A nurse suspects that a patient who comes to the maternity clinic for a pregnancy test is in an abusive relationship. The nurse includes the abuse assessment screen as part of the assessment
Although the woman was very emotional and hesitant in responding to the questions, verbally she denied abuse as being a problem. While waiting for the results of the pregnancy test, the nurse decides to teach the patient about partner abuse anyway. The rationale for the nurse's decision is that all women should be informed about: 1. the nurse's ethical responsibility to protect patients.
2. the cycle of violence, indicating that it continues and escalates over time once it begins.
3. women's legal rights not to be controlled by men.
4. the masochistic nature of women who stay in abusive relationships.
2
1. Incorrect. Although the nurse may feel an ethical responsibility to protect the patient, this is not the best rationale for the nurse's behavior.
2. Correct. Because of the cycle of violence and the loving respite phase, denial is a coping mechanism often used by battered women. During pregnancy, the nurse should assess for abuse at each prenatal visit and on admission to labor.
3. Incorrect. Although women have a right to not be controlled by men, this is not the rea-son why the nurse should continue her teaching with this patient.
4. Incorrect. The belief that women are masochistic is simply a myth.
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__________ is the transferring between people of information, including ideas, beliefs, feelings, and attitudes
Fill in the blank(s) with correct word
The nurse preparing to instruct the patient on a colon preparation procedure that will include polyethylene glycol electrolyte lavage prior to a colonoscopy is aware that the use of lavage solutions is contraindicated in a patient with:
A) An inflammatory bowel disease B) Polyps C) A colostomy D) Colon cancer
During the assessment of a client recovering from surgery, the nurse notes decreased breath sounds in both lower lobes bilaterally. What should the nurse do?
1. Coach the client to deep-breathe and cough. 2. Restrict fluids. 3. Remind the client to perform leg exercises. 4. Maintain on bed rest.
The pregnant client has completed the prenatal questionnaire and asks the nurse why this form had to be filled out. Which response is the most appropriate?
1. "We occasionally identify a health problem that puts the current pregnancy at higher risk." 2. "This form is designed to predict who will develop problems with their pregnancy or delivery." 3. "The doctor wants all of the pregnant clients to fill out the form so that our records are complete." 4. "Some people have things that have happened in the past that could impact their current pregnancy."