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Author Question: A nurse responds to an eerie scream coming from a clients room. Upon entering the room the client ... (Read 295 times)

shenderson6

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A nurse responds to an eerie scream coming from a clients room. Upon entering the room the client states, He has a gun, and is pointing to a male visitor. The nurse does not see a gun. Which action by the nurse would be appropriate?
 
  1. the visitor regarding the situation.
  2. Contact security immediately.
  3. Call for another nurse to assist in confronting the visitor.
  4. Call the clients physician.

Question 2

An OB nurse is caring for a young client who is in labor. The nurse learns the client is not married and is hesitant to name the father of the fetus. A male visitor has come to visit the client. The nurse questions the visitor and is concerned.
 
  Which of the following behaviors would cause concern? 1. The father is claiming paternity.
  2. The client very anxious with the male present.
  3. The visitor is very close and in the nurses personal space regarding the status of the client.
  4. The visitor is inquiring about a medical-surgical client and is acting in an odd manner.



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Ptupou85

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Answer to Question 1

2
Explanation: 1. The nurse should contact security immediately to assist in handling the situation. The nurse
should not try to disarm the visitor nor approach the visitor in an aggressive manner. The
nurse should implement the organizations procedure regarding violent incidents.

Answer to Question 2

3
Explanation: 1. Law enforcement personnel recommend watching for these behaviors: clenched fists, blank
stare, fighting stance, arms raised in a fighting position and standing too close or advancing
toward you.





 

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