WITH CORRECT ANSWERS
A young adult woman comes to the emergency department following a sexual assault. While meeting t
he sexual assault nurse examiner, the patient states, "I feel so dirty! Please let me take my clothes off
and get a shower now." How should the nurse respond to the woman's request?
A. "That will be fine. I can certainly empathize with your feelings. Let me get an evidence bag for your
clothes."
B. "I will need to assess you first, keep your clothes for evidence, and complete your physical exam. Th
en you will be able to shower."
C. "As much as I understand your feeling, it is necessary that you must be examined first."
D. Please tell me what happened to you. It is important to get all the details so that evidence can be p
rovided for any trial that may occur" - CORRECT ANSWER -
B. "I will need to assess you first, keep your clothes for evidence, and complete your physical exam. Th
en you will be able to shower."
The community health nurse is visiting the senior citizens activity center and notes an older adult with
bruises on both upper arms and shoulders. What is the nurse's initial intervention?
A. Contact a physician to perform a physical examination on the individual.
B. Discuss with the individual their daily routine, medical history, and living situation.
C. Alert the activity center director and contact the police.
D. Document the assessments on the treatment record. - CORRECT ANSWER -
B. Discuss with the individual their daily routine, medical history, and living situation.
An abuser is discussing his latest physical attack on his partner. Which statement would the nurse asso
ciate with the tension-building period of the violence cycle?
A. "She always just wants to leave, and I couldn't let her disrespect me like that."
,B. "I admit I hit her, but she wasn't really hurt. I didn't even break any bones."
C. "She knows she doesn't keep the house as clean as she should."
D. I know I was wrong, and I won't ever hit her again." - CORRECT ANSWER -
A. "She always just wants to leave, and I couldn't let her disrespect me like that."
A woman's inability or reluctance to leave an abusive relationship is the result of multiple factors. Whi
ch situation is considered a cultural factor?
A. Believing, she deserves the treatment
B. Being socially isolated
C. Processing a poor self-image
D. Fearing the loss of custody of her children - CORRECT ANSWER -
A. Believing, she deserves the treatment
What is the focus of nursing intervention during the impact stage of trauma recovery?
A. Validating the patient's personal worth
B. Explaining to the patient the legal rights afforded victims
C. Providing physical safety and emotional security
D. Making appropriate referrals to needed service providers - CORRECT ANSWER -
C. Providing physical safety and emotional security
What obsessive belief is the basis of workplace-related stalking?
A. The stalker has a significant personal relationship with the other employee.
B. The stalker has been wronged in some fashion by the other employee.
C. The other employee owes something of value to the stalker.
D. The other employee poses a physical danger to the stalker. - CORRECT ANSWER -
The stalker has a significant personal relationship with the other employee
,v
Anvadultvwhovisvavsurvivorvofvchildhoodvabusevisvadamantvthatv allvmenvarevdangerousv andvinsensiti
ve.
Howv shouldvthevnursev initiallyvrespondvtovthatv statement?
A.vAttemptvtov determinevthev underlyingvtriggervforvthev response.
B.vAcceptvitv asvthevpatient'svtruevfeelings.
C.vAskvthevpatientvtov explainvjustv whatvshevmeant.
D.v Documentvthatv shevwasvdeeplyvtraumatizedvbyv thevabuse.v-
v CORRECTv ANSWERv -
B.vAcceptvitv asvthevpatient'svtruevfeelings.
Teachingvofvthevfamilyvwithvavmembervbeginningvtov takev donepezilvisvincompletevifvthevnursev hearsv
wh
atv statementv beingvmade?
A.vThevlivervwillvbev harmedvbyv thisvmedication."
B.vItvwillvbev helpfulvtov givevthisvmedicationvonlyv oncevavday.
"
C.vSidev effectsv arev fewv withvthisvmedication."
D.v Wev canvgivev itvwithvorvwithoutvfood."v -
v CORRECTv ANSWERv -
A.vThevlivervwillvbev harmedvbyv thisvmedication."
Whichvadditionvtovthevmedicationvtherapyv ofvavclientvdiagnosedvwithvAlzheimervdiseasev (AD)vhasvavdu
al
protectivevbenefit?
A.vAspirin
B.vStatins
C.vVitaminvC
D.v VitaminvKv-vCORRECTv ANSWERv -B.vStatins
AvsonvofvanvAlzheimervdiseasev (AD)vpatientvverbalizesvthevdesirevtov learnvmorev aboutv thevphysicalvas
pe
ctsvofvthevbrainvchangesvtov bev expectedvinvhisvparent.vWhichvnursingvresponsev bestv addressesvthev so
n's
needs?
A.vThevpathwaysv usedvbyvacetylcholinev invthevbrainvwillvdeclinevovervtime,vleadingvtov avlossvofvmemo
ry.
"