A client in the emergency department who has been raped says repeatedly, “if only I hadn’t worn that sexy dress.” Which response by a nurse is appropriate?

“It wouldn’t have mattered what you had worn.”.

“The current styles are an invitation to disaster.”.

“Never mind about blame.

That will be determined by the court.”.

Answer and Explanation

The Correct Answer is A

“It wouldn’t have mattered what you had worn.” This response by a nurse is appropriate because it validates the client’s feelings and helps to reduce self-blame. It also conveys that rape is not caused by the victim’s clothing or behavior, but by the perpetrator’s violence and lack of respect.

Choice B. “The current styles are an invitation to disaster.” is wrong because it implies that the client is responsible for the rape and that she could have prevented it by dressing differently. This response is judgmental and insensitive, and may increase the client’s guilt and shame.

Choice C. “Never mind about blame.

That will be determined by the court.” is wrong because it dismisses the client’s feelings and does not address her emotional needs.

It also suggests that the nurse does not believe the client or support her. This response may make the client feel isolated and distrustful.

Choice D. “Some people don’t have very good self-control.

We have to help them all we can.” is wrong because it excuses the perpetrator’s behavior and shifts the blame to the victim.

It also implies that rape is a result of sexual desire, rather than an act of violence and domination. This response may make the client feel powerless and helpless.

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Correct Answer is D

Explanation

Insulin regular (Humulin-R) is the only form of insulin that is safe for intravenous administration. This is because it is a short-acting insulin that has a rapid onset and peak time, and does not contain any additives or suspensions that could interfere with the infusion.

Choice A is wrong because insulin aspart (Novo Log) is a rapid-acting insulin that is usually taken right before a meal. It is not suitable for intravenous use because it has a different amino acid sequence than human insulin.

Choice B is wrong because insulin glargine (Lantus) is a long-acting insulin that covers insulin needs for about a full day. It is not suitable for intravenous use because it forms micro-precipitates under the skin that release insulin slowly and steadily.

Choice C is wrong because insulin lispro (Humalog) is a rapid-acting insulin that is usually taken right before a meal. It is not suitable for intravenous use because it has a different amino acid sequence than human insulin.

A. Malice. B. Malpractice. C. Negligence. D. Assault and battery.

Correct Answer is D

Explanation

This is because assault is the threat of harm or unwanted contact, and battery is the actual physical contact without consent.

If the nurse administers the injection despite the client’s refusal, the nurse is violating the client’s autonomy and right to refuse treatment, and is committing both assault and battery.

Choice A is wrong because malice means having a deliberate intention to harm someone. The nurse may not have malice but may be acting out of ignorance or negligence.

Choice B is wrong because malpractice means a failure to meet a standard of care or conduct that causes injury or damage to a patient.

The nurse may be guilty of malpractice, but this is not the best term to describe the nurse’s action.

Choice C is wrong because negligence means a lack of care or skill that results in harm or injury.

The nurse may be negligent, but this is not the best term to describe the nurse’s action.

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A client in the emergency department who has been raped says repeatedly, “if only I hadn’t worn that sexy dress.” Which response by a nurse is appropriate?

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Naxlex Comprehensive Predictor Exams

A client who has a blood glucose level of 800 mg/dL is to receive insulin intravenously. Which form of insulin is safe for intravenous administration?

Correct Answer is D

Explanation

A client has lorazepam prescribed before surgery and refuses the injection. If the nurse administers the scheduled injection despite the client’s lack of consent, which term best describes the nurse’s action?

Correct Answer is D

Explanation

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