A community mental health nurse visits a client who lives in a community residence. On two
sequential visits, the client makes veiled references to receiving verbally abusive treatment at the
hands of one of the residence aides.
The action the nurse should take is to
a. understand that psychiatric clients often feel abused.
b. listen and wait to see if the client continues to report the abuse.
c. confront the residence aide with the client's allegations.
d. report the client's comments to the protection and advocacy agency.
ANS: D
Nurses must advocate for the client's right to nonabusive treatment. Reporting to a protection and
advocacy agency is the ethical duty of the nurse. Options A and B do nothing to investigate and
resolve the situation. Option C: The investigation is best conducted by skilled professionals trained
to investigate such allegations.
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Near the end of an interview with the director of an assisted living facility, you ask for a job description for the position. The director said that since it is a small facility, they do not feel they need written job descriptions
Which of the following responses would be most appropriate? A) "I prefer an informal work environment and from what you've told me, this would be perfect for me." B) "I really would like to work here but I would need to read a written job description before I would consider a position." C) "Thank you for your time but I would not take a job that doesn't have a written description of the job." D) "My teachers told me not to take a job that doesn't have a written job description."
Which of the following describes the registered nurse's (RN) role in the delivery of healthcare?
A) Involves coordination of care provided to a group of clients B) Does not involve management of care and is less complex C) Provides care to clients in a structured healthcare setting D) Involves caring for clients with well-defined, common problems
A pregnant patient in labor tells the nurse that she is afraid she may have harmed her fetus by consuming alcohol. What is an appropriate response by the nurse?
a. Ask the patient how much alcohol she consumed, and at which stage of her pregnancy. b. Reassure the patient that the risk is likely to be minimal. c. Tell the patient that no amount of alcohol is considered safe during pregnancy. d. Tell the patient that the full range of out-comes may not be evident for years.
Which precaution is most important for the nurse to teach a patient who is prescribed an antacid?
a. "Avoid using extra pepper on your food while taking this drug." b. "If you become constipated, stop taking the antacid completely." c. "Take this drug at least 2 hours before or after taking any other drug." d. "Notify your prescriber if heartburn continues after you have taken the drug for 3 days."