Author Question: A patient comes to the clinic for the fifth time in a month with vague complaints of not feeling ... (Read 64 times)

Mollykgkg · **on:** Jul 11, 2018

A patient comes to the clinic for the fifth time in a month with vague complaints of not feeling well. The nurse notices fresh bruises on the patient's upper body. Which assessment question should take priority?

a. How much do you drink each day?
b. Are you annoying to anyone?
c. Did anyone hurt you?
d. Have you fallen?

Question 2

Which assessment findings would prompt a nurse to suspect that a 15-year-old patient may be a victim of serial ritual abuse?

a. Lying in a fetal position; echolalia; body rocking
b. Multiple scars and burns; missing teeth; fear of being examined
c. Scarred index finger; tooth enamel erosion; sores around mouth
d. Acting-out behaviors; verbal aggression; arrested for grand larceny

durant1234 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C
When the nurse suspects abuse, it is appropriate to speak directly to the issue. Two distracters are presumptuous and blaming. The other distracter offers a ready-made excuse for the bruises.

Answer to Question 2

B
Scarring, burns, and missing teeth fit the picture of ritual abuse. The fear of examination relates to having to remove clothes in preparation for torture. The distracters are more consistent with schizophrenia, bulimia nervosa, and antisocial personality disorder.