The nurse working with a client who is a survivor of a four-car accident knows that there are risk factors that influence this client's response to the traumatic experience. The risk factors are: Standard Text: Select all that apply

1. Prior history of crises.
2. Believing that receiving help is a sign of weakness.
3. Cultural expectations that prohibit asking others for help.
4. Feelings of loss.
5. Pre-existing psychiatric symptoms and diagnosis.


1,2,3,5
Rationale: Prior history of crises. This may amplify the current traumatic experience, causing an increased risk as to how the client will progress with crisis intervention.

Nursing

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The budget committee of a hospital is holding the first meeting of the budgetary cycle in two weeks. The finance department is preparing an information packet to be distributed to members

What statistical information should be included? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The average daily census for the facility over the last year 2. Current community wage ranges for employee classifications 3. Changes in accrediting body or legislative regulations 4. Number of nurses terminated for cause over the last year 5. Current staff mix across the hospital

Nursing

Which intervention by a psychiatric nurse best applies the ethical principle of autonomy? The nurse:

a. explores alternative solutions with a patient, who than makes a choice. b. suggests that two patients who were fighting be restricted to the unit. c. intervenes when a self-mutilating patient attempts to harm self. d. stays with a patient demonstrating a high level of anxiety.

Nursing

A nurse educator is working with a group of students who are in their first clinical rotation. They have had a particularly busy clinical day

All have felt rushed to complete medication administration as well as personal cares for their assigned clients. Charting has been completed, and they are ready to leave the clinical area for the day. A client on the unit needs medication delivered by a Z-track injection, and the staff nurse asks the instructor if one of the students would like to perform this. The instructor, understanding the important concepts surrounding timing and environment in a learning experience, makes which of the following comments to the staff nurse? A) "Would it be OK if the students observed today? We'll do it next time we're here." B) "I'll check with the students and see if one of them would like to volunteer." C) "We're leaving now, but thanks for asking." D) "It will take me a moment to explain the procedure to the students, since we've not practiced this, but I'll find somebody to administer it."

Nursing

The nurse is assessing the body alignment of an alert and mobile client. The first action that the nurse should take is to:

1. Observe gait 2. Put the client at ease 3. Determine activity tolerance 4. Determine range of joint motion

Nursing