Which assessment finding most clearly indicates that a rape victim is exhibiting behavior typically seen in the acute stage of sexual assault? The victim:
a. is demanding and controlling when dealing with staff.
b. appears to be confused, restless, and fearful when left alone.
c. uses profanity to describe events surrounding the attack.
d. experiences a panic attack on the anniversary of the attack.
B
The acute stage, immediately after the attack, is characterized by extreme confusion, fear, disorganization, and restlessness. Although many victims will be visibly upset, some may mask these feelings and appear to be outwardly calm or subdued. Overly assertive behavior and the use of profanity may or may not reflect the patient's ability to cope with the events. The panic attack months after the event describes the second stage of sexual assault, which involves long-term reorganization.
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37.6 ° c = _____ ° f
a. 99.7 b. 101.4 c. 98.7 d. 101.2
Newborns are at risk for early vitamin K deficiency bleeding and the American Academy of Pediatrics recommends that all newborns receive:
1. IM vitamin K (phytonadione) within 24 hours of birth 2. Oral vitamin K supplementation in the first 3 weeks of life 3. Formula containing vitamin K or breast milk 4. Oral vitamin K in the first 24 hours after birth
The nurse understands that the NIC (Nursing Intervention Classification), NOC (Nursing Outcome Criteria), and NANDA-I (North American Nursing Diagnosis Association International)
diagnoses are important because they assist the nurse with which aspect(s) of nursing care? (Select all that apply.) a. Promoting research b. Maintaining HIPAA standards c. Allowing nurses to work independently d. Assisting the nurse working in the managed care field e. Standardizing the language regarding patient status and nursing activities
The nurse is making a visit to the home of a new mother. Which observation indicates that the mother and infant are in the phase of mutual regulation?
1. The infant grasps the mother's finger while nursing. 2. The mother vocalizes feelings of frustration with her infant. 3. The infant begins to seek out the mother over other individuals. 4. The mother spends more time making eye-to-eye contact with the infant.