What is a common impact of patient-to-nurse violence on nursing practice?
Improved workplace satisfaction
Decreased quality of patient care
Enhanced patient-nurse communication
Increased nurse retention rates
The Correct Answer is B
A. Improved workplace satisfaction is incorrect. Patient-to-nurse violence is likely to lead to decreased job satisfaction and burnout among nurses, rather than improvement.
B. Decreased quality of patient care is correct. Patient-to-nurse violence can lead to emotional distress, anxiety, and physical injury for nurses, which may negatively affect their ability to focus on patient care. Stress and trauma can impair a nurse's concentration, decision-making, and overall job performance, ultimately decreasing the quality of care provided to patients.
C. Enhanced patient-nurse communication is incorrect. Violence or aggression from patients typically leads to communication breakdowns, not improvements. Nurses may become less willing to engage or communicate effectively with patients, especially after experiencing violent incidents.
D. Increased nurse retention rates is incorrect. Patient-to-nurse violence generally contributes to increased nurse turnover rather than retention. Nurses who experience violence may choose to leave their positions due to safety concerns or emotional strain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bed sheet is a common item considered a safety risk in real clinical settings, but in this specific safety exercise, it was not the item identified as being on the back of the chair.
B. Patient gown is typically worn by the client and would not usually be placed on the back of a chair as a risk item during a safety evaluation.
C. Beige jacket is correct. In the safety exercise scenario, the beige jacket was on the back of the chair, and it could pose a ligature risk, making it a key item of concern in suicide prevention protocols.
D. Blow dryer may be a potential safety risk in general, but it was not the item noted on the back of the chair in the described scenario.
Correct Answer is ["D","E","H"]
Explanation
A. Encouraging the use of calcium supplements is incorrect. Clients with hyperparathyroidism often have elevated calcium levels, so increasing calcium intake can worsen hypercalcemia and increase the risk of kidney stones.
B. Encouraging the consumption of oxalate-rich foods is incorrect. Oxalate-rich foods, such as spinach, beets, and nuts, can increase the risk of calcium oxalate stones, especially in individuals with hyperparathyroidism. Therefore, oxalate-rich foods should be avoided.
C. Encouraging a low-calcium diet is incorrect. Although high calcium intake can worsen hypercalcemia, a low-calcium diet is not typically recommended. Instead, the focus should be on maintaining balanced calcium levels, as calcium is still important for overall health.
D. Administer oral phosphates as ordered is correct. Phosphates can help lower calcium levels in the blood by binding to calcium and reducing its absorption, which can help prevent kidney stone formation.
E. Increase fluids and fiber is correct. Increased fluid intake helps dilute urine, reducing the risk of stone formation. Additionally, fiber can promote overall digestive health, which can be helpful for preventing kidney stones.
F. Administer furosemide as ordered is incorrect. Furosemide, a diuretic, increases urine output but does not prevent kidney stones. It may actually increase the risk by causing dehydration, which promotes stone formation.
G. Administer calcium chelators is incorrect. Calcium chelators are not typically used in the prevention of kidney stones caused by hyperparathyroidism, and their use could interfere with necessary calcium levels in the body.
H. Encouraging increased fluid intake is correct. Adequate fluid intake is essential in preventing kidney stones, as it helps dilute urine and reduces the concentration of calcium and other stone-forming substances.
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