The nurse is conducting a physical assessment for an older adult patient. Which finding would cause the nurse to suspect the patient is being restrained?
1) Cigarette burns on the palms of the hands
2) Hyphema
3) Poor sphincter tone
4) Wrist and ankle bruising
ANS: 4
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During which phase of the nurse-patient relationship can a nurse anticipate that patient issues will be explored and resolved?
a. Pre-orientation b. Orientation c. Working d. Termination
Following a discussion with a patient about treatment options given by the primary care physician, a nurse assures the patient that the physician will support whatever decision is made. This nurse is acting as the patient's
1. Ethics board 2. Value system 3. Advocate 4. Conscience
Concerning sexually transmitted infections, which of the following is not part of the nurse's role in primary prevention?
1. Explaining that a patient's ability to pay, language spoken, or lifestyle will not keep her from receiving treatment. 2. Avoiding panicking a patient who may avoid treatment if she is told she is at se-rious risk. 3. Ascertaining whether the patient's male partner resists wearing condoms. 4. Teaching the patient low-risk sexual practices such as mutual masturbation.
Which does the nurse use to administer medication properly?
1. Use sterile technique for most nonparenteral medications. 2. Administer medication prepared by the medication nurse. 3. Leave the medication on the meal tray for the client to take. 4. Notify provider within 24 hours if client refuses medication.