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 C

Explanation

A. While a temperature elevation in a client with Clostridium difficile requires assessment, it is not as urgent as potential cardiac ischemia.
B. Pain assessment in a client with a femur fracture is important but does not take priority over potential cardiac issues.
C. Left shoulder pain with S-T elevation on an ECG can indicate myocardial infarction (MI), a life-threatening condition requiring immediate assessment and intervention.
D. Orthostatic hypotension and pitting edema, while concerning, do not indicate an acute, life-threatening condition that requires immediate assessment in this scenario.

A. Determine the need for additional providers. B. Act as a spokesperson to provide information to the media. C. Recommend to the provider a list of clients for early discharge. D. Decide which clients should be transported for a higher level of care.

Correct Answer is C

Explanation

A. Determine the need for additional providers: Determining the need for additional providers is typically the responsibility of the hospital administration or incident command team, not the unit nurse.

B. Act as a spokesperson to provide information to the media: Communication with the media is managed by designated public relations personnel or a hospital spokesperson, not the unit nurse.

C. Recommend to the provider a list of clients for early discharge: The unit nurse is responsible for assessing which clients are stable enough for discharge and communicating these recommendations to the provider. This helps prioritize bed availability and ensures appropriate allocation of resources during a disaster.

D. Decide which clients should be transported for a higher level of care: This decision is typically made by the disaster management team or the provider, with input from the nurse. Nurses may report clinical details to help inform the decision but do not make the final determination.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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