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

Explanation

A. The client has gained 4.5 kg (10 lb) over 8 weeks: Weight gain may indicate changes in diet, activity, or medication, but it does not directly suggest a need for physical therapy. A nutritionist or primary care provider might be more appropriate for follow-up.

B. The caregiver reports that recently the client is incontinent of urine during the day:
Urinary incontinence in clients with Alzheimer's is typically addressed by primary care or urology. It may be related to cognitive decline rather than physical impairment, so physical therapy is not the priority referral.

C. The client is unable to climb the stairs to their bedroom: This mobility limitation increases the risk for falls and functional decline. A physical therapist can assess strength, balance, and coordination, and develop a mobility plan or recommend assistive devices or home modifications.

D. The caregiver reports the client needs assistance with activities of daily living such as bathing: This indicates a need for occupational therapy to enhance independence in daily tasks. While physical therapy may support mobility, ADL support is better addressed by an occupational therapist.

A. Presenting community education programs about stress management B. Assessing for risk factors of partner violence during health examinations C. Developing resources for victims of violence D. Urging community leaders to make nonviolence a priority

Correct Answer is C

Explanation

A. Presenting community education programs about stress management: This is a primary prevention strategy focused on reducing the risk of violence before it occurs by teaching coping skills and promoting mental well-being within the community.

B. Assessing for risk factors of partner violence during health examinations: This represents secondary prevention, which aims to identify and intervene early in potentially harmful situations before they escalate into full-blown violence.

C. Developing resources for victims of violence: This is tertiary prevention because it focuses on managing the long-term consequences of violence and preventing further harm or recurrence by supporting survivors through recovery and rehabilitation services.

D. Urging community leaders to make nonviolence a priority: This is a primary prevention strategy aimed at influencing policy and promoting a culture that reduces the likelihood of violence occurring in the first place.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is C

Explanation

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