A patient comes to the free clinic with multiple bruises on her arms and chest. Her lip is swollen, and one of her front teeth is missing. She denies domestic violence and claims to have fallen into the fireplace. Which response by the nurse is most appropriate?
1. “These signs are common among women who have been abused. We are trained to assist these women in finding a safe place to escape the abuse.”
2. “I know you’ve been abused. No one is fooled. Why not admit it?”
3. “I’m sure you did fall into the fireplace. Your injuries are not very life-threatening.”
4. “You’ll have no one to blame but yourself if you don’t tell us the truth. This will happen again if you return home.”
1. “These signs are common among women who have been abused. We are trained to assist these women in finding a safe place to escape the abuse.”
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A client is in the clinic a month after having a myocardial infarction. The client reports sleeping well since moving into the guest bedroom. What response by the nurse is best?
a. "Do you have any concerns about sexuality?" b. "I'm glad to hear you are sleeping well now." c. "Sleep near your spouse in case of emergency." d. "Why would you move into the guest room?"
During neurogenic shock, the patient has massive vasodilation and subsequent decrease in tissue perfusion because of
A) disruption of the sympathetic tone. B) alteration in the parasympathetic system. C) an exaggerated central nervous system stimulus. D) deranged neurons at the spinal cord level.
The nurse knows that when clients become severely mentally ill, they have trouble coping and keeping up with family roles and responsibilities
When family members assume these roles for the client, this is considered Stage 3 of family recovery and consists of: A) Acceptance and coping. B) Recognition and acceptance. C) Personal and political advocacy. D) Coping and competence.
The nurse is teaching a class on infant care to new parents. Which statement by a parent indicates that additional teaching is needed?
1. "The white spots on my baby's nose are called milia, and are harmless." 2. "The whitish cheeselike substance in the creases is vernix, and will be absorbed." 3. "The red spots with a white center on my baby are abnormal acne." 4. "Jaundice is a yellowish discoloration of skin that if noticed on the 1st day of life should be reported to the physician."