A nurse in the emergency department is caring for a client who was sexually assaulted. Which of the following resources will provide the most effective support immediately following the incident?

Close friend

Social worker

Chaplain

Psychologist

Answer and Explanation

The Correct Answer is A

A Close friend may provide warm feeling of support due to their background knowledge of the client. It gives the client a sense of belonging and support.

B Social workers are trained to provide crisis intervention, advocacy, and support services tailored to the needs of survivors of sexual assault. However, thery might not be able to connect closely with the client like a close friend.
C. Chaplains may offer emotional and spiritual support to individuals in crisis situations, including survivors of sexual assault but are not trained to handle such cases.
D. While their expertise is valuable for long-term therapy and support, they may not be readily available for immediate crisis intervention in the emergency department.

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Correct Answer is C

Explanation

Anxiety is a subjective emotional state characterized by feelings of worry, nervousness, or unease. If the client reports feeling anxious, this would be considered subjective because it is based on their own perception of their emotional state.

A. Alert refers to the client's level of consciousness and awareness of their surroundings.

B. Restlessness refers to a feeling of agitation or inability to stay still.

D. Pacing is an observable behavior where the client is walking back and forth in the room.

A. Telephone the interpreter that is designated for the facility to interpret the information, B. Ask the client's partner to interpret the information. C. Call a nursing colleague who speaks the same language as the client to interpret the information. D. Use an electronic translating service from the internet to interpret the information.

Correct Answer is A

Explanation

Telephone the interpreter that is designated for the facility to interpret the information is a preferred option as it ensures accuracy and confidentiality in communication.
B. While involving the client's partner may seem convenient, it is not the preferred option for several reasons.
C. While having a colleague who speaks the same language as the client can be helpful, it is not always a reliable option.
D. While electronic translating services can provide a quick solution, they may not always accurately translate medical terminology or convey the nuances of communication.

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A nurse in the emergency department is caring for a client who was sexually assaulted. Which of the following resources will provide the most effective support immediately following the incident?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who reports feeling stress and anxiety. The client appears restless and is pacing in the room. The client is alert and oriented to person, place, and time. Which of the following findings is subjective?

Correct Answer is C

Explanation

A nurse is admitting a client who speaks a different language than the nurse. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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