A student nurse has just entered a psychiatric rotation. The student asks a nursing instructor, How will we know if someone may get violent? Which is the most appropriate reply by the nursing instructor?
A. You can't really say for sure. There are limited indicators of potential violence.B. Certain behaviors indicate a potential for violence. They are labeled as a prodromal syndrome' and include rigid posture, clenched fists, and raised voice.C. Any client can become violent, so it is best to be aware of your surroundings at all times.D. When a client suddenly becomes quiet, is withdrawn, and maintains a flat affect, this is an indicator of potential violence.
Question 2
A client has been brought to the emergency department for signs and symptoms of Chronic Obstructive Pulmonary Disease (COPD). The client has a history of a suicide attempt 1 year ago.
Which nursing intervention would take priority in this situation? A. Assessing the client's pulse oximetry and vital signs
B. Developing a plan for safety for the client
C. Assessing the client for suicidal ideations
D. Establishing a trusting nurseclient relationship
The nurse is using Standard Precautions to draw blood.
Nursing school
Nursing diagnositic process - risk for infection
Nursing history for vascular assessment
Nursing Interventions and Prochaska's Stages of Change
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