A nurse manager is providing staff education about working with patients who have a history of anger and aggression.
Which of the following information should the nurse include in the teaching?
Stand directly in front of the patient when talking.
Know the layout of the facility.
Bring security with you for all patient interactions.
Provide immediate verbal feedback for escalating behavior.
Avoid wearing necklaces during patient care.
Correct Answer : B,D,E
Choice A rationale
Standing directly in front of a patient who has a history of anger and aggression can be perceived as threatening and may escalate the situation.
Choice B rationale
Knowing the layout of the facility can help the nurse to plan for safe exits or to put barriers between themselves and the patient if needed.
Choice C rationale
Bringing security for all patient interactions can escalate the situation and should only be done if there is a clear threat to safety.
Choice D rationale
Providing immediate verbal feedback for escalating behavior can help to de-escalate the situation and reassure the patient.
Choice E rationale
Avoiding wearing necklaces during patient care can reduce the risk of injury to the nurse.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While gloves are part of the standard personal protective equipment (PPE) for healthcare workers, they are not specifically required for droplet precautions when preparing a patient’s meal tray.
Choice B rationale
Goggles are not specifically required for droplet precautions when preparing a patient’s meal tray. They are typically used to protect the eyes during procedures that may generate splashes of blood, body fluids, secretions, or excretions.
Choice C rationale
A gown is not specifically required for droplet precautions when preparing a patient’s meal tray. Gowns are typically used during procedures that may generate splashes of blood, body fluids, secretions, or excretions.
Choice D rationale
A mask is required for droplet precautions. Droplets that are generated by the patient can be inhaled by individuals who are within close proximity. Wearing a mask can help to prevent the inhalation of these droplets.
Correct Answer is A
Explanation
Choice A rationale
Engaging in conversation with the patient during wound care can provide emotional support by distracting the patient from the pain and discomfort associated with the procedure. It also helps to build a therapeutic relationship, which is crucial in the healing process.
Choice B rationale
While ensuring the patient’s room is kept tidy by support staff is important for maintaining a clean and safe environment, it does not directly provide emotional support to the patient.
Choice C rationale
Keeping the patient’s family informed about his condition can provide reassurance and reduce anxiety, but it does not directly provide emotional support to the patient.
Choice D rationale
Rotating the nursing staff can provide the patient with varied interactions, but it may not necessarily provide emotional support. Consistency in care providers can often be more beneficial in building trust and rapport.
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