A woman comes to an emergency department with a broken nose and multiple bruises after being beaten by her husband. She states, "The beatings have been getting worse, and I'm afraid, next time, he will kill me
" Which is the appropriate nursing response? 1. "Leopards don't change their spots, and neither will he."
2. "There are things you can do to prevent him from losing control."
3. "Let's talk about your options so that you don't have to go home."
4. "Why don't we call the police so that they can confront your husband with his behavior?"
3
Rationale: The most appropriate response by the nurse is to talk with the client about options so that the client does not have to return to the abusive environment. It is essential that clients make decisions on their own without the nurse being the "rescuer." Imposing judgments and giving advice is nontherapeutic.
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a. Creating key components of disaster protocols b. Developing workable action plans for difficult issues c. Establishing guidelines for policy and procedures d. Improving care by developing patient care plans
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a. hemiplegia. b. Parkinson disease. c. mental retardation. d. intoxication.
The nurse is reviewing labs for her adolescent client who is in the ICU. He had been receiving intravascular fluids until yesterday. She notices that the client has hypernatremia. Her next action should be to:
1. Assess the client for skin tenting. 2. Obtain a reading on the pulse oximeter. 3. Check the client's temperature. 4. Evaluate for edema.
A nurse is preparing to teach a kinesthetic learner about exercise. Which technique will the nurse use?
a. Let the patient touch and use the exercise equipment. b. Provide the patient with pictures of the exercise equipment. c. Let the patient listen to a video about the exercise equipment. d. Provide the patient with a case study about the exercise equipment.