A woman who has been repeatedly abused by her partner comes to the emergency department with severe contusions. She tells the nurse, "He almost killed me this time. I guess I should do something." What is the nurse's priority intervention?
a. Document the woman's injuries.
b. Help the patient devise a safety or escape plan.
c. Encourage the patient to take independent action.
d. Provide referrals contingent on the patient leaving the abuser.
B
Individuals who are victims of partner abuse should have an escape plan. This is of high priority when the victim's life is endangered. Encouraging the victim to take independent action is of less help than offering concrete assistance such as providing referrals and giving emergency phone numbers. Referrals should never be contingent on leaving, which might be possible only after the victim has made use of the referral and has assistance in place. Documentation is important, but not the nurse's first action.
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In the neurological portion of the examination, it is appropriate to
a. Invite the family members to be present b. Demonstrate portions of the test that may be confusing c. Ask only "yes" or "no" questions d. Interject anecdotal information about yourself
A client who is scheduled to undergo a sleep-deprivation electroencephalogram (EEG) in the morning is experiencing moderate anxiety about the procedure. Based on an understanding of this test, which of the following would the nurse avoid?
A) Explaining in depth what to expect during the upcoming procedure B) Administering a benzodiazepine medication prescribed for anxiety C) Taking a thorough history of the client's use of prescribed and illicit drugs D) Giving the client a noncaffeinated beverage of her choice
Which neurotransmitter is inhibited in generalized anxiety disorder (GAD)?
a. Acetylcholine b. Serotonin c. Dopamine d. Norepinephrine e. Epinephrine
Which of the following is the most important reason for using evidence-based practice (EBP)?
a. It saves money. b. It improves access to care. c. It optimizes care. d. It reduces staff error.