A woman who has been repeatedly abused by her partner comes to the emergency department with severe contusions. She tells the nurse, He almost killed me this time. I guess I should do something. What is the nurse's priority intervention?
a. Document the woman's injuries.
b. Help the patient devise a safety or escape plan.
c. Encourage the patient to take independent action.
d. Provide referrals contingent on the patient leaving the abuser.
Question 2Choose the initial desired outcome for a person who was a victim of mind control and torture. The person will
a. make independent decisions for herself.
b. repress emotions experienced during event.
c. reestablish relationships with support persons.
d. use desensitization strategies to restore equilibrium.
Question 3For a victim of spousal abuse, a deterrent to leaving the abusive situation are the events that occur in which stage?
a. Tension building
b. Honeymoon
c. Processing
d. Battering
Question 4What priority nursing assessments should be made early in the refeeding process for a patient with anorexia nervosa? Select all that apply.
a. Vital signs
b. Skin integrity
c. Peripheral edema
d. Lung and heart sounds
e. Level of consciousness
Question 5One bed is available on the inpatient eating disorders unit. Assessment findings for four patients are listed as follows. Which patient should receive the bed?
a. Weight decreased from 150 to 102 lb in 4 months. Vital signs are T 96.9F; P 46 beats/min; BP 68/48 mm Hg. Amenorrhea for 8 months.
b. Weight decreased from 110 to 86 lb in 4 months. Vital signs are T 97.5F; P 60 beats/min; BP 80/66 mm Hg. Amenorrhea for 2 months.
c. Weight decreased from 120 to 90 lb in 3 months. Vital signs are T 98F; P 50 beats/min; BP 70/50 mm Hg. Menstruation scant for 3 months.
d. Weight decreased from 90 to 78 lb in 5 months. Vital signs are T 97.7F; P 62 beats/min; BP 74/52 mm Hg. Menstruation irregular for 6 months.
Question 6A nurse assesses a 25-year-old man with a suspected eating disorder. Which comment is most likely from this patient when the nurse asks about the patient's sexuality?
a. Sometimes I feel attracted to other men.
b. I'm here because my girlfriend is worried about how much I exercise.
c. I am sexually active, but I sometimes have trouble maintaining an erection.
d. I've been involved in a satisfying relationship with my girlfriend for 3 years.
Question 7A patient diagnosed with an eating disorder refuses to be weighed and says, I just drank a big glass of water. Select the nurse's best response.
a. Call me after you have emptied your bladder.
b. This is weight day. Please step on the scale.
c. I will weigh you tomorrow.
d. You know the rules.
Question 8A patient diagnosed with bulimia nervosa has not responded to psychotherapeutic management. The health care provider is likely to prescribe a drug from which classification?
a. Mood stabilizer
b. Selective serotonin reuptake inhibitor (SSRI) antidepressant
c. Typical antipsychotic
d. Monoamine oxidase inhibitor antidepressant
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