The nurse is caring for a victim of interpersonal violence who tells the nurse, "I am really scared about going back to my apartment. I am afraid my boyfriend might try to hurt me again." What is the nurse's best response?
1. Help the patient contact the police.
2. Help the patient develop a plan of safety.
3. Help the patient find a temporary, safe shelter.
4. Help the patient file a domestic violence report.
Answer: 3
Explanation: If the patient is ready to leave, the nurse must help ensure the patient's safety by helping the patient find temporary, safe shelter. For patients who need time or are not ready to leave an abusive situation, it is important to help them develop plans for their safety (and for the safety of their family, if the victim has children or other dependents) and provide support until they are able to resolve this problem. The nurse can support the patient in contacting the police and filing a domestic violence report, but doing so will not ensure the patient's immediate safety, which is the nurse's priority for care.
You might also like to view...
During a health assessment the patient asks the nurse, "Why do you need all this health information and who is going to see it?" The nurse's best reply is:
A) Please do not worry. It is safe and will be used only to help us with your care; it allows access to a wide variety of people who need to know your health information. B) It is good you asked and you have a right to know; your information helps us to provide you with the best possible care and your records are in a secure place. C) Your health information is placed on websites to provide easy access to anyone wishing to see your medical records, which is a great way to offer other people your information. D) Health information becomes the property of the hospital and we will make sure that no one sees it; in two years, we destroy all records and the process starts over.
A woman has just received the news that her husband died. She approaches the nurse who cared for
him during his last hours and says angrily "If you had given him your undivided attention instead of running off to care for others, he would still be alive.". The nurse's response should consider that a. the client is warning staff of a malpractice suit. b. anger is a phenomenon that is experienced during grieving. c. the client had ambivalent feelings about her husband. d. in some cultures, grief is expressed solely through anger.
A patient taking steroids for an autoimmune disorder asks when the weight loss in the legs is going to stop. What should the nurse realize the patient is experiencing?
1. muscle wasting 2. poor wound healing 3. risk for compression fractures 4. increased susceptibility to infections
Which drug used to treat peptic ulcer disease
(PUD) and gastroesophageal reflux disease (GERD) is a histamine H2 blocker? a. Metoclopramide (Reglan) b. Esomeprazole (Nexium) c. Famotidine (Pepcid) d. Cetirizine (Zyrtec) ANS: C