What Should the Nurse Do?
1
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The nurse is caring for an older adult with dementia in the psychiatric unit. Upon entering the room, the client is hallucinating, naked, and has urinated on the floor. What should the nurse do first using Maslow’s hierarchy of needs as a guide?
- redirect the client, so as not to encourage belief in the hallucination
- dress the client immediately, to preserve the client’s dignity
- call the housekeeping department to clean the floor immediately
- gently guide the client to a safe place to provide personal hygiene
2
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The nurse is assessing an adolescent for interpersonal development using object relations theory. The client reports having anxiety when their parents talk about college applications. What is the nurse’s best intervention?