A severely injured client is moved into an examination area of the emergency department.
The family member who accompanied the client to the ED is screaming at the nurse, saying
that someone better start doing something right away. What is the best response by the
nurse?
1. "I need you to go to the waiting area. You can come back when you're more in control."
2. "I'm going to give you a few minutes alone so you can calm down."
3 "I can't think when you are yelling at me. Talk to me in a normal voice."
4. "I know you are upset. But please control yourself and sit down. Otherwise I will have to
call security."
CORRECT ANSWER
"I know you are upset. But please control yourself and sit down. Otherwise I will have to call
security."
Most violent behavior is preceded by warning signs, such as yelling or swearing. The
challenge for nurses is to apply interventions that de-escalate a person's response to
stressful or traumatic events. The keys to effective limit setting are using commands to
express the desired behavior and providing logical and enforceable consequences for
noncompliance. Nurses should acknowledge the agitated person's feelings and be
empathetic, reminding him or her that they are there to help.
The clinic nurse assists the health care provider with physical examinations and the
collection of laboratory specimens. Which of these findings does the nurse recognize as
being reportable to the public health department?
1
@THE STUDY VAULT
, Positive eye discharge confirming conjunctivitis
Clinical findings of impetigo
Skin scraping confirming the presence of ringworm
Positive stool culture for shigella
CORRECT ANSWER
Positive stool culture for shigella
The Centers for Disease Control and Prevention (CDC) have a list of notifiable infectious
diseases that is updated yearly. Shigellosis is the only reportable infection of those listed.
Shigella are bacteria that can infect the digestive tract and cause (painful) diarrhea,
cramping, vomiting, nausea; in severe cases it can cause seizures and kidney failure.
Ringworm is a contagious fungal infection. Impetigo is a contagious, superficial bacterial skin
infection. Conjunctivitis has many causes and is usually diagnosed from signs and symptoms
and patient history.
Mass casualty survivors are brought to the emergency department (ED) after a disaster. The
nurse is assigned to four clients who were triaged in the field and have just arrived in the ED.
Which client will the nurse care for first?
The person with multiple wounds and an open fracture
The person with hypotension and a sucking chest wound
The person with head trauma requiring mechanical ventilation
The person with an undisplaced fracture of the radius
2
@THE STUDY VAULT
The family member who accompanied the client to the ED is screaming at the nurse, saying
that someone better start doing something right away. What is the best response by the
nurse?
1. "I need you to go to the waiting area. You can come back when you're more in control."
2. "I'm going to give you a few minutes alone so you can calm down."
3 "I can't think when you are yelling at me. Talk to me in a normal voice."
4. "I know you are upset. But please control yourself and sit down. Otherwise I will have to
call security."
CORRECT ANSWER
"I know you are upset. But please control yourself and sit down. Otherwise I will have to call
security."
Most violent behavior is preceded by warning signs, such as yelling or swearing. The
challenge for nurses is to apply interventions that de-escalate a person's response to
stressful or traumatic events. The keys to effective limit setting are using commands to
express the desired behavior and providing logical and enforceable consequences for
noncompliance. Nurses should acknowledge the agitated person's feelings and be
empathetic, reminding him or her that they are there to help.
The clinic nurse assists the health care provider with physical examinations and the
collection of laboratory specimens. Which of these findings does the nurse recognize as
being reportable to the public health department?
1
@THE STUDY VAULT
, Positive eye discharge confirming conjunctivitis
Clinical findings of impetigo
Skin scraping confirming the presence of ringworm
Positive stool culture for shigella
CORRECT ANSWER
Positive stool culture for shigella
The Centers for Disease Control and Prevention (CDC) have a list of notifiable infectious
diseases that is updated yearly. Shigellosis is the only reportable infection of those listed.
Shigella are bacteria that can infect the digestive tract and cause (painful) diarrhea,
cramping, vomiting, nausea; in severe cases it can cause seizures and kidney failure.
Ringworm is a contagious fungal infection. Impetigo is a contagious, superficial bacterial skin
infection. Conjunctivitis has many causes and is usually diagnosed from signs and symptoms
and patient history.
Mass casualty survivors are brought to the emergency department (ED) after a disaster. The
nurse is assigned to four clients who were triaged in the field and have just arrived in the ED.
Which client will the nurse care for first?
The person with multiple wounds and an open fracture
The person with hypotension and a sucking chest wound
The person with head trauma requiring mechanical ventilation
The person with an undisplaced fracture of the radius
2
@THE STUDY VAULT
