u/Acrobatic-Lie2041

I am a nurse at a nursing home.

Today one of the residents became very agitated and locked herself in her room. I wanted to talk to her and offer her support. But when I sat down beside her on the bed, she pulled out a long pair of scissors and tried to stab me. She even nearly hit my neck, but I managed to dodge out of the way. She then screamed, "If I can't kill you, I'll kill myself!" She proceeded to stab herself in the arms and neck with the scissors.

There was blood everywhere. I was screaming and trying to restrain her. I was alone with her in her room. My colleagues arrived and intervened to save both me and the resident. Paramedics and the police also arrived on the scene.

I collapsed to the floor. I couldn't catch my breath and was in a state of shock. I was crying, screaming and sweating. I was granted three days off to attend to my mental health, but I still feel completely traumatized and cannot sleep. I don't know what to do. Everyone was shocked, as the resident does not suffer from dementia and had shown no prior signs of behavioral issues.

These scenes play out over and over in my mind. I keep asking myself why this happened and what I might have done wrong.

I was so scared. She might even return to our nursing home. I hope not but the thoughts fill me with panic.

Which task is appropriate to delegate to a UAP?
A. Assess pain in a post-op patient
B. Ambulate a stable patient after surgery
C. Teach insulin administration
D. Evaluate wound healing

Which patient should the nurse see first?
A. A patient with Asthma with wheezing after bronchodilator
B. A post-op patient with BP 88/50
C. A patient with Pneumonia and O₂ sat 89% on room air
D. A patient with Diabetes Mellitus and blood glucose 250 mg/dL

Which tasks can the nurse delegate to an unlicensed assistive personnel (UAP)? (Select all that apply.)

A. Feeding a client with dysphagia
B. Ambulating a post-op day 1 client
C. Collecting a urine specimen
D. Teaching a client how to use an incentive spirometer
E. Reporting abnormal vital signs