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?

Previous violent behavior.

Experiencing delusions.

Male gender.

A history of being in prison.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Research consistently shows that individuals who have a history of violent behavior are at a higher risk of engaging in future violent acts. This is a significant predictor because past behavior is often indicative of future behavior. Individuals with a history of violence may have difficulty managing anger, frustration, or stress, making them more prone to aggressive tendencies in various situations.

Choice B rationale:

Experiencing delusions refers to having false beliefs that are firmly held despite evidence to the contrary. While delusions can lead to erratic behavior, not all individuals experiencing delusions will become violent. The presence of delusions alone is not as strong a predictor of future violence as a documented history of violent behavior.

Choice C rationale:

While statistical data may indicate that males are more commonly involved in violent crimes, it is important to note that gender alone is not a reliable predictor of an individual's likelihood to become violent. Many males never engage in violent behavior, and focusing solely on gender overlooks crucial individual factors that contribute to violent tendencies.

Choice D rationale:

Having a history of being in prison suggests past involvement in criminal activities, but it does not directly predict future violent behavior. Some individuals may have been incarcerated for non-violent offenses or may have undergone rehabilitation, reducing their propensity for violence. Therefore, this choice is not as strong a predictor as previous violent behavior.

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Correct Answer is B

Explanation

Choice A rationale:

Including any adverse effects of the medications the client might develop is important but does not cover the entire scope of medication reconciliation. It is essential to compare new prescriptions with the list of current medications to prevent drug interactions, duplications, or omissions.

Choice B rationale:

Comparing new prescriptions with the list of medications the client reports is the correct approach to medication reconciliation. This helps identify discrepancies, ensuring that the client's current medications are accurately documented and preventing medication errors.

Choice C rationale:

Excluding nutritional supplements from the list of medications the client reports is incorrect. Nutritional supplements, herbal remedies, and over-the-counter medications are essential components of the medication list. These items can interact with prescribed medications and affect the client's overall health.

Choice D rationale:

Encouraging the client to make his own list after he returns home is not recommended. Patients might not have complete knowledge of the medications they are taking, including dosages and frequencies. Relying solely on the patient-generated list can lead to inaccuracies and potential harm.

A. "I will monitor the client's blood glucose level every 8 hours." B. "I will hang a new bag of TPN and IV tubing every 24 hours." C. "I will increase the rate of the TPN infusion to ensure the correct amount is given." D. "I will obtain the client's weight every other day." .

Correct Answer is B

Explanation

The correct answer is choice b. “I will hang a new bag of TPN and IV tubing every 24 hours.”

Choice A rationale:

Monitoring the client’s blood glucose level every 8 hours is important, but it is not the best indicator of understanding the TPN procedure. Blood glucose levels should be monitored regularly, but the frequency can vary based on the client’s condition and physician’s orders.

Choice B rationale:

Hanging a new bag of TPN and IV tubing every 24 hours is correct. This practice helps prevent infection and ensures the client receives the correct formulation of nutrients.

Choice C rationale:

Increasing the rate of the TPN infusion to ensure the correct amount is given is incorrect. The rate of TPN infusion should be strictly controlled and adjusted only by a physician’s order to prevent complications such as hyperglycemia or fluid overload.

Choice D rationale:

Obtaining the client’s weight every other day is important for monitoring nutritional status, but it does not directly indicate an understanding of the TPN procedure. Daily weights are often recommended to closely monitor the client’s response to TPN.

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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?

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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?