Nokea
Which behavioral characteristic describes the domestic abuser?
- A. Alcoholic
- B. Over confident
- C. High tolerance for frustrations
- D. Low self-esteem
Correct Answer: D
Rationale: Low self-esteem. Batterers were usually physically or psychologically abused as children or have had experiences of parental violence. Batterers are also manipulative, and have a great need to exercise control or power over their partners.
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The nurse's neighbor calls the nurse and asks for assistance with her child who developed a nosebleed after being hit in the nose by a ball. What should the nurse recommend to the neighbor?
- A. Pinch the child's nose and bend the head forward.
- B. Pinch the child's nose and bend the head backward.
- C. Put ice on the nose and call 911 immediately.
- D. Stuff cotton up both nostrils and bend the head backward.
Correct Answer: A
Rationale: Pinching the nose and leaning forward compresses the bleeding site and prevents blood swallowing, effectively managing a nosebleed caused by trauma.
The nurse is assessing a client's emotional state and coping strategies. Evidence of which behavior is of most concern to the nurse?
- A. Anxiety
- B. Dysfunctional family unit
- C. Social isolation
- D. Self-mutilation
Correct Answer: D
Rationale: Self-mutilation indicates severe emotional distress and risk of harm, the most concerning behavior requiring immediate intervention.
A client with a fractured hip asks the nurse about activity after discharge. The nurse should explain to the client that she should refrain from which of the following activities?
- A. Crossing her legs at the knee
- B. Sitting in a recliner
- C. Walking up stairs
- D. Carrying objects that weigh more than 10 pounds
Correct Answer: A
Rationale: Crossing legs at the knee can cause hip adduction, risking dislocation in a fractured hip. Other activities are generally safe with proper precautions.
The charge nurse in a long-term memory care facility is making assignments for the Alzheimer unit. Which tasks may be delegated to experienced unlicensed assistive personnel? Select all that apply.
- A. Assisting clients with bathing and hair care
- B. Evaluating safety hazards in clients' rooms
- C. Monitoring clients for behavioral changes
- D. Placing bed alarms at night for clients at risk for wandering
- E. Reporting a client's swallowing difficulties during mealtime
Correct Answer: A,D,E
Rationale: Bathing/hair care (A), placing bed alarms (D), and reporting swallowing issues (E) are within UAP scope. Evaluating hazards (B) and monitoring behavior changes (C) require nursing judgment.
Which of the following herbal supplements pose an increased risk for bleeding in surgical clients and should be discontinued prior to major surgery? Select all that apply.
- A. Black cohosh
- B. Garlic
- C. Ginger
- D. Ginkgo biloba
- E. Hawthorn
Correct Answer: B,C,D
Rationale: Garlic (B), ginger (C), and ginkgo biloba (D) have antiplatelet effects, increasing bleeding risk. Black cohosh (A) and hawthorn (E) do not significantly affect bleeding.