Exam 32: Violence

A pediatric nurse is caring for an 18-month-old client.While making rounds the nurse enters the room and finds the infant's father violently shaking the infant.The father attempts to make it appear as though the infant was choking.Upon further assessment the nurse notes bruised areas on the infant's arms and legs.What is a priority action for the nurse to take?

A school-age client is admitted with dog bites and scratches obtained when throwing rocks at a neighbor's dog.Which action by the nurse is most appropriate?

The nurse is providing care for a 2-year-old client.When assessing the client's risk for abuse,which increase this client's risk? Select all that apply.

The nurse is completing a morning assessment on an older adult Asian client.Assessment findings reveal circular red welts over the client's upper back with several bruised areas.Which nursing action is the most appropriate?

Which observation indicates that interventions provided to a client with neck injuries from a motor vehicle crash have been successful?

Which assessment findings increase a client's risk for suicidal ideation or behavior? Select all that apply.

The school nurse is leading a discussion on violence with a group of adolescents.Which factors could the school nurse indicate as protective factors that may decrease the risk of violence? Select all that apply.

The family of a victim of a gunshot wound is asking emergency department personnel if they could find out the status of their family member.Which action by the nurse is appropriate?

A client with a long history of experiencing domestic violence tells the nurse,"There is no way out for me; this situation will never change." What nursing diagnosis would be most appropriate?

An older adult male is transported to the emergency department after a motor vehicle crash.Which risk factors are most common for this age group? Select all that apply.

A young female client presents to the emergency department with vague physical symptoms and does not make eye contact with the nurse during the interview.Which assessment question from the nurse is the most appropriate to gain understanding of the cause of the client's symptoms?

A nursing instructor is educating a group of students on culture and diversity as it relates to homicide.Which statement made by a student nurse would indicate to the instructor that further education is needed?

The nurse working in the emergency department is aware that rape victims initially exhibit which emotions? Select all that apply.

A client admitted with injuries after being involved in a motor vehicle crash states to the nurse,"every time I close my eyes I see the truck coming." Which is the priority nursing diagnosis for this client?

A client was admitted with a gunshot wound sustained during a robbery.What does the nurse suspect contributed to this client's injury?

What would the nurse working in the emergency department identify as clinical priorities for the treatment of a client with a gunshot wound? Select all that apply.

A client with a walking disability tells the nurse that going out alone at night is not an option for fear of being a target for a crime.Which has the client identified based on this data?

A client is brought into the emergency department after being in a motor vehicle accident.The client has suffered traumatic injury that may involve multiple body systems.Which is the priority nursing assessment for this client?

A client is brought into the emergency department after being assaulted.It is suspected that the client has a spinal cord injury.Which diagnostic test does the nurse anticipate based on the data collected?

A nurse is conducting an admission assessment on a client admitted for thoughts of suicide..Which assessment findings would indicate that the client is at a low level risk of suicide? Select all that apply.