Author Question: A woman has been severely beaten by her husband, has no relatives or friends in the community, is ... (Read 39 times)

jhjkgdfhk · **on:** Jul 19, 2018

A woman has been severely beaten by her husband, has no relatives or friends in the community, is afraid to return home, has no financial resources of her own, and has no job skills. Which would be the most important referral for the nurse to make?

a. Community food cupboard
b. Vocational counseling
c. Law enforcement
d. Safe house or shelter

Question 2

The nurse is sitting with a patient diagnosed as having schizophrenia, disorganized type, who starts to laugh uncontrollably, although nothing funny has occurred. The nurse should say:

a. Please share the joke with me..
b. Why are you laughing?
c. I don't think I said anything funny..
d. You're laughing. Tell me what's happening..

fraziera112 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
Because the wife wishes to leave the home and has no safe place to go, referral to a battered person's shelter or safe house is necessary. The shelter will provide other referrals as necessary.

Answer to Question 2

D
The patient is likely laughing in response to inner stimuli such as hallucinations or fantasy. Focusing on this clue to internal stimuli and exploring the patient's experience of this stimuli (e.g., the content of the hallucination) shows an interest in the patient and provides potentially valuable assessment data, enabling the nurse to better understand the patient. The other options are less useful in eliciting a response, since no joke may be involved, and the patient is probably not focusing on what the nurse said in the first place. Why are you laughing? implies that the behavior is wrong or unacceptable, diminishing the patient's self-esteem and hampering the therapeutic relationship.