An appropriate ongoing, long-term treatment goal for a victim who experienced sexual abuse eight months ago is to:
1. Establish rapport and build a trusting nurse–client relationship.
2. Move from victim to survivor status.
3. Become aware of legal rights.
4. Involve significant others in the treatment plan.
2
Rationale: The process of moving a client from victim to survivor status may take months to years, whereas the other treatment goals can be met in the short term (hours to days).
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While assessing a new patient, the nurse asks about a family history of genetic illnesses. The patient states that her mother has diabetes. For which of the following is this patient at increased risk?
A) Diabetes B) Hypertension C) Twins D) Seizures
Which is a safety measure for making beds?
a. Lower the bed for body mechanics. b. Wear gloves when removing linen from the person's bed. c. After making a bed, raise the bed to its highest position. d. After making an occupied bed, never raise the bed rails.
Current threats to health in the United States that community health nurses are faced with include:
a. Diphtheria, cholera, and hepatitis b. HIV, H1N1 influenza, and bioterrorism c. Avian flu, tuberculosis, and radiation d. Polluted water and air
A client with a low platelet count asks why platelets are important. How does the nurse answer?
A. "Platelets make blood clots for you." B. "Blood clotting is prevented by your platelets." C. "The clotting process begins with your platelets." D. "Your platelets finish the clotting process."