A pregnant female come to the Emergency Department with bruises on her arms and abdomen after a fight with her boyfriend. The nurse would determine which of the following to be the priority for teaching with this client?
Childbirth classes to prepare for the birth
Risks of pregnancy complications caused by abuse
Instructions on the use of resources available to her
Available resources on domestic violence
The Correct Answer is D
A. Childbirth classes to prepare for the birth may be relevant, but they are not the priority in this situation. The immediate concern is the safety and well-being of the pregnant woman and her ability to address the abuse.
B. Risks of pregnancy complications caused by abuse are important to discuss, but the priority at this moment should be ensuring the woman knows where to get help and support regarding the domestic violence she is experiencing.
C. Instructions on the use of resources available to her may be important, but the most immediate concern is ensuring she is aware of domestic violence resources that can help her escape further harm.
D. Available resources on domestic violence should be the priority. The nurse needs to ensure that the woman knows how to access safe spaces and support systems to escape from the abusive relationship. Domestic violence poses immediate risk to both the woman and her pregnancy, and addressing it must be the first step in the care plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Lewy body disease is a progressive neurological disorder that affects cognition, movement, and behavior. However, it is primarily characterized by symptoms like visual hallucinations, fluctuating cognitive abilities, and Parkinsonism, not primarily uncontrolled movements as in Huntington's disease.
B. Traumatic brain injury (TBI) refers to damage to the brain due to external physical force, such as from a fall or accident. While TBI can lead to cognitive and emotional changes, it does not cause the uncontrolled movements seen in Huntington's disease.
C. Huntington chorea is a progressive brain disorder caused by a genetic mutation. It is characterized by uncontrolled movements (chorea), emotional problems, and cognitive dysfunction. It primarily affects movement, mood, and cognitive function over time.
D. Alzheimer's disease is a progressive neurodegenerative disease primarily characterized by memory loss, confusion, and cognitive decline. It does not typically cause uncontrolled movements like those seen in Huntington's disease.
Correct Answer is C
Explanation
A. Identifying stressors negatively affecting self may be useful in some mental health conditions but is less relevant for delirium caused by fever and dehydration. Delirium is primarily an acute, reversible condition that is related to physiological causes, such as infection or dehydration, rather than emotional or psychological stressors.
B. Demonstrating motor responses to noxious stimuli refers to a neurophysiological response and is not the primary goal in the treatment of delirium. In delirium, the focus is on addressing the underlying cause (e.g., fever, dehydration), managing symptoms, and restoring cognitive function, rather than evaluating motor responses.
C. Returning to premorbid levels of function is the most appropriate and relevant goal for a patient experiencing delirium due to fever and dehydration. Since delirium in this context is often reversible once the underlying causes (such as dehydration and fever) are addressed, the desired outcome is to help the patient recover and return to their previous level of functioning and cognitive baseline. This is the primary goal of treatment for delirium caused by an acute, reversible condition.
D. Exerting control over responses to perceptual distortions could be a helpful goal in managing patients with psychotic or more chronic cognitive conditions, but delirium primarily affects acute cognitive states. While delirium can involve perceptual distortions, the main focus in treating delirium is addressing the underlying causes and promoting recovery to the patient's previous cognitive state.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.