A nurse is caring for a hospitalized client who has experienced a history of spousal abuse resulting in several fractures. The first priority for the nurse is to:
A) Offer to contact outpatient services if the client promises not to return home after discharge.
B) Encourage the client to take charge of the situation.
C) Make it clear to the partner that s/he needs to see a therapist.
D) Assist the client to devise a safety or escape plan.
D
You might also like to view...
A nurse on the oncology unit is caring for a patient with an astrocytoma. The patient has just been told that the tumor is growing very fast. The patient asks the nurse how these tumors grow. What is the nurse's best response?
A) "Brain tumors infiltrate the surrounding tissue." B) "Brain tumors grow by invading the surrounding grey matter." C) "Brain tumors grow by invading the surrounding white matter." D) "Brain tumors spread down the spinal cord."
The nurse is conducting a physical assessment for a homeless patient who presents with a leg wound. Which is the priority action for this nurse?
1) Collecting a health history 2) Performing a complete examination 3) Assessing the wound 4) Asking the patient to arrange payment
The parents of a client with schizophrenia who also abuses alcohol asks the nurse, "What can we do to help our son from relapsing after he is discharged from the hospital?" Which response by the nurse would be most appropriate?
A) "There's really not much you can do; your son is responsible for maintaining his own sobriety." B) "Avoid letting him take any mood-altering chemicals because they may trigger his delusional thinking." C) "Make sure he goes to at least two Alcoholics Anonymous meetings a week, gets a sponsor, and calls his sponsor on a daily basis." D) "Report any side effects he develops so they can be treated and therefore won't tempt him to stop taking his prescribed medications."
The client tells the nurse, "That new TV anchor is telling the world about me." This is an example of:
A) Ideas of reference B) Persecutory delusions C) Thought broadcasting D) Thought insertion