The nurse is interviewing a client who presents with a dislocated shoulder. She demonstrates signs of anxiety and poor eye contact and turns to her partner for answers, allowing him to an-swer for her
Bruises on her breast and upper arm are visible. The nurse asks the partner to go to the admitting office to give insurance information. While the partner is out of the room, which question is most important to ask?
1. "Have you been with your partner long?"
2. "Have you ever been physically or emotionally hurt by someone?"
3. "Are you an abused woman?"
4. "Shall I notify the police that you would like to press charges?"
ANS: 2
When the victim is alone, the nurse must seek information about abuse. Phrasing the question to avoid use of such terms as "abuse" or "battered" is essential. These terms are too emotionally charged, and clients often respond in the negative. Option 1 is not a priority. Option 3 uses an emotionally charged term. Option 4 is premature.
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When assisting the older adult who is despondent about the need to leave his home, what technique should the nurse use?
a. Ask him if he has a drinking problem b. Explore the option of his moving in with someone c. Reminisce with the patient and review his life d. Assess for hopelessness and helplessness
The nurse caring for a patient with a pressure ulcer notes the wound is increasing in redness and has more swelling around the wound edges. Which of the following should the nurse do?
1. dress the wound as prescribed 2. cover the wound with a sterile dry dressing 3. assess for pain and warmth 4. encourage the patient to ingest more fluids
Nurses recognize that the main cause for Alzheimer's disease is:
A) Unknown at this time B) Genetic C) Related to use of aluminum cookware D) Substance abuse
Isotonic exercise involves:
a. muscle shortening and active contraction/relaxation of muscles b. muscle contraction without shortening. c. muscle contraction with resistance. d. exercise using mechanical devices, such ascontinuous passive range-of-movement (CPM) machines.