Author Question: After an assault by a patient, a nurse has difficulty sleeping, startles easily, and is preoccupied ... (Read 93 times)

jayhills49 · **on:** Jul 19, 2018

After an assault by a patient, a nurse has difficulty sleeping, startles easily, and is preoccupied with the incident. The nurse says, I dread facing potentially violent patients.

Which response would be the most urgent reason for this nurse to seek supervision?

a. Startle reactions
b. Difficulty sleeping
c. Wish for revenge
d. Preoccupation with the incident

Question 2

An intramuscular dose of antipsychotic medication needs to be given to a patient who is becoming increasingly more aggressive. The patient is in the day room. The nurse should enter the day room:

a. and say, Would you like to come to your room and take some medication your doctor prescribed for you?
b. accompanied by three staff members and say, Please come to your room so I can give you some medication that will help you feel more comfortable.
c. and place the patient in a basket-hold and then say, I am going to take you to your room to give you an injection of medication to calm you.
d. accompanied by a male nursing assistant and tell the patient, You can come to your room willingly so I can give you this medication, or the aide and I will take you there.

Smiles0805 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: C
The desire for revenge signals an urgent need for professional supervision to work through anger and counter the aggressive feelings. The distracters are normal in a person who has been assaulted. Nurses are usually relieved with crisis intervention and follow-up designed to give support, help the individual regain a sense of control, and make sense of the event.

Answer to Question 2

ANS: B
A patient gains feelings of security if he or she sees that others are present to help with control. The nurse gives a simple direction, honestly states what is going to happen, and reassures the patient that the intervention will be helpful. This positive approach assumes that the patient can act responsibly and will maintain control. Physical control measures should be used only as a last resort.