The principle most useful to a nurse planning crisis intervention for any patient is that the patient

A) is experiencing a state of disequilibrium.
B) is experiencing a type of mental illness.
C) poses a threat of violence to others.
D) has high potential for self-injury.

A nurse is asked the most frequently cited reason for death in the world.How should the nurse reply?

A) Technological advances
B) Old age
C) Cancer
D) Poverty

How should the nurse dispose of a contaminated needle after administering an injection?

A) Place the needle in a specially marked, puncture-proof container.
B) Recap the needle, and carefully place it in the trashcan.
C) Recap the needle, and place it in a puncture-proof container.
D) Place the needle in a biohazard bag with other contaminated supplies.

A patient diagnosed with a somatic symptom disorder says, "Why has God chosen me to be sick all the time and unable to provide for my family? The burden on my family is worse than the pain I bear." Which nursing diagnoses apply to this patient? (Select all that apply.)

A) Spiritual distress
B) Decisional conflict
C) Adult failure to thrive
D) Impaired social interaction
E) Ineffective role performance

The nurse is teaching the parents of a child recently diagnosed with ADHD who has been prescribed methylphenidate (Ritalin) . Which should the nurse include in teaching about the side effects of methylphenidate?

A) "Your child may experience a sense of nervousness."
B) "You may see an increase in your child's appetite."
C) "Your child may experience daytime sleepiness."
D) "You may see a decrease in your child's blood pressure."

A patient taking medication for mental illness develops restlessness and an uncontrollable need to be in motion. A nurse can correctly analyze that these symptoms are related to which drug action?

A) Anticholinergic effects
B) Dopamine-blocking effects
C) Endocrine-stimulating effects
D) Ability to stimulate spinal nerves

On admission a patient is noted to have an alteration in skin integrity on the right heel.The nurse uses the Braden Scale.Which areas will the nurse assess when using this scale? (Select all that apply.)

A) Mobility
B) Nutrition
C) Infection
D) Friction and shear
E) Sensory perception