A client presents to the emergency department (ED reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is best for the nurse to use when interviewing the client?

Share personal values to put the client at ease.

Get the most difficult questions over with first.

Ask questions in a vague, non-specific format.

Begin with questions that are less sensitive in nature.

Answer and Explanation

The Correct Answer is D

A.   Share personal values to put the client at ease: Sharing personal values may not be appropriate and could potentially alienate the client or make them feel judged.
B.   Get the most difficult questions over with first: Starting with difficult questions may increase the client's defensiveness and resistance to sharing information.
C.   Ask questions in a vague, non-specific format: Being vague may not elicit the necessary information and could lead to misunderstandings or incomplete responses.
D.   Begin with questions that are less sensitive in nature: Starting with less sensitive questions helps build rapport and trust with the client before addressing more sensitive topics like domestic violence. It allows the client to feel more comfortable and may increase the likelihood of obtaining accurate information.

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Correct Answer is C

Explanation

A. Potential changes in employee benefits are important to address, but job security is a more immediate concern for employees facing agency restructuring.
B. Changes in job descriptions may occur as part of agency restructuring, but job security is typically a more pressing concern for employees.
C. Employees' job security is the most important concern to address during agency restructuring.
Employees may feel anxious about the possibility of layoffs or job loss, so providing reassurance and clear communication about job security is essential for maintaining morale and reducing
stress.
D. New management's expectations may be relevant, but they are secondary to employees' concerns about their job security during agency restructuring. Once job security is assured, addressing new management's expectations can be addressed.

A. Infection. B. Fat emboli. C. Pulmonary embolism. D. Deep vein thrombosis.

Correct Answer is D

Explanation

A. Infection: While infection can cause localized redness and swelling, deep vein thrombosis (DVT) is a more likely cause given the client's immobility and other risk factors.
B. Fat emboli: Fat emboli typically occur after trauma or orthopedic procedures, and their presentation is less likely in this scenario.
C. Pulmonary embolism: While a pulmonary embolism is a potential complication of DVT, it presents with symptoms such as dyspnea, chest pain, and tachypnea, rather than localized redness and swelling in the calf.
D. Deep vein thrombosis: This condition, characterized by redness and swelling in the affected limb, is common in immobile patients and those with dehydration, making it the most likely cause of the client's symptoms.

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A client presents to the emergency department (ED reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is best for the nurse to use when interviewing the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse manager is involved in agency restructuring. During this reengineering process, it is most important for the nurse to address which employee concern?

Correct Answer is C

Explanation

The nurse is completing an admission assessment on an older adult client with dehydration, failure to thrive, and who is immobile. The nurse reports to the healthcare provider that the client's right calf is red and swollen. The nurse should suspect which probable cause of these findings?

Correct Answer is D

Explanation

The home care nurse provided self-care instructions for a client with chronic venous insufficiency caused by deep vein thrombosis. What instruction(s) should the nurse include in the client's discharge teaching plan? Select all that apply.

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