During arraignment, a defendant behaves bizarrely, fails to…
During arraignment, a defendant behaves bizarrely, fails to respond to the judge’s questions, and shouts obscenities. The judge orders an evaluation by a forensic nurse examiner. Which information provided by the examiner will be most important to the Court at this time?
Read DetailsAn 81-year-old client with chronic non-cancer-related lumbar…
An 81-year-old client with chronic non-cancer-related lumbar pain and stage 3 renal insufficiency requests stronger medication after reporting inadequate relief with nonopioid therapy. The provider considers initiating an opioid. The client lives with extended family members.Which plan of care by the psychiatric-mental health nurse best reflects evidence-based opioid management in older adults?
Read DetailsA client has tried a variety of complementary and alternativ…
A client has tried a variety of complementary and alternative medicine (CAM) approaches to manage health concerns. The nurse asks, “How is going to CAM practitioners different from seeing your medical doctors?” What is he client most likely response?
Read DetailsA client presents to a rural emergency department 6 hours af…
A client presents to a rural emergency department 6 hours after a sexual assault. The facility does not have a trained Sexual Assault Nurse Examiner (SANE) on staff. The charge nurse states, “We can treat injuries, but forensic evidence collection and legal documentation should wait until a SANE is available tomorrow.” Which response by the primary nurse reflects the most appropriate understanding of specialized sexual assault services?
Read DetailsAn 84-year-old client with advanced dementia becomes increas…
An 84-year-old client with advanced dementia becomes increasingly irritable and resists bathing and repositioning. The client is nonverbal and unable to describe discomfort. The family requests hospitalization for “a full medical workup” and asks whether antibiotics and artificial nutrition should be initiated “just in case.” The primary nurse applies principles of palliative dementia care.Which intervention best reflects evidence-based palliative care for advanced dementia?
Read DetailsA client is being discharged from an acute care setting 24 h…
A client is being discharged from an acute care setting 24 hours after a sexual assault. During discharge planning, the nurse evaluates whether short-term outcome criteria for rape-trauma response have been met. Which client statement most clearly demonstrates achievement of an appropriate acute-phase outcome rather than a longer-term recovery goal?
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