Nokea
A home health nurse is speaking to a group of acute care nurses about domestic violence. Which of the following statements by one of the acute care nurses indicates a need for clarification by the home health nurse?
- A. I have heard that abusers try to keep their partner isolated from others.
- B. I know that men who are abusers gain power through intimidation.
- C. I have heard that abusers think of themselves as important and have high self-esteem.
- D. I know that abusers lack social supports and social skills.
Correct Answer: C
Rationale: Correct Answer: C
Rationale:
Statement C is incorrect because abusers typically have low self-esteem and use violence as a way to exert control and compensate for their feelings of inadequacy. This statement suggests a misunderstanding of the psychological profile of abusers.
Statements A, B, and D are correct:
A: Abusers often isolate their partners to maintain control.
B: Abusers use intimidation to gain power and control in the relationship.
D: Abusers may lack social supports and skills, which can contribute to their controlling behavior.
Therefore, statement C stands out as needing clarification due to its inaccurate portrayal of abusers' self-esteem and sense of importance.
You may also like to solve these questions
A nurse is caring for a client who is newly diagnosed with hyperthyroidism and reports dry eyes and sensitivity to light. The nurse notes that the client's eyes have a bulging appearance. Which of the following should the nurse include in the client's plan of care?
- A. Exposure to sunlight will help to strengthen your eyes.
- B. These are unusual symptoms. I will ask the provider for an ophthalmology referral.
- C. Eye drops and dim lighting can improve your symptoms.
- D. Surgery will be necessary to correct the damage to your eyes.
Correct Answer: C
Rationale: The correct answer is C: Eye drops and dim lighting can improve your symptoms. In hyperthyroidism, the bulging appearance of the eyes, known as exophthalmos, can lead to dry eyes and sensitivity to light. Eye drops can help alleviate dryness, and dim lighting can reduce discomfort from light sensitivity. This intervention addresses the client's specific symptoms and promotes comfort.
Choice A is incorrect because sunlight exposure can exacerbate light sensitivity in clients with hyperthyroidism. Choice B is incorrect as it does not provide a direct intervention for the client's symptoms and delays addressing the discomfort. Choice D is incorrect because surgery is not typically the first-line treatment for eye symptoms in hyperthyroidism; conservative measures are usually tried first.
A nurse is caring for a client who is refusing to attend group therapy. The client states,I don't know why you think I need therapy. I am fine without it. Which of the following responses by the nurse indicates a therapeutic response?
- A. I understand that you feel like you don't need it; however, the provider thinks it will help.
- B. You don't feel like group therapy is for you. Tell me more about what you know about group therapy.
- C. I am not saying that you need therapy, but I am sure it will help you.
- D. You don't have to be afraid to go. Our therapists are very understanding.
Correct Answer: B
Rationale: Correct Answer: B
Rationale: Option B demonstrates therapeutic communication by showing empathy and understanding towards the client's feelings and inviting further discussion. By encouraging the client to express their thoughts on group therapy, the nurse opens up a dialogue to explore the client's beliefs and concerns, fostering trust and rapport. This approach respects the client's autonomy and promotes client-centered care.
Summary of Incorrect Choices:
A: This response dismisses the client's feelings and focuses on the provider's opinion, potentially alienating the client and not addressing their concerns.
C: This response minimizes the client's feelings and imposes the nurse's beliefs, which may lead to resistance and hinder the therapeutic relationship.
D: This response invalidates the client's emotions by assuming fear as the underlying issue and may create defensiveness rather than addressing the client's actual concerns.
A nurse is condu,a client diagnosed with schizophrenia jumps up and runs out while yelling You are all making fun of me. The nurse recognizes that the client is displaying which of the following behaviors?cting a group therapy meeting and shares a humorous story. When the group laughs at the story
- A. Flight of ideas
- B. Erotomania
- C. Grandeur
- D. Ideas of reference
Correct Answer: D
Rationale: The correct answer is D: Ideas of reference. This behavior is exhibited when a person believes that neutral events or actions are directed at them personally. In this scenario, the client with schizophrenia perceives others are making fun of them when that may not be the case. This demonstrates a misinterpretation of external stimuli. Flight of ideas (A) refers to rapidly shifting from one idea to another. Erotomania (B) is a delusion where someone believes another person is in love with them. Grandeur (C) involves exaggerated beliefs of one's importance or power.
Give Dobutamine 5.5 mcg/kg/min. The drug is available as 750 mg in 500 ml of fluid. The client weighs 220 pounds. Calculate mcg/min, mcg/hr, and ml/hr. (Include the unit of measure for each answer).
Correct Answer: 22
Rationale: To calculate mcg/min: 5.5 mcg/kg/min * 220 lb * (1 kg/2.2 lb) = 1,100 mcg/min. To convert mcg/hr: 1,100 mcg/min * 60 min/hr = 66,000 mcg/hr. To find ml/hr: 750 mg / 500 ml = 1.5 mg/ml. 5.5 mcg/kg/min * 220 lb * (1 kg/2.2 lb) = 1,100 mcg/min. 1,100 mcg/min * 60 min/hr = 66,000 mcg/hr. 66,000 mcg/hr / 1,000 = 66 mg/hr. 66 mg/hr / 1.5 mg/ml = 44 ml/hr. Therefore, the correct answer is 22 mcg/min, 66,000 mcg/hr, and 44 ml/hr. Other choices are
A nurse is caring for a client whose partner died five years ago. The nurse recognizes that which of the following findings would indicate the client is experiencing maladaptive grief?
- A. The client meets his daughter for dinner every week.
- B. The client joined a bowling league 2 months ago.
- C. The client exercises at a local health facility 3 days each week.
- D. The client has kept his partner's closet untouched since her death.
Correct Answer: D
Rationale: The correct answer is D because keeping the partner's closet untouched after five years indicates a lack of acceptance and inability to move forward in the grieving process, suggesting maladaptive grief. Choice A shows social support, B reflects engagement in a new activity, and C indicates a healthy coping mechanism through exercise.