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 D

Explanation

A. This would involve irregular beats and potentially a visible compensatory pause, not a prolonged PR interval.
B. Atrial fibrillation features an irregularly irregular rhythm and no discernible PR intervals.

C. Defined by a heart rate less than 60/min with a normal rhythm and electrical pattern, which does not apply here given the normal rate and prolonged PR interval.
D. A first-degree atrioventricular (AV) block is characterized by a prolonged PR interval (greater than 0.20 seconds) in the presence of a normal heart rate and rhythm, which aligns with the client’s PR interval of 0.24 seconds and a heart rate of 69/min

A. Inform the client that the transfusion is mandatory. B. Notify risk management about the client's refusal. C. Document the client's refusal in the medical record. D. Suggest that the client explore alternative therapies.

Correct Answer is C

Explanation

A. Informing the client that the transfusion is mandatory disregards the client's autonomy and right to refuse treatment.
B. While documenting the client's refusal is important, notifying risk management about the refusal is not necessary unless there are specific facility policies or legal requirements.
C. Documenting the client's refusal in the medical record ensures that the refusal is properly recorded and communicated to the healthcare team, protecting both the client's autonomy and the healthcare provider.
D. While it's important to respect the client's autonomy, suggesting alternative therapies may not be appropriate in this context and could undermine the client's decision-making process.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is C

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