The nurse understands that the underlying issue of most abusers is:
1. An uncontrollably urge to love.
2. The inability to control intense anxiety.
3. A desire to enslave and control.
4. A desire to play out fantasies.
3
Rationale: The abuser is the most powerful person in the life of the abused. The abuser's purpose is to enslave the victim, while simultaneously demanding respect, gratitude, and love. Control over the victim is established by repetitive emotional abuse that instills terror and helplessness. Threats of serious harm or threats against other family members keep the victim in a constant state of fear.
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A patient with Parkinson's disease is considering taking St. John's wort, an herbal remedy for depression, in addition to Sinemet and L-dopa. The best response is to make the patient aware that:
1. depression is reduced by the use of herbal remedies such as St. John's wort. 2. doses of St. John's wort and parkinsonian drugs should be taken on alternate days. 3. St. John's wort must be taken in large doses to reduce depression. 4. herbal remedies can interfere with the effectiveness of the parkinsonian drugs.
An ambulatory client must transfer to a stretcher for outpatient surgery. Place the nursing interventions in order beginning with the action that initiates the client's safe transfer to the stretcher
1. Provide sufficient privacy. 2. Lock the stretcher's brakes. 3. Use step stool with handle. 4. Place stretcher against a wall.
A patient paces continuously while repeatedly mumbling, "I'm worthless. It's all hopeless.". Which nursing measure would be most helpful in establishing a relationship with this patient?
a. Greet the patient with a cheerful smile. b. Insist that the patient go to a room to talk with the nurse. c. Walk with the patient, and make occasional empathic observations. d. Tell the patient, "I don't agree with your assessment of worthlessness.".
As a public health nurse, which of the following would you refer to your state's Children's Health Insurance Program (CHIP)?
a. A 21 year old b. A Medicaid family with five children c. A privately insured family d. A family with income up to 200% of federal poverty level