A patient with swelling and a laceration above the right eye states, I don't know what caused me to fall and cut my head on the door frame..
The patient's spouse appears nervous but smiles when mentioning that the patient is so clumsy at times.. The nurse should give priority attention to which intervention when addressing this patient's needs? a. Directly asking the patient if spousal abuse is occurring or has ever occurred
b. Completing a thorough assessment that includes a focus on signs of old injuries
c. Interviewing the patient regarding the circumstances surrounding this suspicious fall
d. Notifying security that there is a possibility that this patient is a victim of physical abuse
Question 2
The nurse is caring for a family whose older father with dementia is living in their home. The nurse has instructed the family about how to decrease the father's agitation.
The nurse determines that the son has understood the nurse's instructions when he states which of the following?
A) Restraints can help reduce my father's agitation.
B) I should place my father in the bedroom with me so I can watch him more closely.
C) It's important that he gets out shopping with me or my wife.
D) If I simplify our home environment, my father may be less agitated.
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