A nurse in a community health center is counseling a group of clients who are currently experiencing partner violence. Which of the following strategies is the priority for the nurse to include in the counseling?

Developing an escape plans.

Using stress management techniques

Identifying a primary support person.

Providing referrals for legal counseling.

Answer and Explanation

The Correct Answer is A

A. Developing an escape plan: Ensuring the client's immediate safety is the top priority in cases of partner violence. Creating a personalized and practical escape plan can help the client prepare for a quick exit during a dangerous situation, potentially preventing serious harm or fatality.

B. Using stress management techniques: While managing stress is important for mental health, it does not directly address the urgent physical safety needs of someone in an abusive situation. It is better suited for long-term recovery rather than immediate intervention.

C. Identifying a primary support person: Having emotional and logistical support is helpful, but it is a secondary step after ensuring safety. In some cases, reaching out to others without a plan may even increase risk if not done cautiously.

D. Providing referrals for legal counseling: Legal support is essential in the long term to address restraining orders, custody, or separation, but it should follow immediate safety planning. Legal action without safety precautions could escalate the abuse.

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Correct Answer is ["C","E"]

Explanation

• Nurse 1: Arranging meetings and establishing screening tools are activities related to the planning and implementation phases rather than evaluation, focusing on preparing and initiating the program.
• Nurse 2: Explaining informed consent and meeting with clients to explain services are part of the implementation phase, ensuring clients understand and receive services.
• Nurse 3: Examining emergency department visit frequency after program implementation reflects evaluation by assessing outcomes and the program’s impact on client health and service utilization.
• Nurse 4: Meeting with mental health providers and sending contracts relate to planning and implementation phases, focusing on resource coordination and service agreements.
• Nurse 5: Reviewing satisfaction surveys after caregiver meetings involves evaluation, as it collects and analyzes feedback to measure program effectiveness and identify areas for improvement.

A. Maintain a BMI between 28 and 32. B. Participate in weight-bearing exercises. C. Complete a lead poisoning screening every two years D. Receive an influenza vaccine every year. E. Limit alcohol to no more than one drink per day or four per week

Correct Answer is ["B","D","E"]

Explanation

A. Maintain a BMI between 28 and 32: A healthy BMI range is typically 18.5 to 24.9. A BMI of 28–32 is considered overweight or obese, which increases the risk for cardiovascular disease, diabetes, and joint problems. Therefore, this is not a recommended target for older adults.

B. Participate in weight-bearing exercises: Weight-bearing activities, such as walking or light strength training, help maintain bone density and prevent osteoporosis. They also support mobility, balance, and cardiovascular health in older adults.

C. Complete a lead poisoning screening every two years: Lead screening is generally targeted toward children or adults at occupational risk. Routine screening for lead poisoning is not recommended for older adults unless specific exposure risk is identified.

D. Receive an influenza vaccine every year: Yearly influenza vaccination is recommended for older adults due to their increased risk of complications from flu infections. It is a key component of preventive care.

E. Limit alcohol to no more than one drink per day or four per week: Older adults metabolize alcohol differently and are more sensitive to its effects. Limiting intake as recommended reduces the risk of falls, liver damage, and interactions with medications.

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A nurse in a community health center is counseling a group of clients who are currently experiencing partner violence. Which of the following strategies is the priority for the nurse to include in the counseling?

Nursing Test Bank

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