A client is brought to an emergency department after being violently raped. Which nursing action is appropriate?
A. Discourage the client from discussing the event, as this may lead to further emotional trauma.
B. Remain nonjudgmental and actively listen to the client's description of the event.
C. Meet the client's self-care needs by assisting with showering and perineal care.
D. Provide cues, based on police information, to encourage further description of the event.
ANS: B
The most appropriate nursing action is to remain nonjudgmental and actively listen to the client's description of the event. It is important to also communicate to the victim that he or she is safe and that it is not his or her fault. Nonjudgmental listening provides an avenue for client catharsis needed in order to begin the process of healing.
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A concerned mother of a 4-year-old asks the nurse, "My new boyfriend was sexually abused as a child. Should I worry about the safety of my child?" The best response is:
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The nurse is caring for a team of four clients who are seriously ill. One of the clients has just received a new cardiac medication. How should the nurse instruct the unlicensed assistive personnel (UAP) who is also caring for this client?
1. Have the UAP assess for any unexpected effects from the medication. 2. Tell the UAP to teach the client's family what to expect from the medication. 3. Have the UAP look the medication up in a drug reference book to read about drug actions and possible side effects. 4. Give the UAP specific instructions regarding what drug actions or side effects to report to the nurse.
After studying about viruses, which information indicates the student has a good understanding of viruses? Viruses:
a. contain no DNA or RNA. b. are capable of independent reproduction. c. replicate their genetic material inside host cells. d. are easily killed by antimicrobials.