The nurse is caring for a client who is aggressive, demanding, ...

[mspears3]

The nurse is caring for a client who is aggressive, demanding, and verbally abusive toward staff and visitors. The client says, I'm getting out of here. I'm going to end it all. What immediate action should the nurse take?
 
  1. Attempt to block the exit door.
  2. Call security.
  3. Attempt to administer a sedative to the client.
  4. Notify the client's family.

Question 2

The director of environmental services is comparing the entire hospital financials for the month to the laboratories cost center activity. It is noted the laboratories revenue is higher than environmental services.
 
  What might an explanation for this activity be? 1. The laboratory is charging more for their services.
  2. Environmental services is a non-revenue producing cost center.
  3. The laboratory is a non-revenue producing cost center.
  4. The nursing units affect the laboratory charges.

[smrerig]

Answer to Question 1

2
Rationale 1: The nurse should not get between the client and the exit door.
Rationale 2: This client is a danger to self and perhaps to others. Security should be notified.
Rationale 3: The nurse should not approach the client.
Rationale 4: The family should be notified, but this is not the nurse's first action.
Global Rationale:

Answer to Question 2

2
Explanation: 1. The laboratory charges are not compared to environmental services costs. Environmental
services does not charge clients for their services, therefore they are a non-revenue producing
cost center. The laboratory does charge clients for there services, therefore they are a revenue
producing cost center. The nursing unit does affect laboratories revenue but this is not
applicable to the question.

[mspears3]

Thanks for the timely response, appreciate it

[xiaomengxian]

Gracias!