A rape victim is admitted to the emergency department. The nurse knows that this patient is most likely experiencing rape trauma syndrome. What is rape trauma syndrome?
A) Feeling "dirty"
B) Not wanting to be touched
C) An acute stress reaction to a life-threatening situation
D) Felling as if the rape is the victim's fault
Ans: C
Feedback: Rape trauma syndrome is seen as an acute stress reaction to a life-threatening situation. This makes A, B, and D incorrect.
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A nurse is preparing to perform the physical assessment of a newly admitted patient. During which of the following components of the assessment should the nurse wear gloves? Select all that apply
A) Palpation of the patient's scalp B) Palpation of the patient's upper extremities C) Palpation of a rash on the patient's trunk D) Palpation of a lesion on the patient's upper back E) Palpation of the patient's fingers
The nurse is aware that which of the following personal characteristic increases a client's risk for musculoskeletal injuries? Select all that apply
1. Belongs to a weekend softball team 2. Has begun an exercise program to lose weight 3. Avoids dairy products since being diagnosed as lactose intolerant 4. Requires insulin to manage type 2 diabetes mellitus 5. Is allergic to cat dander
The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia. The patient has been admitted for increased oxygen needs above a baseline of 2 L/min
The nurse develops a goal stating, "The patient will have oxygen saturations of > 95% on room air at the time of discharge from the hospital." What is wrong with this goal? a. It cannot be evaluated. b. It is not measurable. c. It is not patient-centered. d. It is not realistic.
The nurse is explaining to a patient how ACE inhibitors affect blood pressure. Which statement accurately describes the action of these medications?
a. They increase aldosterone secretion. b. They inhibit vasoconstriction. c. They lower heart rate. d. They promote sodium retention.