A client presents to the emergency department (ED reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is best for the nurse to use when interviewing the client?

Share personal values to put the client at ease.

Get the most difficult questions over with first.

Ask questions in a vague, non-specific format.

Begin with questions that are less sensitive in nature.

Answer and Explanation

The Correct Answer is D

A.   Share personal values to put the client at ease: Sharing personal values may not be appropriate and could potentially alienate the client or make them feel judged.
B.   Get the most difficult questions over with first: Starting with difficult questions may increase the client's defensiveness and resistance to sharing information.
C.   Ask questions in a vague, non-specific format: Being vague may not elicit the necessary information and could lead to misunderstandings or incomplete responses.
D.   Begin with questions that are less sensitive in nature: Starting with less sensitive questions helps build rapport and trust with the client before addressing more sensitive topics like domestic violence. It allows the client to feel more comfortable and may increase the likelihood of obtaining accurate information.

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Correct Answer is A

Explanation

A. "I can only give medical information to your child because the client is an adult.": This
response respects the client's autonomy and confidentiality as an adult and upholds legal and ethical principles regarding patient privacy.
B. "I'm sorry, but your child's medical information is none of your business.": This response is dismissive and disrespectful, violating the client's right to privacy and confidentiality.
C. "The healthcare provider will share this information with you.": While healthcare providers may share information with family members if the client consents or if it's deemed necessary for the client's care, this response does not address the legal and ethical considerations regarding patient confidentiality and autonomy.
D. "I can give you those results as soon as I get them back from the lab.": This response does not address the issue of patient confidentiality and may inadvertently disclose sensitive medical information without the client's consent.

A. Clients who incurred disease complications promptly received rehabilitation. B. More than half of at-risk clients were diagnosed early in their disease process. C. Average client scores improved on specific risk factor knowledge tests. D. New screening protocols were developed, validated, and implemented.

Correct Answer is C

Explanation

A. Clients who incurred disease complications promptly received rehabilitation: This outcome suggests that the focus is on secondary prevention rather than primary prevention.
B. More than half of at-risk clients were diagnosed early in their disease process: While early diagnosis is important, it is not a direct measure of the effectiveness of a primary prevention program.
C. Average client scores improved on specific risk factor knowledge tests: This outcome indicates that clients are better informed about risk factors for sexually transmitted diseases, suggesting that the primary prevention program has been effective in increasing awareness and knowledge.
D. New screening protocols were developed, validated, and implemented: While developing new screening protocols may be beneficial, it does not directly measure the effectiveness of the
primary prevention program.

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A client presents to the emergency department (ED reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is best for the nurse to use when interviewing the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 22-year-old client is admitted to the hospital in diabetic ketoacidosis (DKA. The client's parent is insisting to know the laboratory test results. Which is the best response for the nurse to provide?

Correct Answer is A

Explanation

The nurse implements a primary prevention program for sexually transmitted diseases in a nurse managed health center. Which outcome indicates that the program was effective?

Correct Answer is C

Explanation

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