Author Question: Which of the following measures should nurses implement in a hospital setting in order to identify ... (Read 88 times)

Collmarie · **on:** Jul 23, 2018

Which of the following measures should nurses implement in a hospital setting in order to identify intimate partner violence (IPV)?

A) Routine screening of newly admitted clients
B) Focused physical assessment for IPV for all new clients
C) Involvement of a social worker in the admission assessment of all new female clients
D) Review of the definition and legal repercussions of IPV with all new female clients

Question 2

A nurse is admitting a client to a geriatric medicine unit following the client's recent diagnosis of acute renal failure. Which of the following nursing actions is most likely to reduce the client's chance of experiencing a fall while on the unit?

A) Orient the client to the room and environment thoroughly upon admission.
B) Provide the client with a bedpan to reduce the need to transfer to a commode or washroom.
C) Administer pain medications sparingly in order to minimize cognitive or musculoskeletal side effects.
D) Place the client in a shared room with a client who is stable and oriented.

phuda · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A
Practices related to the identification of IPV vary, but it is generally agreed that a simple screening tool can be an effective strategy. A focused physical assessment and the involvement of social work are not warranted for all clients. A review of the definition and repercussions of IPV is likely not as effective as a simple and direct screening tool.

Answer to Question 2

Ans: A
A person who is familiar with his or her surroundings is less likely to experience an accidental injury. As part of the hospital admission routine, it is important to orient the client to the safety features and equipment in the room. A bedpan should not be used for the sole reason of reducing the risk of falls, and pain medication should be provided in doses sufficient to treat the client's pain. A client should never be charged with supervising the safety of another client.