A patient has been bumping and pushing other patients. The nurse ...

[geoffrey]

A patient has been bumping and pushing other patients. The nurse carefully explains to the patient that such behavior is unacceptable. The nurse has provided
 
  a. balance.
  b. limit-setting.
  c. personal control.
  d. environmental modification.

Question 2

The nurse's priority assessment for a patient taking an antidepressant medication is for the presence of
 
  a. suicidal ideation.
  b. antiadrenergic side effects.
  c. anticholinergic side effects.
  d. symptoms of sexual dysfunction.

[brittiany.barnes]

Answer to Question 1

B
Limit-setting provides a patient with a clear explanation of the acceptability or unacceptability of a behavior. Limit-setting reinforces norms and encourages the milieu concept of responsibility for self. The other options are not applicable.

Answer to Question 2

A
Antidepressant medication tends to energize depressed patients, possibly giving them the impetus to act on suicidal ideation that has been present related to the depression. This complication is particularly applicable to adolescents. Some suggest that suicidal ideation might be the actual result of antidepressant therapy. In either case the implication for nursing is clear: patients should be carefully assessed for the presence of suicidal ideation, suicidal plans, and means for carrying out the plans. This option is related to patient safety and takes priority over the other options.

[geoffrey]

Excellent

[Jossy]

TYSM