When the nurse is alone with a battered client, the client seems extremely anxious and says, "It was all my fault. The house was so messy when he got home and I know he hates that." The best response by the nurse is:
a. "No one deserves to be hurt. It's not your fault. How can I help you?"
b. "What else do you do that makes him angry enough to hurt you?"
c. "He will never find out what we talk about. Don't worry. We're here to help you."
d. "You have to remember that he is frustrated and angry, so he takes it out on you."
A
The nurse should stress that the client is not at fault.
This is placing the blame on the woman.
This is false reassurance. Many times the batterer will find out about the conversation.
This is placing the blame on the woman and finding excuses for the batterer.
You might also like to view...
Which of the following are included in the health history of an older adult?
a. Chief complaint b. Amount of edema c. List of medications d. Oculomotor deficits e. Review of the systems f. Current nursing diagnoses
A patient was admitted following a spontaneous abortion. When attempting to console the patient, the nurse tells her the percentage of first trimester pregnancies that abort is:
a. 5%. b. 10%. c. 15%. d. 20%.
What is the priority nursing diagnosis or collaborative problem for a client with severe metabolic alkalosis?
A. Excess Fluid Volume related to reduced kidney function B. Potential for Oversedation related to inadequate cerebral oxygenation C. Risk for Impaired Skin Integrity related to accompanying peripheral edema D. Risk for Injury related to increased neuronal sensitivity from accompanying hy-pocalcemia
A teaching plan for a patient who is taking lispro (Humalog) should include which of these instructions by the nurse?
A) "Inject this insulin with your first bite of food because it is very fast acting." B) "The duration of action for this insulin is about 8 to 10 hours, so you'll need a snack." C) "This insulin needs to be mixed with regular insulin to enhance the effects." D) "To achieve tight glycemic control, this is the only type of insulin you'll need."