Author Question: An emergency department (ED) client is demanding pain medication and threatening to harm staff if ... (Read 72 times)

2125004343 · **on:** Jul 8, 2018

An emergency department (ED) client is demanding pain medication and threatening to harm staff if they do not provide it.

The ED physician calmly continues to ask the client about the level and location of pain as the nurse steps away and notifies security. What is the physician attempting to do by asking these questions? 1. Distract the client.
2. De-escalate the situation.
3. Determine the client's real reason for seeking treatment.
4. Assess the client's level of pain.

Question 2

The nurse manager is reviewing the previous months budget. The nurse manger notes a favorable variance of the full-time equivalents (FTEs). This is a result of:

1. Greater client acuity.
2. Extravagant use of resources.
3. Understaffing of the unit.
4. Low client acuity.

6ana001 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

2
Rationale 1: The physician's tactics may distract the client but this is not the reason for this action.
Rationale 2: The physician's tactics is an attempt to de-escalate the situation until security arrives.
Rationale 3: Determining the real reason the client is seeking treatment is not the current priority.
Rationale 4: Assessing the level of pain is not the current priority.
Global Rationale:

Answer to Question 2

4
Explanation: 1. An unfavorable efficiency may be due to greater client acuity than allowed for the budget or
the use of less-experienced novice nurses. Low client acuity would lead to a favorable
efficiency because fewer staff would be needed to meet the patients needs. Nonsalary
expenditure variances occur when more expensive resources are used. Understaffing of the
unit means that fewer nursing care hours are paid.