The nurse who sees a number of battered elderly females each year decides to put to-gether a set of guidelines for nurses. An appropriate guideline to include would be to:
a. Make protective services aware of the abuse.
b. Take at least two photographs of each trauma area.
c. Begin the interview by asking the least sensitive questions.
d. Assess for the presence of sexually transmitted diseases.
ANS: C
During the assessment and when taking the woman's history, it is recommended that in all cases the nurse begins with the least sensitive questions and gradually progress to the more sensitive ones. The remaining options may be appropriate but depend on the circumstances.
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The nursing home resident with recurrent otitis media complains of new pain behind the ear. The area is red and swollen. What is the nurse's priority?
A. Test the client's hearing acuity using the Rinne tuning fork test. B. Apply a heating pad on a low setting to the area. C. Document the referred pain. D. Notify the physician.
B. F. Skinner discovered that behavioral change becomes more lasting when consequences are:
a. less than the rewards c. continuous b. provided intermittently d. not part of the plan of change
The nurse prepares to obtain a urine sample from a client's closed drainage system. Place the procedure steps in the correct order.A) Disinfect the needle insertion site.B) Insert the needle at a 30-to 40-degree angle.C) Unclamp the catheter.D) Transfer the urine to the specimen container.E) Withdraw the required amount of urine.F) Clamp the drainage tubing at least 8 cm (3 in.) below the sampling port for 30 minutes.
Fill in the blank(s) with the appropriate word(s).
You have activated the EMS system. When should you hang up the phone?
a. After telling what happened b. After giving your location c. After telling how many people need help d. After the operator hangs up