You are caring for a 32-year-old woman who has been sexually assaulted. What nursing interventions are initially most important for this client? Select all that apply
a. Help her to communicate effectively with police about the attack.
b. Obtain permission from your client to test for pregnancy and STIs.
c. Refer your client to a sexual assault support group.
d. Promote and model empathy and support for her family members.
ANS: B, C
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The nurse is caring for a client with an open, draining wound. The appropriate precautions and PPE for all client contact include: Standard Text: Select all that apply
1. Droplet precautions. 2. Surgical mask. 3. Gloves. 4. Airborne precautions. 5. Isolation gown.
Which statements from a survivor indicate that the individual has a good understanding on how to manage flashbacks? Select all that apply
A) "I name one thing I can see in the room, one thing I can hear, one thing I can sense in my body." B) "I try to imagine a safety 'container'." C) "I try to imagine a safe place." D) "I breathe fast to get rid of negative, intrusive thoughts." E) "I try to relive the incident to feel stronger."
Haloperidol (Haldol) has been prescribed for an elderly client. What does the nurse expect in regards to the initial dose?
1. Two times the adult dose 2. One-half the adult dose 3. Withheld due to client age 4. The same as an adult dose
Nursing documentation should be written as events occur. This is described as __________ documentation
a. sequential b. retrospective c. contemporaneous d. narrative