The nurse is completing an assessment of a client who was sexually assaulted. What assessment should the nurse conduct last?
Assessment of the lower extremities
Assessment of the posterior thorax
Assessment of the abdomen
Assessment of the genitalia and rectum
The Correct Answer is D
Given the traumatic nature of sexual assault and the potential for re-traumatization, the assessment of the genitalia and rectum should be conducted last. This allows the nurse to build rapport with the client, establish trust, and address any immediate concerns or needs before proceeding with a potentially distressing examination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Leaning away from the client throughout the interview can convey a lack of interest or engagement in the conversation. It may appear as though the nurse is disinterested or uncomfortable, which could negatively impact the client's perception of the interaction.
A. Sitting at a slight angle across from the client is generally considered appropriate and allows for a comfortable and natural interaction
C. Maintaining an upright posture demonstrates attentiveness and professionalism during the interview.
D. Maintaining eye contact throughout the interview is generally considered a positive nonverbal behavior as it shows attentiveness, respect, and interest in the client's concerns.
Correct Answer is C
Explanation
Understanding a client's cultural and spiritual beliefs can indeed empower them to be engaged in their personal care. By incorporating their beliefs into the care plan, the client may feel more respected, understood, and motivated to participate in their treatment.
A. Familiarity with cultural and spiritual beliefs allows the nurse to provide care that aligns with the client's values and practices, potentially reducing anxiety or distress but is not directly related to schizophrenia
B. While knowledge of cultural and spiritual beliefs is important for holistic care, it may not directly aid in the detection of changes in the client's condition related to schizophrenia.
D. While exploring a client's cultural and spiritual beliefs may spark interest in learning more about their culture, this may not necessarily be the primary purpose for collecting this information in the context of caring for someone with schizophrenia.
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.