Nokea
After treatment for a detached retina, a survivor of intimate partner abuse says, My partner only abuses me when I make mistakes. Ive considered leaving, but I was brought up to believe you stay together, no matter what happens. Which diagnosis should be the focus of the nurses initial actions?
- A. Risk for injury related to physical abuse from partner
- B. Social isolation related to lack of a community support system
- C. Ineffective coping related to uneven distribution of power within a relationship
- D. Deficient knowledge related to resources for escape from an abusive relationship
Correct Answer: A
Rationale: Risk for injury is the priority diagnosis because the partner has already inflicted physical injury during violent episodes. The other diagnoses are applicable, but the nurse must first address the patients safety.
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Systems theory suggests one individual's behaviour is the consequence of the total situation.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Systems theory views behavior as a product of the entire systemic context.
What makes the client fully functional:
- A. Client-centered therapy
- B. Client-satisfaction therapy
- C. Saleh incentive
- D. All of them
Correct Answer: A
Rationale: Client-centered therapy (Rogers) aims to make clients fully functional through self-actualization.
When preparing to examine a Muslim woman or girl, it is appropriate to request that she do which of the following?
- A. Remove her clothes, including her hijab, and put on a gown and drape
- B. Keep on all of her clothes, including her hijab
- C. Remove only those clothes that relate to the presenting complaint
- D. Remove her clothes, keeping on the hijab if she prefers, and put on a gown and drape
Correct Answer: D
Rationale: Respecting the hijab accommodates modesty while allowing necessary examination.
You are serving as the supervisory nurse for a home healthcare agency in the community. You are doing an admission assessment for a 76 year old male client who resides with his elderly wife. Which of the following assessments would indicate that the couple needs some education relating to home safety?
- A. The client has refrigerated foods labelled with an expiration date.
- B. You assess that the home is free of scatter rugs that many use to protect the feet against hard floors.
- C. The client uses the FIFO method for insuring food safety.
- D. The client assures you that the smoke alarm batteries are replaced annually to insure that they work.
Correct Answer: B
Rationale: Scatter rugs can be tripping hazards and indicate a need for education.
The psychological test measure cognitive skills is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: C
Rationale: The WAIS assesses a range of cognitive skills, including memory and reasoning.