You have arrived on scene to assist a woman who was held hostage. She states she has been fondled and kissed by a man. Which of the following best describes this event?
A) Honeymoon phase
B) Sexual assault
C) Neglect
D) Rape
Answer: B) Sexual assault
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The nurse is educating a client with an autoimmune disorder about immune tolerance. Which statement should the nurse include in the teaching?
A) "Humoral tolerance refers to the ability to differentiate foreign antigens from self-antigens." B) "Self-tolerance refers to the elimination of self-reactive T-cells and B-cells in the thymus." C) "Central tolerance refers to the loss of self-tolerance that occurs as a result of the development of autoantibodies." D) "Peripheral tolerance occurs when certain immune cells are not eliminated in the central lymphoid organs."
A nurse manager is educating a coworker on agencies that oversee environmental hazards at ambulatory care centers. The nurse manager judges the teaching to be effective when the co-worker states:
a. "National Council of State Boards of Nursing has a role in overseeing any en-vironmental hazard.". b. "American Nurses Credentialing Center oversees all environmental hazards in the United States.". c. "Ambulatory Care Nursing Administration and Practice oversees only local en-vironmental hazards.". d. " The Occupational Safety and Health Administration oversees all environmental hazards at ambulatory care centers.".
The nurse is caring for a 64-year-old patient admitted with mitral valve regurgitation. Which information obtained by the nurse when assessing the patient should be communicated to the health care provider immediately?
a. The patient has bilateral crackles. b. The patient has bilateral, 4+ peripheral edema. c. The patient has a loud systolic murmur across the precordium. d. The patient has a palpable thrill felt over the left anterior chest.
When the South Asian client arrives 25 minutes late to her appointment at the clinic, the nurse recognizes this as a sign of which of the following?
A) Disrespect B) Laziness C) Respect D) Superiority