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NurseDive Free Nursing Practice Question

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?

A. Leave the patient to get help.

B. Call the patient’s health-care provider from your cell phone.

C. Help the patient get up and then document your findings in the chart.

D. Gather more information by making observations about the patient.

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.

This question is an excerpt from Nurse Dive's nursing test bank - Mental Health Chapter 1 - Proctored Exam 2. Take the full exam now


Full Explanation

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.


Similar Questions

QUESTION

According to Diana Baumrind, there are three types of parenting. A parent who sets up the rules and excludes the rules of the child is known as a:

A. An authoritative parent

An authoritative parent is also strict and establishes rules, but they provide a nurturing and supportive environment. The authoritative parent encourages open communication and sets boundaries with explanations and is willing to consider the child's feelings and opinions. Children raised by authoritative parents tend to be self-disciplined, confident, and socially responsible.

B. An authoritarian parent

Diana Baumrind identified three main types of parenting styles: authoritarian, authoritative, and permissive. An authoritarian parent is a strict, controlling parent who establishes rules and expects obedience without explanation. The authoritarian parent does not encourage open communication and can be harsh in discipline. Children raised by authoritarian parents may become anxious, withdrawn, or rebellious.

C. An administrative parent

An administrative parent is not one of the parenting styles identified by Baumrind.

D. A permissive parent

A permissive parent is a lenient parent who sets few rules and allows the child to make their own decisions. The permissive parent is warm and accepting but may not provide enough structure or guidance. Children raised by permissive parents may struggle with self-control and have difficulty adapting to authority figures.

Full Explanation

Diana Baumrind identified three main types of parenting styles: authoritarian, authoritative, and permissive.

An authoritarian parent is a strict, controlling parent who establishes rules and expects obedience without explanation. The authoritarian parent does not encourage open communication and can be harsh in discipline. Children raised by authoritarian parents may become anxious, withdrawn, or rebellious.

An authoritative parent is also strict and establishes rules, but they provide a nurturing and supportive environment. The authoritative parent encourages open communication and sets boundaries with explanations and is willing to consider the child's feelings and opinions. Children raised by authoritative parents tend to be self-disciplined, confident, and socially responsible.

A permissive parent is a lenient parent who sets few rules and allows the child to make their own decisions. The permissive parent is warm and accepting but may not provide enough structure or guidance. Children raised by permissive parents may struggle with self-control and have difficulty adapting to authority figures.

An administrative parent is not one of the parenting styles identified by Baumrind.

QUESTION

Order reads Wellbutrin 150 mg po daily. On hand the nurse has 50 mg tablets. How many tablets will the nurse administer?

Enter your answer in numbers.

Full Explanation

To calculate the number of tablets the nurse should administer, we need to determine how many 50 mg tablets add up to 150 mg.

Since each tablet contains 50 mg and the dosage is 150 mg, the nurse needs to administer 150/50 = 3 tablets.

Therefore, the nurse will administer three 50 mg tablets per day for a total daily dose of 150 mg.

QUESTION

Thorazine 75 mg IM STAT ordered. Thorazine vial reads: 25 mg/mL. How many mLs will the nurse draw up?
Enter the answer as a number only.

Full 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.