A mother confides to the nurse that her live-in boyfriend knocked down her 2-year-old child because he was crying too much. She begs the nurse not to tell anyone because her boyfriend has agreed to take anger management classes
Which of the following actions should be taken by the nurse?
a. Abide by the mother's wishes because this information was provided in confidence.
b. Arrange for counseling for the boyfriend at the earliest possible availability.
c. Encourage the mother to take the child and find alternate housing right away.
d. Report the incident to child protective services or other appropriate legal authority.
ANS: D
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A) Stimulation of granulization B) Infection is diminished C) A moist environment D) All of the above are correct.
The LPN/LVN role differs from the RN role in all of the following areas except:
a. Educational preparation. b. Thinking skills. c. Assessment skills. d. Basic psychomotor skills.
The nurse wants to assess the apex of a patient's right lung. In which location should the nurse place the stethoscope?
1. Intercostal space, sixth rib near the sternum 2. Intercostal space, fourth rib near the axillary line 3. Below the scapula 4. Near the right clavicle
During morning rounds, the nurse asks a patient, "How are you today?" The patient responds, "You today, you today, you today!" and mumbles the words. This speech pattern is an example of:
a. Echolalia b. Clanging c. Word salad d. Perseveration