A client admits to having been battered by her live-in partner several times over the past two years. The client states to the nurse, "We plan to get married next June, and I think things will be better after the wedding. He is always so sorry afterward, that I think I can trust him to change." Which intervention should be included in the client's teaching plan?

Assist her in developing an emergency plan, because the pattern of violence is likely to continue.

Emphasize that the battering pattern usually remains the same in frequency and severity over time.

Discourage her hope that the battering will end after they are married.

Assist her in enrolling in a class to learn techniques of self-defense.

Answer and Explanation

The Correct Answer is A

A. Developing an emergency plan is crucial because patterns of violence often continue or escalate, and having a plan can help ensure the client’s safety.

B. While battering patterns often persist, focusing on immediate safety measures like an emergency plan is more practical.

C. Discouraging hope might not be supportive; instead, focusing on practical safety measures is more helpful.

D. Learning self-defense might not address the root issue of the violence and does not ensure safety in abusive situations.

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Correct Answer is C

Explanation

A. Asking the client if they are comfortable calling 9-1-1 is an appropriate action. It involves assessing the client's readiness and comfort level in seeking emergency help.

B. A nurse-client dialogue about specific steps the client can take to stay safe is important for empowering the client with knowledge and strategies for protection.

C. Insisting that the client act on the plan the next time their safety is threatened may be inappropriate as it can impose undue pressure on the client, who might feel trapped or fearful. The nurse should support the client's choices and provide options rather than insist on actions.

D. A nurse-client dialogue about the potential barriers to safety is crucial for understanding and addressing obstacles that might prevent the client from seeking help or staying safe.

A. Have suspicions that the abuse has occurred B. Have verbal admission from the victim that the abuse/neglect has occurred. C. Obtain the supervisor's permission to generate the report D. Notify the parents of the intent to file the report.

Correct Answer is A

Explanation

A. Nurses are mandated reporters and must report suspicions of abuse or neglect, regardless of concrete evidence or verbal admission.

B. A verbal admission from the victim is not required; suspicions alone are sufficient to make a report.

C. While notifying a supervisor may be part of internal protocols, it is not a legal requirement for making a report.

D. Notifying the parents may not be safe or appropriate in cases of abuse, and it is not a requirement for reporting abuse or neglect.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After educating a new nurse about how to approach a victim of human trafficking, which of the following topics, if verbalized by the nurse, would indicate the need for additional instruction?

Correct Answer is C

Explanation

The nurse is considering making a child abuse or neglect report to protective services. To initiate a report on child abuse or neglect, which of the following criteria does the nurse need to meet?

Correct Answer is A

Explanation

An occupational health nurse practitioner's physical assessment of a factory worker identifies an acute-onset pruritic dermatitis extending over the face, hands, neck, and forearms. The nurse's priorities should be to do which of the following?

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The nurse is teaching a group of staff nurses about the influence of religion and spirituality on clients and their decisions about health care. Which of the following statements would be appropriate for the nurse to include?

Guidelines for communicating with a client whose ability to speak and understand English is questionable include which of the following? (Select all that apply)

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