When helping a victim of abuse, the nurse should make which of the following the first priority?
a. Acknowledging that the violence occurred
b. Respecting and caring for the victim
c. Making sure the victim is safe
d. Caring for any injuries
ANS: C
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A patient is thin, tense, jittery, and has dilated pupils. The patient says, "I'm burning up. I need help.". The patient allows a temperature to be taken (it is 104° F), then becomes suspicious and says, "You could be trying to kill me."
The patient refuses further examination. Abuse of which substance is most likely? a. PCP b. Heroin c. Barbiturates d. Amphetamines
The nurse is caring for a client with a newly created urinary diversion ostomy appliance. Which is the priority when caring for this client?
1. Increasing fluid intake 2. Limiting fluid intake 3. Administering IV fluids, because the client will be NPO 4. Teaching the client self-care and support persons' care
A psychiatric nurse who is working in an inpatient unit receives a call asking if an individual has ever been a client in the facility. Which response by the nurse is most appropriate based on legal and ethical obligations?
A) Confirm that the person has been seen at the facility but give no further information. B) Hang up on the caller. C) Refuse to give any information at all to the caller, citing rules of confidentiality. D) Suggest that the caller speak to the client's therapist.
Supportive relationships with the spiritual head of the congregation are important for the success of a faith community nursing program
Unless the pastor has worked with a faith community nurse before, repeated explanations will most likely be necessary. The spiritual head of the congregation may need further education to clear up the common misconception that the nurse will: A) Provide confidential professional nursing care B) Be a private visiting nurse for the congregation C) Make referrals for appropriate healthcare in the faith community D) Work under the ANA's Faith Community Nursing Scope of Practice