A 35-year-old patient in the women's health clinic has just told ...

[anshika]

A 35-year-old patient in the women's health clinic has just told the nurse about being abused by her husband for the past 10 years. The nurse's most appropriate intervention, initially, is to:
 
  1. Offer to call the police and help her to file charges.
  2. Ask her to tell you the details surrounding the abuse.
  3. Reassure her that many women experience the same problem.
  4. Listen to her account of the situation and offer support.

Question 2

A patient at 18 weeks' gestation has been diagnosed with a hydatidiform mole.
 
  In addition to vaginal bleeding, which signs or symptoms would the nurse expect to see? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Hyperemesis and hypertension
  2. Diarrhea and hyperthermia
  3. Uterine enlargement greater than expected
  4. Polydipsia
  5. Vaginal bleeding

[Kaytorgator]

Answer to Question 1

4
Rationale 1: Filing charges will come later.
Rationale 2: Once trust is established, only the detail on what type of violence has occurred is necessary to collect.
Rationale 3: Although reassuring the patient that she is not alone is important, it is not the nurse's initial response.
Rationale 4: The initial step in caring for women who have disclosed abuse is to establish trust and ensure confidentiality. Once trust is established, the nurse can collect the details on what type of violence has occurred.

Answer to Question 2

1,3,5
Rationale 1: These are often seen in patients with hydatidiform mole.
Rationale 2: Neither of these is seen with hydatidiform mole.
Rationale 3: This is a classic sign of hydatidiform mole.
Rationale 4: This is not associated with hydatidiform mole.
Rationale 5: This is a classic symptom of hydatidiform mole.

[anshika]

Thanks for the timely response, appreciate it

[amit]

Excellent