A client, age 70, was brought into the Emergency Department by family members who reported a fall. During the assessment the nurse became suspicious that the client had suffered physical abuse
The client denied that she had been abused. Her denial is most likely based on her:
1. Strong belief that nothing could be done to help her
2. Fear of the possibility of being removed from her family
3. Feeling that she deserved the physical abuse
4. Lack of trust that the situation could be changed
ANS: 2
Fear of being separated from family and institutionalized is a powerful motive that keeps elders from revealing abuse. The other options may be factors in some cases, but they are not primary motivators of silence.
You might also like to view...
The critical care nurse is assessing a patient to see if he fits the criteria for weaning off the mechanical ventilator. What must the tidal volume be to fall within the criteria for ventilator weaning?
A) 7 to 9 mL/kg B) 8 to 10 mL/kg C) 9 to 11 mL/kg D) 10 to 12 mL/kg
The nurse explains that the active transport process that is able to move sodium and potassium into or out of cells is:
a. filtration. b. sodium pump. c. diffusion. d. osmosis.
The nurse is determining the spiritual care needs for a client diagnosed with terminal cancer. What qualities should the nurse include when planning this client's care?
1. Sympathy. 2. Receptivity. 3. Humanity. 4. Competency. 5. Positivity.
Treatment with two NRTIs and PI is prescribed for patient with HIV infection who has a CD4+ T cell count less than 400. the patient asks why so many drugs are necessary for treatment. What should the nurse explain as the primary rationale for combination therapy?
a. cross-resistance between specific antiretroviral drugs is reduced when drugs are given in combination b. combination of antiretroviral drugs decrease the potential for development of antiretroviral-resistant HIV variants c. side effects of the drugs are reduced when smaller doses of three different drugs are used rather than large doses of one drug d. when CD4+ T cell counts are less than 500, a combination of drugs that have different actions is more effective in slowing HIV growth