Which of the following should be the initial consideration made by a nurse who is working with lesbian, gay, bisexual, and transgendered (LGBT) families?
a. Understanding of same sex marriage laws within the state
b. Understanding of personal feelings of working with members of this community
c. Assessment of the family structure within the LGBT family
d. Assessment of sexual orientation in a safe environment
ANS: B
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A patient's health assessment has resulted in a diagnosis of alopecia areata. What nursing diagnosis should the nurse most likely associate with this health problem?
A) Chronic Pain B) Impaired Skin Integrity C) Impaired Tissue Integrity D) Disturbed Body Image
A client who is 6 months pregnant has sought medical attention, saying she fell down the stairs. Which scenario would cause an emergency department nurse to suspect that the woman has been battered?
a. She avoids making eye contact and is hesitant to answer questions. b. The woman and her partner are having an argument that is loud and hostile. c. The woman has injuries on various parts of her body that are in different stages of healing. d. Examination reveals a fractured arm and fresh bruises. Her husband asks her about her pain.
The clinical significance for a client who is having premature ventricular contractions (PVC) is that they: Select all that apply
1. Indicate myocardial ischemia and injury. 2. Could become the dominant pacemaker. 3. Are a life-threatening cardiac rhythm. 4. Are not significant; PVCs are not dangerous. 5. Show that the rhythm is regular.
A physician writes an order to teach a patient about nitroglycerin. A nurse correctly educates the patient that nitroglycerin (Select all that apply.)
1. Should be swallowed. 2. Is administered sublingually. 3. Is used in the treatment of angina. 4. Should be protected from light and moisture. 5. Should be placed under the tongue prior to chest pain.