Nokea
The occupational health nurse is working with a female employee who was just notified that her child was involved in a MVA and taken to the hospital. The employee states, “I can’t believe this. What should I do?” Which response is best for the RN to provide in this crisis?
- A. Tell me what you think should happen.
- B. How serious was the collision?
- C. What do you think you should do?
- D. Call for transportation to the hospital.
Correct Answer: D
Rationale: The correct response is D: Call for transportation to the hospital. In this crisis situation, the most urgent need is for the employee to be with her child at the hospital. By providing transportation, the nurse ensures that the employee can reach her child quickly and offer support. This action demonstrates empathy and prioritizes the employee's immediate needs.
A: Asking the employee what she thinks should happen may not be the most appropriate response in a crisis where decisive action is needed.
B: Inquiring about the seriousness of the collision is secondary to ensuring the employee can reach her child at the hospital.
C: Asking the employee what she thinks she should do puts the onus on her to make a decision when she may be in distress and unable to think clearly.
You may also like to solve these questions
In pediatric mental health there is a lack of sufficient numbers of community-based resources and providers, and there are long waiting lists for services. This has resulted in: Select all that apply.
- A. Children of color and poor economic conditions being underserved
- B. Increased stress in the family unit
- C. Markedly increased funding
- D. Premature termination of services
Correct Answer: D
Rationale: Correct Answer: D. Premature termination of services
Rationale: The lack of community-based resources and providers, along with long waiting lists, can lead to premature termination of services in pediatric mental health. When families face difficulties accessing timely and continuous care, they may discontinue treatment prematurely, impacting the effectiveness of interventions. This can result in negative outcomes for children, such as unaddressed mental health issues and increased risk of relapse.
Summary:
A: Children of color and poor economic conditions being underserved - While this may be a consequence of the lack of resources, it is not directly caused by premature termination of services.
B: Increased stress in the family unit - While this may be a consequence of the situation, it is not directly caused by premature termination of services.
C: Markedly increased funding - While increased funding could help address the lack of resources, it is not directly related to premature termination of services.
When should a nurse be most alert to the possibility of communication errors resulting in harm to the patient?
- A. Change of shift report
- B. Admission interviews
- C. One-to-one conversations with patients
- D. Conversations with patient families
Correct Answer: A
Rationale: The correct answer is A: Change of shift report. During this crucial handover period, communication errors can occur due to the transfer of information between nurses, leading to potential harm to the patient. This is when important patient details, care plans, and vital information are shared, making it a critical time for accurate and effective communication. Nurses must be vigilant to ensure clear and concise communication to prevent errors.
Summary of why the other choices are incorrect:
B: Admission interviews - While important, communication errors during admission interviews may not have as immediate impact on patient safety as during a shift change report.
C: One-to-one conversations with patients - These interactions are also important, but errors in communication may not have the same potential for harm as during a shift change report.
D: Conversations with patient families - While communication with families is vital, errors during these conversations may not always directly lead to harm as in a shift change report.
Which characteristic presents the greatest risk for injury to others by the patient diagnosed with schizophrenia?
- A. Depersonalization
- B. Pressured speech
- C. Negative symptoms
- D. Paranoia
Correct Answer: D
Rationale: The correct answer is D: Paranoia. Paranoia in schizophrenia poses the greatest risk for injury to others as it can lead to aggressive behaviors driven by fear and mistrust. Individuals experiencing paranoia may perceive others as threats and act out violently in self-defense. Pressured speech (choice B) and negative symptoms (choice C) are not typically associated with direct physical harm to others. Depersonalization (choice A) refers to a sense of detachment from oneself and does not directly result in harm to others. In summary, paranoia is the most concerning characteristic in terms of potential harm to others in individuals diagnosed with schizophrenia.
A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. What is the priority nursing problem for admission to the psychiatric unit?
- A. Ineffective sexual patterns.
- B. Impaired environmental interpretation.
- C. Disturbed sensory perception.
- D. Compromised family coping.
Correct Answer: C
Rationale: The correct answer is C: Disturbed sensory perception. The client's delusions and false beliefs indicate a break from reality, which is a hallmark symptom of disturbed sensory perception. This poses a risk to the client's safety and well-being. Ineffective sexual patterns (choice A) and compromised family coping (choice D) may be secondary to the primary issue of distorted perceptions. Impaired environmental interpretation (choice B) is less relevant as the client's issues are more internal. Overall, addressing the disturbed sensory perception is the priority to ensure the client's safety and initiate appropriate treatment.
The RN is leading a group on the inpatient psychiatric unit. Which approach should the RN use during the working phase of group development?
- A. Establishing a rapport with group members.
- B. Clarifying the nurse’s role and clients’ responsibilities.
- C. Discussing ways to use new coping skills learned.
- D. Helping clients identify areas of problem in their lives.
Correct Answer: C
Rationale: The correct answer is C: Discussing ways to use new coping skills learned. During the working phase of group development, the focus is on implementing and practicing new skills and strategies. This helps group members apply what they have learned to their real-life situations. By discussing ways to use new coping skills, the RN is facilitating the group's progress towards achieving their therapeutic goals.
A: Establishing a rapport with group members is important in the initial phase of group development, not during the working phase.
B: Clarifying the nurse’s role and clients’ responsibilities is more relevant to the orientation phase, not the working phase.
D: Helping clients identify areas of problem in their lives is typically done in the initial assessment phase, not during the working phase.