The nurse is interviewing a 16-year-old female who is experiencing relationship problems. Which assessment question is best to ask?
A) "How is your relationship with your dad and your older brother?"
B) "Do you like to dress in provocative outfits?"
C) "Do you have any bruises anywhere on your body?"
D) "Do you believe that if you catch your boyfriend kissing someone else that it is ok to hit him?"
D
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A client has an eye prosthesis and needs to have it inserted into the eye socket. Place the following steps of how to insert an eye prosthesis in the correct order. (Select in order of priority.)
a. Wash your hands. b. Explain the procedure to the client. c. Remove the prosthesis from its container and rinse it with tepid water. d. Cover the work area with a cloth or towel. e. Don gloves. f. Place the prosthesis between the thumb and forefinger of your dominant hand with the notched end of the prosthesis closest to the client's nose. g. Insert the prosthesis with the top edge slipping under the upper lid. h. Lift the client's upper lid using your nondominant hand. i. Retract the lower lid slightly until the bottom edge of the prosthesis slips behind it. j. Release your hand slowly. k. Gently release the upper eyelid.
The patient is admitted with exposure to an unknown chemical. His clothing appears to be grossly contaminated. What should the nurse do? (Select all that apply.)
a. Avoid touching contaminated parts of clothing. b. Pull the patient's tee shirt off over his head. c. Cut the patient's clothes off. d. Wash the patient with large amounts of soap and water.
A client has been diagnosed with post-traumatic stress syndrome and has difficulty sleeping because of recurrent nightmares. In working with this client to overcome the problem, what should the nurse implement as part of therapy?
1. Guided imagery 2. Hypnotherapy 3. Yoga 4. Meditation
A client with obsessive-compulsive therapy has been taking fluoxetine (Prozac) for 1 month. The client tells the nurse, "These pills are making me sick. I think I'm getting a brain tumor because of the headaches"
The most appropriate response by the nurse is to tell the client: A) "Let's talk about how often you have been performing the rituals lately." B) "Tell me how many times you have washed your hands today." C) "Have you been practicing your deep breathing and relaxation exercises?" D) "These medications have side effects that can cause increased headaches."