The nurse enters the emergency department cubicle of a rape victim and hears the client scream
"What are you doing to me?" The nurse notes a technician standing with a comb who is about to
begin combing the client's pubic hair.
The client right that has been violated is
a. advocacy.
b. confidentiality.
c. informed consent.
d. crisis intervention counseling.
C
The client has a right to have rape protocol explained and to give consent to proceed through the
protocol. Options A and B: Data are not conclusive that the rights to advocacy or confidentiality
have been violated. Option D: Crisis intervention counseling is not a specific right, although the
client does have a right to be treated.
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A patient who is started on phenytoin (Dilantin), who is also taking amiodarone (Cordarone), should be assessed for what possible effect?
a. Central nervous system depression and sedation b. Decrease in effectiveness of phenytoin c. Respiratory depression d. Increase in serum phenytoin levels
A patient with a diagnosis of Cushing's disease has been admitted to the emergency department after taking a fall on the sidewalk outside her apartment building. This patient's underlying disease process creates increased risks of
A) hemorrhage and impaired hemostasis. B) fractures and impaired wound healing. C) neurovascular complications and rhabdomyolysis. D) bruising and hematoma.
A nurse is assessing a client who practices yoga for relaxation, follows a nutritionally sound diet, and has supportive, sound relationships with her spouse and children. This client would exemplify which of the following levels of wellness?
1. Emergent high-level wellness in a favorable environment 2. Emergent high-level wellness in an unfavorable environment 3. Protected poor health in a favorable environment 4. High-level wellness in a favorable environment
When caring for a victim of family violence, the intervention that would be most therapeutic is to:
A) Acknowledge the victim's inability to change the situation. B) Avoid pressuring the victim to leave the abuser. C) Invite the abuser to stay with the victim during the assessment. D) Avoid asking the victim directly whether abuse is occurring.