The nurse is putting together a presentation on the prevention of sexual abuse. She should incor-porate which of the following?
1. Abusers fit into easily identified, classic profiles.
2. Intensity is generally increased during pregnancies.
3. Sexual abuse is found primarily in lower socioeconomic groups.
4. Most of the incidents occur with strangers or unknown assailants.
ANS: 2
Sexual abuse may begin, continue, or even intensify during pregnancy. The abuser may not fit any classic description. Sexual abuse crosses all gender, socioeconomic, age, and ethnic groups. Most often sexual abuse is at the hands of a former intimate partner or family member.
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A 20-year-old construction worker has been brought into the emergency department with heat stroke. He has delirium as a result of a fluid and electrolyte imbalance. For the mental status examination, the nurse should first assess the patient's:
a. Affect and mood b. Memory and affect c. Language abilities d. Level of consciousness and cognitive abilities
The nurse is assessing a client that experienced a head injury and assigns a Glascow Coma Scale rating of 3. The nurse would correctly note which of the following for this client? Standard Text: Select all that apply
1. No response with eyes with commands 2. No verbal response 3. Pupil response sluggish 4. No motor movement 5. Pupils fixed and dilated
The nurse is conducting a prenatal class for a group of pregnant women and their partners. When illustrating the various potential complications that can necessitate a cesarean delivery, which primary reason should the nurse point out?
a. Placenta Previa b. Ruptured uterus c. Nonreassuring fetal status d. preeclampsia
Which of the following statements is most correct regarding documentation in a patient's medical chart?