A patient playing pool with another patient throws down the pool cue and begins swearing. The nurse should initially intervene by
a. asking other patients to leave the room.
b. calling for assistance to restrain the patient.
c. suggesting a time-out in the patient's room.
d. restating rules of the milieu related to swearing.
C
Suggesting a time-out in the patient's room is often an effective initial strategy, because it permits the patient to go to an area with fewer stimuli. It also removes the patient from other patients who are at risk for injury if the patient's behavior escalates. Restating the rules of the milieu does not help the patient diffuse the anger. Removing other patients is unnecessary unless the patient's behavior escalates.
You might also like to view...
The major difference between bipolar disorder and major depressive disorder is that in bipolar disorder there is:
1. Suicidal ideation. 2. Only one week of symptoms. 3. A mania component. 4. No history of depressive feelings.
The elderly are at high risk of ADRs due to:
1. Having greater muscle mass than younger adults, leading to higher volume of distribution 2. The extensive studies that have been conducted on drug safety in this age group 3. The blood-brain barrier being less permeable, requiring higher doses to achieve therapeutic effect 4. Age-related decrease in renal function
When preparing to transfer a patient who is paralyzed from the bed to the chair, position the chair
A) on the patient's strongest side. B) on the patient's weakest side. C) so that it is facing the side of the bed. D) in vertical alignment at the foot of the bed.
A 5-month-old child is admitted to the hospital with recurring respiratory infections. A possible cause of this condition is:
a. hypergammaglobulinemia. b. increased maternal IgG. c. immune insufficiency. d. decreased maternal antibody breakdown, resulting in hyposensitivity.