Author Question: A nurse is taking the history of a client and suspects that the client has been sexually abused. ... (Read 126 times)

penza · **on:** Jul 19, 2018

A nurse is taking the history of a client and suspects that the client has been sexually abused. Which question will prompt a response that will aid the nurse in making an accurate assessment?

1. Do you like to dress in provocative outfits?
2. Has anyone touched you in a way that made you feel uneasy or uncomfortable?
3. Do you have any bruises anywhere on your body?
4. How is your relationship with your parents and older siblings?

Question 2

When planning nursing care, the nurse understands that the main value of having knowledge of a variety of nursing theories is to be able to do which of the following?

1. Promote consideration and use of nursing research.
2. Build the skill and effectiveness of the nurse's practice.
3. Enhance collaboration and understanding between the nurse and the mental health care team.
4. Implement individualized nursing interventions depending on what is best for the client's situation.

trog · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

2
Rationale: It is important to ask directly whether the client has been made uneasy or uncomfortable, as this would indicate that further assessment is necessary. The other answers express personal biases about the cause of abuse and the identity of the abuser, or are vague as they can fit scenarios that may have nothing to do with abuse.

Answer to Question 2

4
Rationale: Approaches associated with two or more nursing theories provide the nurse with enhanced capability to implement nursing interventions and care that is individualized for clients and their situationthe whole purpose of nursing care. Building the skill and effectiveness of the nurse, enhancing collaboration, and promoting consideration and use of nursing research are nurse-centered responses and fall much lower on the priority scale than individualized, client-centered care.