The nurse observes an acutely psychotic client scratching his arms with his fingernails until his arms bleed. When asked what is happening, the client states he is trying to let the evil spirits out of his body.
He is easily redirected by the nurse but resumes scratching when the nurse leaves his side. The nurse orders 1:1 supervision of the client to keep him from harming himself. Which principle of bioethics was applied in this situation? A) Beneficence B) Fidelity C) Justice D) Veracity
Question 2
A comprehensive assessment process is needed for clients with gender disorders. The nurse would include which of the following?
A) Cognition assessment, interpersonal assessment, but not behavioral assessment
B) Behavioral assessment, affect assessment, interpersonal assessment
C) Affect assessment, intrapersonal assessment, sexual history
D) Sexual history, affect assessment, but not cognition assessment
Nurse-patient interaction; nonveral communication
nurse
Nurse opens sterile package
To increase pressure using body weight, lean on your client.
Nurse using a stethoscope
Testing client’s ability to identify dull sensation