The nurse is providing care for a client who experienced several ...

[Mimi]

The nurse is providing care for a client who experienced several fractures as a result of spousal abuse. Which intervention is the most appropriate to include when planning care for the client?
 
  A) Assist the client to devise a safety or escape plan.
  B) Encourage the client to take charge of the situation.
  C) Offer to contact outpatient services if the client promises not to return home after discharge.
  D) Make it clear to the spouse that the couple needs to see a therapist.

Question 2

While reviewing exercises to do when pregnant, a client of European descent tells the nurse that she was taught never to reach over the head because this will harm the baby. Based on this data, which action by the nurse is appropriate?
 
  A) Provide dietary instruction to ensure the client does not gain excessive weight.
  B) Suggest limiting exercise to household chores.
  C) Provide alternative activities to do instead of exercise.
  D) Assure that reaching over the head will not harm the baby.

[momolu]

Answer to Question 1

Answer: A

A client who has been victimized by a partner should have a safety plan. This has the highest priority as the client's life is in danger. The client has no control over the partner, and suggesting that the couple needs to see a therapist may escalate the situation. Encouraging the client to take charge is too general a statement to be helpful; the client needs specific tools to develop a safety plan. It may not be safe and feasible for the client to leave the situation right away, and resources should not be withheld if a client is unable to promise not to return home.

Answer to Question 2

Answer: D

Clients of European descent may believe that reaching over the head during pregnancy can harm the baby. The nurse should assure the client that this is not accurate. Providing activities to do instead of exercise will not address the misconception that reaching over the head will harm the baby. Dietary instruction during pregnancy is important to ensure a healthy weight gain for a healthy baby, not to ensure the client does not gain excessive weight because of lack of exercise. There is not enough information to determine if the client should limit exercise to household chores.

[Mimi]

Excellent

[patma1981]

TYSM