A charge nurse is teaching new staff members about factors that increase a client's risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence?

A history of being in prison

Male gender

Previous violent behavior

Experiencing delusions

Answer and Explanation

The Correct Answer is C

A.   While this may be a risk factor for some behaviors, it is not as strong a predictor of violence as a history of actual violent behavior.
B.   Although statistics show higher rates of violence among males, it's not a specific predictor for individual behavior.
C.   Previous violent behavior is the strongest predictor of future violence.

Understanding a client's history of violence is critical in assessing risk and planning interventions.

D. While certain types of delusions may increase risk, they are not as definitive in predicting violence as past violent behaviors.

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Correct Answer is B

Explanation

A. Flattening of the artificial airway cuff. This would indicate a problem, such as a leak, not a successful outcome of suctioning.
B. This indicates that the airway resistance has been reduced following suctioning, which suggests that the suctioning was effective in clearing the airway obstruction caused by secretions.
C. Thinning of mucous secretions is not a direct indication of effective suctioning; while thinner secretions may be easier to remove, the goal of suctioning is to clear the airways rather than alter the consistency of the secretions.
D. The presence of a productive cough is not relevant in the context of a patient who is intubated and mechanically ventilated, as they would be unable to cough effectively due to the endotracheal tube.

A. Recording the client's progress in the nurses' notes B. Noting changes in the treatment plan in the client's medical record C. Having interdisciplinary team meetings for the client on a regular basis D. Posting swallowing precautions at the head of the client's bed

Correct Answer is C

Explanation

A. While important for documenting the client's progress, this choice does not directly promote communication among staff members.
B. While essential for maintaining accurate records, this action does not directly facilitate communication among staff.
C. Interdisciplinary team meetings allow healthcare professionals from different disciplines to collaborate, share information, and develop comprehensive care plans tailored to the client's needs. This promotes effective communication among staff caring for the client with expressive aphasia and right hemiparesis.
D. While important for the client's safety, this action does not address the need for ongoing communication and collaboration among staff members.

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A charge nurse is teaching new staff members about factors that increase a client's risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is suctioning the airway of a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following findings should the nurse identify as an indication that the suctioning has been effective?

Correct Answer is B

Explanation

A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client?

Correct Answer is C

Explanation

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