Author Question: The nursing staff cared for a patient who was aggressive and violent toward one of the nurses. What ... (Read 136 times)

theo · **on:** Jul 19, 2018

The nursing staff cared for a patient who was aggressive and violent toward one of the nurses. What is the nurse manager's best immediate response?

1. Schedule a debriefing for all staff involved.
2. Schedule a staff meeting for all staff involved.
3. Schedule an educational session for all staff involved.
4. Schedule a medical record review with all staff involved.

Question 2

The emergency department nurse educator is providing an in-service to the nursing staff on recognizing the signs and symptoms of interpersonal violence (IPV) and rape. Which assessment finding will the educator include in the teaching?

1. Sores around the mouth, brittle hair
2. Multiple bruises, abrasions at various stages of healing
3. Acting-out behaviors, disobedience, trouble with the law
4. Poor eye contact, depressed mood, unwillingness to give history data

randomguy133 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 1
Explanation: Work settings should address the need for staff to debrief after difficult interactions and interventions. Staff meetings and educational sessions do not necessarily address the need to debrief. A medical record review may be appropriate for all the staff after an encounter with a patient who is aggressive and angry; however, this is not the best immediate response from the nurse manager.

Answer to Question 2

Answer: 2
Explanation: Physical abuse is the non-accidental use of physical force that results in bodily injury, pain, or impairment. Multiple bruises and abrasions at various levels of healing are signs that the patient may have been subjected to physical abuse. Acting-out behaviors are more consistent with antisocial personality disorder. Poor eye contact, depressed mood, and withdrawal behaviors are more consistent with a diagnosis of depression. Sores around the mouth and brittle hair may indicate an eating disorder.