Which information noted in a patient's history most suggests a need for careful assessment of risk for violence in a newly admitted medical patient?
a. Childhood abuse
b. Family estrangement
c. Academic problems
d. Chemical dependence
D
The nurse should suspect marginal coping skills in a patient with chemical dependence. They are often anxious, may be concerned about inadequate pain relief or going into withdrawal, and may have personality styles that externalize blame. The other options do not signal as high a degree of risk of violence.
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At a routine health care visit, a nurse measures a school-age child and plots the height and weight on the growth charts
The nurse documents that the school-age child is above the 95th percentile for weight and is at the fifth percentile for height, where it has been for a few years. How should the nurse interpret these data? 1. The school-age child is proportionate for the age. 2. The school-age child needs to eat more at each feeding. 3. The height and weight are disproportionate, and the child needs further evaluation. 4. The family is most likely short in stature
How should the nurse intervene to relieve perineal bruising and edema following delivery?
a. Place an ice pack on the area for 12 hours. b. Place a warm pack on the perineal area for 24 hours. c. Administer aspirin to relieve inflammation. d. Change the perineal pad frequently.
Which health belief system is commonly referred to as "third-world" beliefs and practices?
a. Folk health belief system b. Holistic health belief system c. Biomedical health belief system d. Alternative/complementary belief system
A client phones into the physician's office and reports an insect has flown into his ear and asks the nurse what he should do. The nurse instructs him to:
A) irrigate the ear with water to flush out the insect. B) instill mineral oil into the ear canal and try to gently remove insect with tweezers. C) attempt to remove the insect with a cotton-tipped applicator that has been dipped in hydrogen peroxide. D) apply Vaseline to smother and kill the insect.