The nurse is providing care to an older adult patient in the home environment. The nurse notes that the patient has bruises in various stages of healing. What does the nurse suspect based on this assessment finding?
a. Sexual abuse
b. Physical abuse
c. Financial abuse
d. Emotional abuse
b. Physical abuse
Physical abuse should be suspected when inadequately explained injuries (fractures, sores bruises, burns) are observed during the nursing assessment. While the other types of abuse may also be occurring, the assessment findings most closely correlate with physical abuse.
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You say to your 4-year-old client, "When I sit in the dark with you, I don't see a monster." This is an example of which type of therapeutic communication technique?
1. presenting reality 2. encouraging descriptions of perceptions 3. translating into feelings 4. reflecting
The nurse is admitting a patient to the hospital who has cancer and a neutrophil count of 430/mm3 . What action by the nurse is best?
a. Place the patient in a private room. b. Use good handwashing with all contact. c. Place the patient in protective precautions. d. Initiate contact precautions.
Bradypnea may accompany:
a. a subconscious response to observation. b. an excellent level of cardiovascular fitness. c. ascites. d. severe pain from a rib fracture.
Which statement is true about the diagnostic labels identified as the Psychiatric Nursing Diagnoses, First Edition (PND-1)? The PND-1:
a. was developed because psychiatric nurses did not like NANDA diagnoses b. was written by the American Psychiatric Association c. met serious resistance in nursing arenas d. was a list of 113 diagnostic labels that later was adopted by NANDA