If a female client tells the nurse of extensive plans she has to harm the girlfriend of her ex-husband, what is the nurse's best action?
a. Try to talk with the client to convince her not to harm the girlfriend.
b. Have the client sign a contract with you stating that she will not harm the girlfriend.
c. Inform the ex-husband of the intentions of the client.
d. Inform the girlfriend of the intentions of the client.
D
Health care providers have a duty to warn others when serious harm may occur as the result of actions taken by the client. This does not breach confidentiality because providers have an obligation to protect the public as well as the client. In addition to warning the client, the nurse should inform the client's physician and the nursing supervisor and must document the situation and actions taken. The other options are not adequate to meet the duty to warn or to prevent harm to the girlfriend.
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A nurse is teaching a group of nursing students about the history of family-centered maternity care. Which statement should the nurse include in the teaching session?
a. The Sheppard-Towner Act of 1921 promoted family-centered care. b. Changes in pharmacologic management of labor prompted family-centered care. c. Demands by physicians for family involvement in childbirth increased the practice of family-centered care. d. Parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care.
Which technique or action can enhance the effectiveness of the nurse's communication with a hearing-impaired older adult client?
A. Speaking very loudly with a high-pitched voice B. Closing the door to the room to limit environmental noise C. Sitting closer to the ear with the most diminished hearing D. Allowing the client to verbalize his or her frustration at not being correctly un-derstood
What is the primary purpose of the patient record?
A) communication B) advocacy C) research D) education
A physician is choosing a chest drainage system for a client who is ambulating daily. Which of the following systems would be the best choice for this client?
A) Traditional water seal B) Wet suction C) Dry suction water seal D) Dry suction/one-way valve system