A nurse is assessing a teenage client and suspects that the client has been sexually abused. Which question will prompt a response that will aid the nurse in making an accurate assessment?
1. "Has anyone touched you in a way that made you feel uneasy or uncomfortable?"
2. "How is your relationship with your parents and older siblings?"
3. "Do you have any bruises anywhere on your body?"
4. "Do you like to dress in provocative outfits?"
1. "Has anyone touched you in a way that made you feel uneasy or uncomfortable?"
Rationale:
It is important to ask directly whether the client has been made uneasy or uncomfortable, as this would indicate that further assessment is necessary. The other answers express personal biases about the cause of abuse and the identity of the abuser, or are vague in that they can fit scenarios that may have nothing to do with abuse.
You might also like to view...
Which type of skull fracture is of particular concern because of the close proximity of the fragile sinus bones and the adhesion of the dura mater to this area?
a. basilar c. depressed b. comminuted d. linear
A client with long-standing pulmonary problems is classified as having class III dyspnea. Based on this classification, what type of assistance does the nurse anticipate providing for ADLs?
a. Dyspnea is minimal and the client requires no additional assistance. b. The client may require rest periods during performance of ADLs. c. The client requires assistance for some but not all tasks. d. Owing to severe dyspnea, this client can-not participate in any self-care.
An older adult patient reports simple xerosis with mild pruritus. The nurse educates her on the importance of
a. applying a lanolin-rich cream and avoiding scratching the areas. b. taking warm baths and gently rubbing of affected areas with a terrycloth towel. c. minimizing ingestion of fried foods and use of an antihistamine cream. d. avoiding bath oils and allowing the skin to air-dry after bathing.
The use of emetics has declined, as safer methods of removal of poisons develop
Indicate whether the statement is true or false.