The nurse discovers a patient on the floor. The patient states that he fell out of bed. The nurse assesses the patient and places the patient back in bed. Which action should the nurse take next?

A) Do nothing, no harm has occurred.
B) Notify the health care provider.
C) Complete an incident report.
D) Assess the patient.

An adult comes to the crisis clinic after being terminated from a job of 15 years. The patient says, "I don't know what to do. How can I get another job? Who will pay the bills? How will I feed my family?" Which nursing diagnosis applies?

A) Hopelessness
B) Powerlessness
C) Chronic low self-esteem
D) Disturbed thought processes

A patient diagnosed with a personality disorder has used manipulation to get his or her needs met. The staff decides to apply limit setting interventions. What is the correct rationale for this action?

A) It provides an outlet for feelings of anger and frustration.
B) It respects the patient's wishes so assertiveness will develop.
C) External controls are necessary while internal controls are developed.
D) Anxiety is reduced when staff members assume responsibility for the patient's behavior.