Answer to Question 1
ANS: A
Violence prevention includes both respect for patients and self-confidence in nurses. Nurses who are passive and tentative are more likely to be victims of violence. Patients who feel they are not respected are more likely to use violence as a way of getting their needs met. Requiring nurses to work in groups rather than alone would not be possible. Having security personnel stationed on all units would not entirely eliminate violence; many patients would not be aware of the presence of security officers on the unit, whereas others impaired by medication or illness would not factor in the presence of security personnel. Assigning only male nurses to care for psychiatric or chemically dependent patients is neither practical nor desirable.
Answer to Question 2
ANS: B
Leaving the patient in a safe situation and immediately reporting the event to the instructor should be the initial action of the student nurse, who needs both the support and guidance of the instructor. Indicating that he does not like being hit and continuing to provide care is dangerous. Immediately leaving the room and calling the physician for a medication order is inappropriate. Calling the local police to report the incident would not be the initial action.
Patient with typical rheumatoid arthritis contractures.
PET scan of the brain in a patient with Alzheimer’s disease.
Effects of nursing rounds on patient safety
The reminder card should be completed and handed to the patient after the appointment is scheduled.
Calipers being used to measure body fat on the triceps of a patient.