The Nurse Is Changing an Abdominal Dressing on a Disoriented

question 10

Multiple Choice

The nurse is changing an abdominal dressing on a disoriented 89-year-old man,when he grabs the nurse's breast with both hands and pulls it toward his mouth,muttering something about "Mary" (his wife) .The best therapeutic response is:

• A) Stereotype him as a "dirty old man," and warn the rest of the staff to stay away from him.
• B) Get a physician's order for wrist restraints when nurses go near the patient for activities such as dressings, baths, and feedings.
• C) Maintain eye contact with the patient and then clearly tell him, and repeat, "I am your nurse, I am coming to help you eat, bathe, and change your stomach bandage. I am not Mary."
• D) "That dressing needs changing. Don't be a naughty boy with me again or I will slap your hands and call Mary to come and do all your care herself!"

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Definitions:

Trustee

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