A female comes to the Emergency Department with a broken wrist and severe bruises from a beating by her husband. She states that she does not want to leave the relationship at this time. The most appropriate response by the nurse is:
will help you leave this relationship"
You need to report your husband to the police"
Let's develop a safety plan for repeated violence"
Here is a list of services that can help you"
The Correct Answer is C
A. "I will help you leave this relationship" is not an appropriate response because it assumes the nurse knows what is best for the patient and does not respect her autonomy or immediate choices. The patient has clearly stated she does not want to leave the relationship at this time.
B. "You need to report your husband to the police" is an invasive and potentially coercive statement. While reporting abuse is important, the nurse should provide information and support, not force actions the patient may not be ready to take. Pressuring her could escalate the situation and harm the patient’s trust in healthcare providers.
C. "Let's develop a safety plan for repeated violence" is the most supportive and patient-centered response. It acknowledges the reality of the abuse while offering a non-judgmental, practical approach to help her stay safe. The nurse is giving the patient the option to make informed decisions about her safety, which is empowering.
D. "Here is a list of services that can help you" is helpful, but it lacks the active engagement the patient may need. Developing a personalized safety plan is more immediate and relevant for someone experiencing ongoing abuse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Limit conversations and redirect to complete ADLs may be too restrictive and does not support therapeutic communication. While redirection can be helpful, limiting conversations may increase confusion and isolation in patients with Alzheimer's disease.
B. Use short, simple words and phrases is the most effective communication strategy. Patients with Alzheimer's disease often have difficulty processing complex information, so clear, simple, and concise language helps them better understand and reduces frustration.
C. Confront patient’s delusions and provide reality orientation is not recommended. Confronting delusions can lead to increased agitation and distress. A more supportive approach, such as using validation therapy or gentle redirection, is typically more therapeutic.
D. Talk with the patient about abstract ideas is not appropriate. Individuals with Alzheimer's often have difficulty understanding abstract concepts. Concrete, straightforward communication is more effective for maintaining engagement and reducing confusion.
Correct Answer is A
Explanation
A. Ageism refers to stereotyping, prejudice, or discrimination based on a person's age. This can occur against any age group but is often directed at older adults, where they may be perceived as less capable, frail, or irrelevant due to their age.
B. Sexism refers to discrimination based on gender, usually against women, but can apply to any gender. It involves biased attitudes, behaviors, or practices that disadvantage individuals based on their gender.
C. Bias refers to a tendency to favor or prejudice one group over another. While bias can be related to age, it is a broader term and is not specific to age groups.
D. Discrimination is the unjust or prejudicial treatment of different categories of people or things, and it can involve ageism, sexism, racism, etc. However, ageism is a more specific term when the discrimination is based on age.
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