Question

A nurse accepts a transfer patient from an outside facility. The patient has cardiovascular disease and right leg DVT after failing to take his Coumadin (Warfarin) for several days. Upon arrival, the patient is agitated and yells, “I don’t want to be here. I am going to end it all. There is no point in living any longer.” Which of the following is the priority nursing action?

Ask the patient to elaborate on his plan to end his life.
Remove all sharp and loose objects from the patient’s room.
Assign a 1:1 sitter to watch the patient.
Place the patient in a hospital gown without ties.

Accepted Answer

Ask the patient to elaborate on his plan to end his life.

Answer

Place the patient in a hospital gown without ties.

Answer

Remove all sharp and loose objects from the patient's room.

Answer

Assign a 1:1 sitter to watch the patient.

Question 39 - Professional Caring and Ethical Practice Practice Test for the CCRN