You find a patient on the floor at shift change. She is awake and alert. She is confused now and was not controlled before being found on the floor.
What is your first step in the nursing process in this situation?
Leave the patient to get help.
Call the patient’s health-care provider from your cell phone.
Help the patient get up and then document your findings in the chart.
Gather more information by making observations about the patient.
The Correct Answer is D
The first step in the nursing process is assessment, which involves gathering information about the patient’s condition. In this situation, the nurse should make observations about the patient’s physical and mental status, including any signs of injury or distress. This information can then be used to determine the appropriate course of action and provide appropriate care. The other
The other options do not represent the first step in the nursing process and may not be appropriate in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3"]
Explanation
The nurse needs to administer Thorazine 75 mg IM STAT, and the concentration of the medication is 25 mg/mL. To determine the amount of medication to draw up, the nurse can use the following formula:
Dose (in mg) / Concentration (in mg/mL) = Volume (in mL) Plugging in the values, we get:
75 mg / 25 mg/mL = Volume (in mL) Solving for Volume:
Volume = 75 mg / 25 mg/mL = 3 mL
Therefore, the nurse should draw up 3 mL of Thorazine from the vial.
Correct Answer is D
Explanation
The ultimate goal of inpatient mental health treatment is to help patients stabilize and manage their mental illness to the point where they can safely return to their homes and communities. Inpatient treatment is typically only used for short periods of time to stabilize a patient who is experiencing severe symptoms that cannot be managed on an outpatient basis. Once the patient is stabilized, they can be discharged and transitioned to an outpatient treatment program or a community mental health centre.
While some mental illnesses may be curable, many are chronic conditions that require ongoing management and treatment.
Finding a facility for long-term care may be appropriate in some cases, but it is not generally a goal of inpatient mental health treatment.
Being arrested and placed in prison is not a desirable outcome of mental health treatment and is not a goal of the treatment process.
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