Author Question: A client states that he was physically abused by another client in a long-term care facility. Which ... (Read 41 times)

moongchi · **on:** Jul 17, 2018

A client states that he was physically abused by another client in a long-term care facility. Which of the following measures should the nurse initiate for the client who stated he was abused?

A) Refer the client to the nursing director.
B) Encourage the client to meet his case manager.
C) Ask the client to meet the ombudsperson.
D) Arrange for the client to contact social services.

Question 2

A nurse is assisting a client who is in labor and does not have enough time to get to the healthcare facility for delivery. What is the role of the nurse in assisting an emergency delivery?

A) Attempt to postpone delivery as much as possible.
B) Cut the umbilical cord after delivery of newborn.
C) Have the mother hold the newborn and initiate breastfeeding.
D) Examine for retained placental tissue and lacerations.

swimkari · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

C
Feedback:
The nurse should ask the client who was physically abused to meet the ombudsperson assigned to the facility. The ombudsperson is responsible for seeing that the client's rights are not violated. Referring the client to the nursing director, the case manager, or social services will not protect the client by law from abuse or neglect.

Answer to Question 2

C
Feedback:
The nurse should have the mother hold the newborn and initiate breastfeeding because this immediately helps the uterus to contract and prevents maternal hemorrhage. The nurse should never attempt to delay delivery because this can cause great damage to the woman and fetus. Cutting the cord is inadvisable until the services of the birth attendant are available. The mother will be examined for retained placental tissue, lacerations, and other complications later when she receives medical assistance.