Author Question: A new patient immediately requires seclusion on admission. The assessment is incomplete, and no ... (Read 28 times)

asd123 · **on:** Jul 19, 2018

A new patient immediately requires seclusion on admission. The assessment is incomplete, and no prescriptions have been written. Immediately after safely secluding the patient, which action has priority?

a. Provide an opportunity for the patient to go to the bathroom.
b. Notify the health care provider and obtain a seclusion order.
c. Notify the hospital risk manager.
d. Debrief the staff.

Question 2

A patient with burn injuries has had good coping skills for several weeks. Today, a newly assigned nurse is poorly organized. The patient's usual schedule was not followed. By mid-afternoon, the patient is angry and loudly complains to the nurse manager.

Which is the nurse manager's best response?

a. Explain the reasons for the disorganization, and take over the patient's care for the rest of the shift.
b. Acknowledge and validate the patient's distress and ask, What would you like to have happen?
c. Apologize and explain that the patient will have to accept the situation for the rest of the shift.
d. Ask the patient to control the anger and explain that allowances must be made for new staff members.

Joy Chen · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
Emergency seclusion can be effected by a credentialed nurse but must be followed by securing a medical order within the period specified by the state and agency. The incorrect options are not immediately necessary from a legal standpoint.

Answer to Question 2

ANS: B
When a patient with good coping skills is angry and overwhelmed, the goal is to reestablish a means of dealing with the situation. The nurse should solve the problem with the patient by acknowledging the patient's feelings, validating them as understandable, apologizing as necessary, and then seeking an acceptable solution. Often patients can tell the nurse what they would like to have happen as a reasonable first step.