A community health nurse is providing education to a group of newly licensed nurses about intimate partner violence.
Which of the following risk factors should the nurse include in the education?
Use of alcohol at the time of the event.
Survivor age greater than 45 years old.
Residing in a high-income area.
Identifying as heterosexual.
The Correct Answer is A
Choice A rationale
Substance use, particularly alcohol, is a significant risk factor for intimate partner violence (IPV). Alcohol consumption can lower inhibitions, impair judgment, and increase aggression, making an individual more likely to perpetrate violence. The correlation is well-documented in research, as it can escalate conflict and reduce a person's ability to control their impulses.
Choice B rationale
While IPV can occur at any age, the risk is not specifically associated with being over 45 years old. Research indicates that young adults and adolescents are often at a higher risk of experiencing IPV. The age of the survivor is not a reliable predictor of the risk of violence, and focusing on this demographic may overlook other vulnerable populations.
Choice C rationale
Intimate partner violence occurs across all socioeconomic strata. Residing in a high-income area does not provide protection against IPV. Studies have shown that perpetrators and survivors can come from any economic background, and financial stability does not mitigate the risk of violence. It is a pervasive issue regardless of income.
Choice D rationale
Intimate partner violence is not specific to any sexual orientation. It is a pervasive issue that affects individuals of all sexual orientations, including heterosexual, homosexual, bisexual, and transgender relationships. Attributing IPV as a risk factor solely to heterosexual relationships ignores the significant prevalence of violence within the LGBTQ+ community.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Creating a free exercise program for adults who have cardiovascular disease is an example of tertiary prevention. Tertiary prevention aims to prevent disease complications and improve the quality of life for individuals who already have a health condition. This intervention focuses on managing the existing disease rather than preventing its initial occurrence in a healthy population.
Choice B rationale
Implementing immunization clinics is a classic example of primary prevention. Primary prevention activities are designed to prevent the onset of a disease or injury by targeting healthy individuals. Immunizations work by stimulating a person's immune system to create antibodies, thereby preventing the development of infectious diseases before they occur in the community.
Choice C rationale
Providing tuberculosis screenings is a form of secondary prevention. Secondary prevention focuses on the early detection and treatment of a disease to prevent it from progressing. Screening for tuberculosis allows for the identification of asymptomatic individuals who may have been exposed, enabling prompt treatment to prevent the development of active disease and further transmission.
Choice D rationale
Administering immunoglobulin after exposure to a disease is considered secondary prevention. This intervention aims to prevent the development of an illness in an individual who has already been exposed to a pathogen, thereby halting or minimizing the progression of the disease. It is not preventing the initial exposure, but rather the subsequent clinical illness.
Correct Answer is B
Explanation
Choice A rationale
The nurse’s role is to act as a facilitator and advocate for the client's autonomy, not to give advice. Advising the client on specific decisions could be seen as coercion and would violate the principle of self-determination. The client should make decisions based on their own values and wishes.
Choice B rationale
A durable medical power of attorney (DPOA) is a person designated to make healthcare decisions for the client if they become unable to do so themselves. It's crucial for the DPOA to be aware of the client's advance directives to ensure their decisions align with the client’s wishes, thereby honoring their autonomy and intent.
Choice C rationale
An advance directive is a legal document and must be included in the client's medical record. This ensures that the healthcare team is aware of the client's wishes regarding their care, and is a legal and ethical requirement. The document needs to be easily accessible to all healthcare providers involved in the client’s care.
Choice D rationale
Advance directives are broad legal documents that can cover various aspects of care, not just a do-not-resuscitate (DNR) order. They can include a living will, which specifies preferences for life-sustaining treatments, as well as the appointment of a healthcare proxy or DPOA to make decisions on their behalf.
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