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 A

Explanation

A. Young children, especially toddlers who engage in hand-to-mouth activities and play on aging outdoor playground equipment, are at high risk of lead poisoning due to potential exposure to
lead-based paint or contaminated soil.
B. While children with certain medical conditions may be more susceptible to the effects of lead poisoning, such as those with iron deficiency anemia or poor nutrition, having Type 1 diabetes mellitus does not directly increase the risk of lead exposure.
C. Children living in housing projects may be at increased risk of lead exposure due to deteriorating paint or other environmental factors, but the specific activity of playing on aging outdoor playground equipment poses a more immediate risk.
D. Adolescents working in environments where lead exposure is possible, such as a paint factory, are at risk of lead poisoning. However, the scenario of playing on aging outdoor playground
equipment presents a higher risk due to the potential for direct contact with lead-based paint or contaminated soil during play.

A. Suggest contacting the healthcare provider for a prescription for catheter insertion. B. Recommend a complete bath to cleanse the perineal area more fully. C. Evaluate the effectiveness of this measure to stimulate client voiding. D. Instruct the PN that this technique promotes infection in elderly females.

Correct Answer is C

Explanation

A. Suggest contacting the healthcare provider for a prescription for catheter insertion: Catheter insertion may not be necessary if the client is able to void with this technique. It's important to evaluate less invasive measures first.
B. Recommend a complete bath to cleanse the perineal area more fully: While cleanliness is important, the immediate concern is addressing urinary incontinence and promoting voiding.
C. Evaluate the effectiveness of this measure to stimulate client voiding: Warm water can sometimes stimulate voiding reflexes in clients who have difficulty emptying their bladders. Assessing the client's response to this measure is appropriate.
D. Instruct the PN that this technique promotes infection in elderly females: Pouring warm water over the perineal area does not necessarily promote infection, especially if proper hygiene
measures are followed. It's important to assess the effectiveness of the intervention before assuming it is inappropriate.

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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 is conducting Intake Interviews of children at a city clinic. Which child is most susceptible to contracting lead poisoning?

Correct Answer is A

Explanation

The nurse observes a practical nurse (PN) pouring warm water over the perineal area of a female client who has frequent urinary incontinence while the client is positioned on a bedpan. Which action should the nurse take?

Correct Answer is C

Explanation

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