An 18-year-old client is admitted to an emergency department reporting that she has just been raped. On physical assessment, a nurse notices no trauma to the genital region. The forensic nurse understands that:
A) Most confirmed rapes show genital trauma.
B) Inconsistency between verbalized reports and collected evidence suggests the client is untruthful.
C) Lack of genital trauma indicates that the individual gave consent.
D) Between 40 percent and 60 percent of sexual assaults leave no visible injuries.
D
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When a night shift nurse completes a shift, she gives a report about her clients to the oncoming day shift nurse
When beginning the report, the night shift nurse introduces herself and states her role, states the client's name, identifiers, age, sex, and location. Which of the following should the nurse do next? a. State critical lab reports, allergies, and alerts b. List current medications and client's family history c. Talk about any anticipated changes in the plan of care d. Relate client's chief complaint, vital signs, symptoms, and diagnosis
Which assessment finding for a patient diagnosed with an eating disorder meets criteria for hospitalization?
a. Urine output 40 mL/hr b. Pulse rate 58 beats/min c. Serum potassium 3.4 mEq/L d. Systolic blood pressure 62 mm Hg
Compassion is often associated with caring. Of the following, which situation is the best example of compassionate nursing care?
1. The nurse has expert technical skills and has the most experience with critical care. 2. The nurse routinely gives back rubs to clients before they go to sleep. 3. The nurse has written procedures and policies in language that is both professional and realistic. 4. The nurse takes time to understand the spiritual needs of clients.
The nurse is providing care to a child who is nearing death. Which nursing actions may offer the family support?
1. Using active listening techniques 2. Looking the parents in the eye when talking 3. Refusing to cry while in the child's room 4. Offering to call and notify family 5. Avoiding being in the room to allow the family to grief