To provide nursing care to abused children and their families, the nurse must first:
1. Complete a comprehensive physical and mental assessment
2. Recommend removal of the children from the family
3. Refer each case to the appropriate social worker for follow-up
4. Examine personal feelings regarding the trauma of child abuse and neglect
ANS: 4
Self-examination is required in order for the nurse to be objective and therapeutic in providing care. 1. This is not the initial step. 2. Removal is not always recommended. 3. This may not be required, depending on the situation.
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Which interventions would be appropriate for the nurse to use to improve the tissue perfusion of an older patient? (Select all that apply.)
A) Reminding about frequent position changes B) Ensuring an adequate body temperature C) Encouraging physical activity when possible D) Assessing for and preventing sources of pressure on the body E) Limiting exercise and ensuring adequate rest between periods of exertion
The nurse is preparing to complete the admission assessment for a client who is being admitted to the acute care facility for complaints of severe pain. As the nurse plans actions relating to this task, the following steps will be taken
Organize in order the actions that should be taken by the nurse. Standard Text: Click and drag the options below to move them up or down. 1. Contact the healthcare provider. 2. Discuss the unit routine with the client and family. 3. Ask the client when the pain first began. 4. Ask the client what helps to relieve the pain. 5. Assess the client's past coping methods for pain throughout her life.
During which phase of the nursing process will the nurse include nursing actions or interventions necessary to accomplish expected outcomes?
a. Assessment b. Planning c. Implementation d. Evaluation
The nurse is conducting a health history with a patient exhibiting signs of Parkinson disease. Which question should the nurse ask the patient?
A. "Did your muscle weakness first occur in your arms or in your legs?" B. "Do you remember what you ate for breakfast this morning?" C. "Is it painful to flex your chin to your chest?" D. "Do you recall if any of your relatives had difficulty holding on to things with their hands?"