A nurse is planning a brief treatment program for a client who was raped. A realistic, short-term goal is to ______________.
Answer(s): D
A realistic short-term goal is for the client to verbalize feelings about the event.A brief treatment program is not designed to identify or resolve problems. The focus is on managing acute symptoms. If in-depth psychological problems are identified, the nurse might make referrals for treatment.
The nurse wishes to decrease a client’s use of denial and increase the client’s expression of feelings. To do this the nurse should ______________.
Answer(s): B
The nurse should positively reinforce each expression of feelings.
A 57-year-old woman is recently widowed. She states, “I will never be able to learn how to manage the finances. My husband did all of that.”Select the nurse’s response that could help raise the client’s self-esteem.
Answer(s): C
The nurse can raise the client’s self-esteem by communicating confidence the client can participate in actively finding solutions to the problem.The nurse also conveys the client is a worthwhile person by listening and accepting the client’s feelings and praising the client for seeking assistance.
An elderly client denies that abuse is occurring.Which of the following factors could be a barrier for the client to admit being a victim?
Barriers to reporting elder abuse include victim shame, fear of reprisals, fear of loss of caregiver, and lack of knowledge of agencies that provide services. Many elders fear that reporting abuse results in their placement in long-term care because the current caregiver is the abuser.Choices “knowledge that elder abuse is rare” and “lack of developmentally appropriate screening tools” are incorrect.Choice “personal belief that abuse is deserved” might be true but is not the best choice.
The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?
Using a direct approach is best when asking about suspected abuse. Clients are reluctant to report abuse because of shame and fear of reprisal.
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