The following clients are seen in the emergency department. The ...

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The following clients are seen in the emergency department. The psychiatric unit has one bed. The
  advanced practice nurse acting as admitting officer should recommend for admission to the hospital
  the client who
 
  a. is experiencing dry mouth and tremor related to haloperidol and wants his dose of
  haloperidol reduced.
  b. is experiencing anxiety and a saddened mood after separation from her husband
  of 10 years.
  c. argued with her boyfriend and inflicted a superficial cut on her forearm with a
  knife.
  d. is a single parent and hears voices telling her to smother her infant son.

Question 2

A nursing behavior that shows the nurse values autonomy takes place when the nurse
 
  a. sets limits on a client's romantic overtures toward the nurse.
  b. suggests one-on-one supervision for a client who is suicidal.
  c. tells a client that his wife has called to say she will not be in during visiting hours.
  d. discusses alternatives available to a client and helps the client weigh the
  consequences of each.

[ryansturges]

Answer to Question 1

ANS: D
Admission to the hospital would be justified by the risk of client danger to self or others. The other
clients have issues that can be handled without hospitalization.

Answer to Question 2

ANS: D
A high level of valuing is acting on one's belief. Autonomy is supported when the nurse helps a
client weigh alternatives and their consequences before the client makes a decision. Autonomy or
self-determination is not the issue in any of the other behaviors.

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Excellent

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