The nurse is working in a free clinic, and caring for a homeless client diagnosed with paranoid schizophrenia. The client reports, "I hurt my foot running away from them. It hurts so bad I can hardly walk now
" On assessment, the nurse notices bruising on the client's back, arms, and thighs, a red rash on her neck and face, and poor personal hygiene, in addition to edema of the left ankle. Which of the following pose a risk to this client? a. Physical abuse and assault
b. Drug addiction relating to pain
c. Communicable immune disorders
d. Hospitalization due to a mental disorder
A
When a client has a severe mental illness, multiple health and socioeconomic challenges must be explored. Many such clients are homeless or marginally housed. The client's report of needing to run away from others requires further assessment in order to rule out physical abuse or assault.
Drug addiction may be a consideration, even though the client is not drug-seeking.
Communicable disease is a risk factor. However, this is not the best available option, since several factors relate to abuse or assault.
Hospitalization may be required for medical treatment, but there is no indication that this client requires hospitalization for psychiatric crisis.
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While working at a weekend "free clinic," the nurse is assessing a 3-year-old when the mother of the child confides that it has been very difficult providing for her family of four children on her limited budget
She is not sure that she has enough money to buy both food for the rest of the month and the antibiotic that is needed for the child's ear infection. Which intervention by the nurse would be most beneficial for the child and this family? 1. Giving the mother enough free samples of the antibiotic for the recommended course of treatment 2. Putting the mother in contact with a local agency that provides food on a regular basis to needy families and helps them access other resources in the community 3. Talking with the mother about keeping the child's ear clean by using a Q-tip 4. Providing the mother with samples of food and food stamps for the child
A patient who is on a ventilator has been declared brain dead. A family member asks the nurse how the heart can still function if his father's brain is dead. What statement is an appropriate response by the nurse?
A) "Death of the heart will follow brain death in a few hours." B) "The heart is controlled by the brainstem, not the upper levels of the brain." C) "The cardiovascular center in the medulla would not be reflected in any tests." D) "The heart is self-controlled and does not depend on the brain to beat."
Dr. Frances Kelsey was able to prevent distribution of thalidomide in the United States in her role as a
2 A. medical officer at the FDA B. U.S. congresswoman C. prominent journalist whose writings influenced public opinion D. drug-safety activist
A nurse has been working overtime because of high hospital census and a decreased work force. A danger of work-related burnout is:
A. emotional exhaustion. B. a perception of personal accomplishment. C. functioning at a more effective level. D. hurting other's feelings without concern for their reaction.