A nurse is caring for a client in the emergency department who states she was beaten and
sexually assault by her partner. After a rapid assessment, which of the following actions
should the nurse plan to take next?
a. Conduct a pregnancy test
b. Requests mental health consultation for the client
c. Provide a trained advocate to stay with the client
d. Offer prophylactic medication to prevent STI’s
, 6. A nurse is caring for a client who has major depressive disorder. After discussing the treatment
with his partner, the client verbally agrees to electroconvulsive therapy (ECT) but will not sign
the consent form. Which of the following actions should the nurse take?
a. Request that the client’s partner sign the consent form
b. Cancel the scheduled ECT procedure
c. Proceed with the preparation for ECT based on implied consent
d. Inform the client about the risks of refusing the ECT
7. A nurse is caring for a client who reports that he is angry with his partner because she thinks
he is just trying to gain attention. When the nurse attempts to talk to the client, he
becomes angry and tells her to leave. Which of the following defense mechanisms is the
client demonstrating?
a. Rationalization
b. Denial
c. Compensation
d. Displacement
8. A nursing is advising an assistive personnel (AP) on the care of a client who has major depressive
disorder. The AP states that he is irritated by the client’s
depression. Which of the following statements by the nurse is appropriate?
a. Please don’t take what the client said seriously when she is depressed
b. It’s important that the client feel safe verbalizing how she is feeling
c. Everybody feels that way about this client so don’t worry about it
d. I’ll change your assignment to someone who doesn’t have depressive disorder
9. A nurse is assessing a child in the emergency department. Which of the following findings places
the child at the greatest risk for physical abuse?
a. The child is 10years old
b. The child is home-schooled
c. The has no siblings
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