The nurse is presenting a session on intimate partner violence. Which statement by a client indicates a need for further education?
1. "My daughter is not to blame for the violence in her marriage."
2. "Everyone experiences anger and hitting in a relationship."
3. "Abusers can be either husbands or boyfriends or girlfriends."
4. "The 'honeymoon period' follows an episode of violence."
2
Explanation: 2. Violence is not a normal part of intimate relationships. Domestic violence, also called intimate partner violence (IPV), is defined as a pattern of coercive behaviors and methods used to gain and maintain power and control by one individual over another in an adult intimate relationship. This statement indicates that the client has likely been a victim of domestic violence.
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An ICU nurse does not follow policy when administering a medication intravenously. Which would be the most appropriate action by the manager to assist the employee?
1. Provide written instructions for administering the medication. 2. Remediate the situation with the ICU staff. 3. Provide a copy of the policy and discuss the rationale for the policy as it relates to client care. 4. Reprimand the ICU nurse for giving the medication.
As an LPN, how should you view information coming from your manager on changes in your nursing unit, as compared with information from your best friend, who is also a staff nurse?
1. Trust your friend; she really knows the truth about the changes. 2. Compare your friend's information to the information from other staff. 3. Trust your nurse manager and believe and value his or her information. 4. Trust your nurse manager only to a point, and question other nurses about information.
The nurse is caring for a patient who experiences anxiety and insomnia and is prescribed benzodiazepines. When developing the plan of care, what would be an appropriate nursing diagnosis related to potential adverse effects of the drug?
A) Provide patient teaching about drug therapy. B) Anxiety related to drug therapy. C) Risk for injury related to central nervous system (CNS) effects. D) Avoid preventable adverse effects, including abuse and dependence.
A client tells the nurse at a prenatal interview that she has quit smoking, only has a glass of wine with dinner, and has cut down on coffee to four cups a day. Which response by the nurse will be most helpful in promoting a lifestyle change?
a. "Those few things won't cause any trouble. Good for you." b. "You need to do a lot better than that. You are still hurting your baby." c. "Here are some pamphlets for you to study. They will help you to find more ways to improve." d. "You have made some good progress toward having a healthy baby. Let's talk about the changes you have made."