A nurse interviews a client suspected of experiencing abuse in their home. What action should the nurse prioritize during the interaction?
Interview the client with their partner present to increase openness.
Focus on gathering information about the client's medical history first.
Ensure the interview is conducted privately to maintain confidentiality.
Ask about physical abuse only as it is easier to verify.
The Correct Answer is C
A. Interviewing the client with their partner present is unsafe and inappropriate when abuse is suspected. The presence of the potential abuser may inhibit disclosure, increase fear, and put the client at risk. Privacy is essential to ensure safety and honest communication.
B. Focusing on medical history first is not the priority in suspected abuse cases. While gathering medical information is important, the initial priority is creating a safe environment for disclosure and ensuring the client is protected from further harm.
C. Ensuring the interview is conducted privately to maintain confidentiality is the priority action. A private setting allows the client to speak openly without fear of retaliation or judgment. Confidentiality builds trust, encourages disclosure of abuse, and enables the nurse to assess safety, plan interventions, and provide appropriate referrals.
D. Asking only about physical abuse is insufficient. Abuse can be physical, emotional, sexual, or financial, and limiting questions to physical abuse may miss other forms of harm, leaving the client vulnerable. Comprehensive assessment is necessary, but it must occur in a private and safe environment first.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This would only provide 40 mg, which is exactly half of the prescribed 80 mg dose.
B. Step 1: Use the formula- Volume to administer (mL) = Desired dose ÷ Concentration. Step 2: Insert known values (Desired dose = 80 mg, Concentration = 40 mg/mL). Volume to administer = 80 ÷ 40 = 2 mL.
C. This would provide 120mg (40 X 3), which is a significant overdose.
D. This would provide 60 mg (40 X 1.5), which is 20 mg short of the required dose.
Correct Answer is B
Explanation
A. An interprofessional team consists of members from different health care professions working collaboratively, such as nurses, physicians, social workers, pharmacists, and therapists. Since the team described includes only LPNs and RNs (both nurses), it does not meet the definition of interprofessional.
B. An intraprofessional team consists of members within the same profession working together. LPNs and RNs are both members of the nursing profession, although they have different scopes of practice and levels of education. Therefore, a team made up of LPNs and RNs is considered an intraprofessional team.
C. A professional organization is an association that supports members of a specific profession through advocacy, education, and standards of practice. It does not directly describe a team providing bedside client care.
D. Shared governance is a leadership and decision-making model in which staff nurses participate in organizational policy development and practice decisions. It refers to management structure rather than a specific care team composition.
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