A patient telephones a crisis intervention hotline. The nurse ...

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A patient telephones a crisis intervention hotline. The nurse assigned to this center assesses that the patient is experiencing a crisis. What is the most appropriate action for the nurse to take?
 
  a. Take control of the situation and tell the patient what needs to be done.
  b. Define the problem at hand and ensure that the patient is safe.
  c. Ask the patient how he would like to han-dle the crisis and follow through.
  d. Ask the patient to list all of his problems and prioritize which to deal with first.

Question 2

A registered nurse is caring for a patient 2 days after a colon resection. The patient called for assistance to go to the bathroom. Instead of waiting for help, the patient decided to get up with-out help. The patient fell but was not injured.
 
  After contacting the patient's primary health care provider, which action should the nurse take next? a. Nothing; the patient was not injured.
  b. Call the ethics committee.
  c. Submit an incident report.
  d. Insist that the patient have a radiograph done.

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Answer to Question 1

B
Crisis intervention begins with defining the problem, ensuring patient safety, and providing sup-port. First determine that a patient is safe and is not at risk for injury to self or others, and then use crisis intervention to examine alternatives, make plans, and obtain a commitment to positive action from the patient. Ideally these last three steps are completed collaboratively with a patient, but a patient in crisis may be unable to participate actively and may need a very directive ap-proach or a crisis interventionist. Emphasize focusing on the specific problem, and help a patient to avoid all-encompassing, catastrophic interpretations.

Answer to Question 2

C
When there is a deviation from the standard of care, such as a patient or visitor falls or an error is made, a nurse makes specific documentation of the event or incident in the form of an occur-rence/incident report. The nurse should complete an occurrence report when anything unusual happens that could potentially cause harm to a patient, visitor, or employee. Just because the pa-tient was not injured does not mean the report can be neglected. The health care provider orders follow-up care or treatment when necessary, not the nurse. The ethics committee is involved in ethical dilemmas, not occurrence/incident reports.

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Excellent

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