A public health nurse, along with a student, is visiting the home of an elderly woman who is widowed and lives alone
Her 40-year-old son is her caregiver, and the public health nurses visit about once a week to follow up on her high blood pressure, recent surgery for a hip fracture, and diabetes. The nurse and student find the home unkept, sink full of dirty dishes, and the patient in clothes that are extremely soiled. She cannot reach her walker to get up, and she has been incontinent. This type of abuse is called: 1. Neglect.
2. Abandonment.
3. Physical abuse.
4. Financial abuse.
1
Rationale 1: The abuse described is called neglect. Assistance and personal hygiene have not been provided.
Rationale 2: It is not evident that there has been abandonment.
Rationale 3: There is no evidence of physical abuse.
Rationale 4: There is no evidence of financial abuse according to scenario.
You might also like to view...
A registered nurse (RN) is watching a nursing student change a dressing and perform care around a Penrose drain. What action by the student warrants intervention by the RN?
a. Cleaning around the drain per agency protocol b. Placing a new sterile gauze under the drain c. Securing the drain's safety pin to the sheets d. Using sterile technique to empty the drain
A 15-year-old was referred to the mental health clinic by juvenile court after an arrest for vandalism and assault on a teacher. The teen tells the nurse, "I hate my parents. They focus all attention on my brother, who is perfect in their eyes."
Which nursing diagnosis applies? a. Chronic low self-esteem related to feelings of guilt, as evidenced by believing a brother is the parental favorite b. Hopelessness related to feeling unloved by parents, as evidenced by assaulting a teacher c. Ineffective coping related to seeking parental attention, as evidenced by acting out d. Disturbed personal identity related to acting out, as evidenced by vandalism
A patient is scheduled for a Schilling test to determine the cause of vitamin B12 deficiency
What information should the nurse provide when preparing the patient for this test? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "The Schilling test will help to determine if you have a problem absorbing vitamin B12.". 2. "You will be given an oral dose of radioactive vitamin B12 for part of this test.". 3. "You will need to collect your urine for 6 hours after the test.". 4. "You will be given a parenteral dose of vitamin B12 for part of this test.". 5. "Gastric endoscopy is included in this test.".
The nurse at a chemotherapy clinic is preparing to administer interferon alfa to a patient. To help minimize side effects, the nurse may
a. start oxygen. b. lower the ambient temperature. c. provide antiemetics. d. administer acetaminophen.