What is the priority nursing need for a patient diagnosed with late-stage dementia?
A patient has been responding to auditory hallucinations thr…
A patient has been responding to auditory hallucinations throughout the day. The patient approaches the nurse, shaking a fist and shouting, “Back off!” and then goes into the day room. As the nurse follows the patient into the day room, the nurse should take what precaution?
An emergency department nurse realizes that the spouse of a…
An emergency department nurse realizes that the spouse of a patient is becoming increasingly irritable while waiting. Which intervention should the nurse use to prevent escalation of anger?
Which nursing diagnosis would likely apply both to a patient…
Which nursing diagnosis would likely apply both to a patient diagnosed with schizophrenia as well as a patient diagnosed with amphetamine-induced psychosis?
Shortly after a man’s wife dies, the man approaches the nurs…
Shortly after a man’s wife dies, the man approaches the nurse who cared for his wife during her final hours of life and says angrily, “If you had given your undivided attention, she would still be alive.” Which analysis applies?
A widow grieving her husband’s sudden and unexpected death t…
A widow grieving her husband’s sudden and unexpected death tells the nurse, “I’m not feeling well. Yesterday, I saw my husband walk through the door, stop, and smile at me. Then he just faded away.” Which is the nurse’s most appropriate action?
The staff development coordinator plans to teach use of phys…
The staff development coordinator plans to teach use of physical management techniques when patients become assaultive. Which topic should be emphasized?
An emergency department nurse realizes that the spouse of a…
An emergency department nurse realizes that the spouse of a patient is becoming increasingly irritable while waiting. Which intervention should the nurse use to prevent escalation of anger?
As death approaches, a patient diagnosed with acquired immun…
As death approaches, a patient diagnosed with acquired immunodeficiency syndrome (AIDS) says, “I don’t want to see a lot of visitors anymore. Just my parents and my sibling can come in for a while each day.” What action should the nurse take?
A nurse counsels a person whose spouse recently died. The nu…
A nurse counsels a person whose spouse recently died. The nurse uses cheer and humor to lift the person’s spirits. At one point, the widowed person smiles briefly. What analysis of this scenario is correct?