A middle-aged male is admitted to the psychiatric unit because of an incident where he damaged his bedroom in a fit of rage. He also threatened his brother. He is easily provoked and has little tolerance for other clients on the unit
You attend a team meeting where the staff reviews the use of anger-control assistance for working with this client. You realize that whenever dealing with this client, you need to do which of the following? a. Have someone else with you for safety.
b. Let him know that you are in charge.
c. Remind him he might need to be secluded.
d. Use a calm, direct, reassuring manner.
D
For the psychiatric nurse, anger control includes establishing a basic level of trust and rapport with the client. The nurse should also use a calm and reassuring manner. The nurse should use every means possible to learn from the client (or his family) what situations are likely to bring on anger.
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During an examination, the nurse notices severe nystagmus in both eyes of a patient. Which conclusion by the nurse is correct? Severe nystagmus in both eyes:
a. Is a normal occurrence. b. May indicate disease of the cerebellum or brainstem. c. Is a sign that the patient is nervous about the examination. d. Indicates a visual problem, and a referral to an ophthalmologist is indicated.
A nurse is discussing generic and trade drugs with a client. The client wants to know why it takes so long for trade drugs to become available in the generic form, which are generally less expensive. What is the nurse's best response?
1. It takes 17 years for all pharmaceutical companies to develop a generic version of the drug. 2. It will take 17 years of clinical trials to approve the drug. 3. Sole ownership of a drug allows the pharmaceutical company to earn back the money spent to develop the drug. 4. Animal testing must continue for 10 years, then 7 years of human clinical trials, for a drug to be approved.
Which assessment data indicates a positive Phalen test?
A) Tingling in the fingers when the median nerve is tapped B) Tingling in the fingers when the ulna nerve is tapped C) Tingling or numbness of the fingers when the wrist is flexed D) Tingling or numbness of the fingers when the wrist is extended
To avoid a fall from a crib, the nurse recommends to parents that their toddler should sleep in a bed rather than a crib when reaching what height?
a. 30 in b. 35 in c. 40 in d. 45 in