Nokea
The emergency department nurse writes the problem of 'ineffective coping' for a client who has been raped. Which intervention should the nurse implement?
- A. Encourage the client to take the 'morning-after' pill.
- B. Allow the client to admit guilt for causing the rape.
- C. Provide a list of rape crisis counselors.
- D. Discuss reporting the case to the police.
Correct Answer: C
Rationale: Rape crisis counselors provide specialized support for coping post-rape. Morning-after pill addresses pregnancy, guilt admission is harmful, and police reporting is client-driven.
You may also like to solve these questions
The elderly male client is admitted to the medical unit with a diagnosis of senile dementia. The client is 74 inches tall and weighs 54.5 kg. The client lives with his son and daughter-in-law, both of whom work outside the house. Which referral is most important for the nurse to implement?
- A. Adult Protective Services.
- B. Social worker.
- C. Medicare ombudsman.
- D. Dietitian.
Correct Answer: A
Rationale: Low weight (54.5 kg for 74 inches, BMI ~16.5) and dementia suggest potential neglect, warranting Adult Protective Services referral. Social work, ombudsman, and dietitian are secondary.
The client diagnosed with septicemia has the following health-care provider orders. Which HCP order has the highest priority?
- A. Provide clear liquid diet.
- B. Initiate IV antibiotic therapy.
- C. Obtain a STAT chest x-ray.
- D. Perform hourly glucometer checks.
Correct Answer: B
Rationale: IV antibiotics are critical in septicemia to combat infection, the primary cause. Diet, x-ray, and glucose checks are secondary to infection control.
The nurse in the emergency department has admitted five (5) clients in the last two (2) hours with complaints of fever and gastrointestinal distress. Which question is most appropriate for the nurse to ask each client to determine if there is a bioterrorism threat?
- A. Do you work or live near any large power lines?
- B. Where were you immediately before you got sick?
- C. Can you write down everything you ate today?
- D. What other health problems do you have?
Correct Answer: B
Rationale: Asking about recent locations identifies potential common exposure points, critical for bioterrorism. Power lines, food intake, and comorbidities are less relevant.
The nurse is teaching a class on bioterrorism. Which statement is the scientific rationale for designating a specific area for decontamination?
- A. Showers and privacy can be provided to the client in this area.
- B. This area isolates the clients who have been exposed to the agent.
- C. It provides a centralized area for stocking the needed supplies.
- D. It prevents secondary contamination to the health-care providers.
Correct Answer: D
Rationale: Decontamination areas prevent secondary contamination to HCPs, the primary rationale. Privacy, isolation, and supply stocking are secondary benefits.
Which statement best describes the role of the medical-surgical nurse during a disaster?
- A. The nurse may be assigned to ride in the ambulance.
- B. The nurse may be assigned as a first assistant in the operating room.
- C. The nurse may be assigned to crowd control.
- D. The nurse may be assigned to the emergency department.
Correct Answer: D
Rationale: Medical-surgical nurses are often reassigned to the ED during disasters to manage increased patient loads. Ambulance, OR, and crowd control roles are less typical.