meal-times. A possible intervention would be to: a. Seat residents with the highest potential for violence next to those with the lowest potential for aggression.
b. Feed residents earlier in the day.
c. Restrain residents who are violent or ag-gressive during mealtimes.
d. Establish a smaller dining area that is away from the main area that is for residents who have potential for aggres-sion/violence.
D
Violence and aggression are more likely during times of increased activity, such as mealtimes. Reducing activity levels through interventions such as a separate dining area may reduce inci-dents of violence and aggression.
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A client states that he is unhappy in his marriage and has felt miserable for several years. Which of the following client responses would indicate that the nurse's response to the "theme" of marital distress was most effective?
1. "I guess you're right; I should start thinking about a divorce." 2. "I feel so depressed all the time. I don't know what to do or who to turn to." 3. "I never thought about her cheating on me before; do you think that's possible?" 4. "I guess we've stayed together all these years because of the children."
The neonatal nurse assesses newborns for iron-deficiency anemia. Which of the following newborns is at highest risk for this disorder?
A) A postterm newborn B) A term newborn with jaundice C) A newborn born to a diabetic mother D) A premature newborn
Which of the following is the result of the appropriate use of coping mechanisms?
A) Maintenance of psychobiologic equilibrium B) Psychological growth C) Altered body functions or symptoms D) Restored biologic functions
Which of these general principles of total quality management does not necessarily belong?
a. Quality is achieved by the participation of everyone. b. Focusing on the work process develops improvement opportunities. c. Improving the service of quality is a continuous process. d. Decisions to improve or change a process are based on the majority rule.