A client who has survived a sexual assault arrives in the emergency department and states to the nurse, “I feel so dirty. Help me take a shower before I get examined.”Which interventions should the nurse provide at this time? (Select all that apply.)

A 34-year-old client is admitted to the psychiatric unit after a suicide attempt by overdose. The client tells the nurse, “I’ll probably try again if I get the chance.” Which nursing interventions are most appropriate to implement at this time? Select all that apply.

A nurse is caring for an older adult receiving hospice services at home. The patient is weak, has a poor appetite, and reports occasional shortness of breath and pain.Which nursing actions are most appropriate in providing hospice care? (Select all that apply.)

A new client at the sleep disorders clinic tells the nurse, “I have not slept well in a year, so I never feel good. I do not expect things will ever improve or be any different.” What interventions should the nurse consider including? Select all that apply.

A client admitted for injuries sustained while intoxicated has been hospitalized for 48 hours. The client is now shaky, irritable, anxious, diaphoretic, and reports nightmares. The pulse rate is 130 beats/minute. The client shouts, “Bugs are crawling on my bed. I’ve got to get out of here.” What is the most accurate assessment of this situation?

A nurse is planning care for a client diagnosed with severe, late-stage Alzheimer’s disease. Which nursing diagnoses are most applicable? Select all that apply.

An emergency department nurse is providing discharge teaching to a client diagnosed with rape-trauma syndrome. The nurse explains that long-term reactions can occur weeks to months after the assault.Which symptoms should the nurse include in the teaching? (Select all that apply.)

A nurse and a social worker are co-leading a reminiscence group for eight “young-old” adults (ages 65-74 years). The purpose of the group is to promote psychosocial well-being and support life review.Which activity would be most appropriate to include in the group?

A community health nurse visits a family where a 10-year-old is responsible for caring for younger siblings while the parents are at work because the family cannot afford childcare. During the visit, the child states, “My father doesn’t like me. He calls me stupid all the time.” The mother adds that the father is easily frustrated and has difficulty disciplining the children.Which community resources should the nurse prioritize to help stabilize this family’s home situation? (Select all that apply.)

A community health nurse is conducting a home visit with a family of four children. During the visit, the father becomes angry, finds fault with the oldest child, and repeatedly asks, “Why are you such a stupid kid?” The mother adds, “I have difficulty disciplining the children. It’s so frustrating.”Which responses by the nurse would best facilitate effective communication and promote further discussion with the parents? (Select all that apply.)