A client who is a rape victim perplexedly asks the emergency department nurse "How can I

determine if I was at fault for what happened to me?" The therapeutic intervention the nurse should
use is to

a. reassure that the outcome of the situation will be positive.
b. support the client as she separates issues of vulnerability from blame.
c. pose questions about the rape, using the adverb "why" whenever possible.
d. make decisions for the client because she is perplexed and confused.


B
Although the victim may have made choices that made her vulnerable, she is not to blame for the
rape. This thinking allows the victim to begin to restore a sense of control. This is a positive
response to victimization. Option A does not permit the victim to begin to restore a sense of control.
Option C suggests the use of a nontherapeutic communication technique. Option D does not permit
the victim to restore control.

Nursing

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The nurse recognizes that the rehabilitation facility has met its obligation to the client when which of the following goals is met?

1. To completely cure the client 2. To deliver care to the acutely ill client 3. To provide short-term care in order to stabilize the client's condition 4. To restore the ill or injured person to an optimum level of wellness

Nursing

The nurse is caring for a patient with an endotracheal tube. The nurse understands that endotracheal suctioning is needed to facilitate removal of secretions and that the procedure:

a. decreases intracranial pressure. b. depresses the cough reflex. c. is done as indicated by patient assessment. d. is more effective if preceded by saline instillation to loosen secretions.

Nursing

A nurse, who works in an outpatient mental health facility, understands that imbalances of serotonin and/or dopamine levels are linked to eating disorders. Which behavior problem is most likely to be associated with the fear of becoming fat?

A) Panic disorder B) Agoraphobia C) Obsessive-compulsive disorder D) Conversion disorder

Nursing

A client had an excisional biopsy on a neck lesion. Which information does the nurse include in the discharge instructions?

a. "Stay in bed today to prevent excessive bleeding from the incision." b. "Do not drive until you have recovered from the anesthesia." c. "You will need to change the dressing daily for a week." d. "Keep the dressing on until tomorrow, then you may remove it."

Nursing