Nurses must care for the abuser, as well as the abused person. You are caring for a middle-aged man who is under medical and psychiatric care for molesting a 7-year-old girl

You inform him that dinner is being served in the dining room. He tells you to leave and that he does not want anyone to see him or "know what I did." You respond:
A.
"You will need to face people sooner or later."
B.
"You are here for treatment of an illness, not judgment of an action."
C.
"I guess I wouldn't want to been seen either. You may stay here."
D.
"Only the staff knows the reason for your admission."


ANS: B
This response is professional and communicates support to this patient. Responses A and C are judgmental. Response D is true, but is not as supportive as response B.

Nursing

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An emergency department nurse is preparing to inspect and palpate the head and scalp of an older adult who experienced a fall. A member of which group would most likely consider this examination as a violation of norms?

A) Jewish B) Asian American C) Islamic D) African American

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The triage nurse in the emergency department sees a patient suspected of abusing amphetamines brought in by friends. While assessing this patient, what would the nurse be likely to find if steroids are being abused?

A) Hypertension B) Bradycardia C) Drowsiness D) Elated mood

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Hospice care includes services that are reasonable and necessary for the comfort and management of a terminal illness. Which services might be included? (Select all that apply.)

A) Physician services B) Nursing care C) Long-term inclient pain control D) Hospice aide services E) Social worker services

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A nurse is caring for a client with cluster headaches. The nurse knows that cluster

headaches result from vascular disturbance leading to vasodilation. What symptom and sign of vasodilation should the nurse look for in the client? A) Tears forming B) Reduced respiratory rate C) Generalized shivering D) Shrunken eyes

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