A nurse is caring for a 35-year-old female client who discloses that she has been experiencing intimate partner violence for the past two years. Which of the following actions should the nurse prioritize when providing care for this client? (Select all that apply)
Create a safety plan with the client for leaving the relationship
Assess the client's physical injuries and document findings
Provide resources for shelters and support groups
Suggest the client keep a journal of her partner's behaviors
The Correct Answer is A
Choice A reason: A safety plan ensures protection from ongoing intimate partner violence, addressing immediate risks. Scientifically, it reduces cortisol-driven stress responses by providing escape strategies, stabilizing emotional regulation. This mitigates trauma’s neurobiological impact, like amygdala hyperactivity, fostering safety and supporting psychological recovery from abuse-related disorders.
Choice B reason: Assessing and documenting injuries confirms abuse and guides care. Physical trauma elevates stress hormones, impacting mental health. Scientifically, thorough evaluation identifies injury severity, supporting legal and medical interventions. This addresses trauma’s physiological and psychological effects, ensuring comprehensive care for abuse survivors.
Choice C reason: Providing resources like shelters and support groups ensures safety and emotional support. Scientifically, access to safe environments lowers cortisol and stabilizes amygdala-driven fear responses. This empowers clients, reducing trauma’s psychological impact and fostering resilience, critical for recovery from intimate partner violence’s long-term effects.
Choice D reason: Keeping a journal may document abuse but isn’t a priority, as it doesn’t ensure immediate safety. Scientifically, focusing on documentation without safety measures risks ongoing trauma, as unaddressed abuse elevates cortisol and amygdala activity, delaying psychological stabilization and recovery from violence-related stress disorders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Five tablets (250 mg) exceed the prescribed 150 mg, risking Sertraline overdose. This SSRI increases serotonin, and excessive dosing may cause serotonin syndrome, with symptoms like agitation or seizures. Scientifically, precise dosing prevents adverse neurological effects, ensuring safe treatment for depression or anxiety.
Choice B reason: Four tablets (200 mg) overdose the patient, exceeding the 150 mg prescription. Sertraline’s serotonin-enhancing effects can lead to toxicity, causing symptoms like nausea or tremors. Scientifically, overdosing disrupts neurotransmitter balance, risking serious side effects, while correct dosing ensures effective mood stabilization without harm.
Choice C reason: Three tablets (150 mg) match the prescribed dose, ensuring therapeutic serotonin levels. Scientifically, accurate Sertraline dosing optimizes neurotransmitter balance, effectively treating depression or anxiety by enhancing serotonin activity in the prefrontal cortex and amygdala, reducing symptoms without risking toxicity or side effects.
Choice D reason: Two tablets (100 mg) underdose the patient, providing insufficient serotonin modulation. Scientifically, subtherapeutic Sertraline levels fail to address neural imbalances in depression or anxiety, risking persistent low mood or panic symptoms, as inadequate dosing doesn’t sufficiently enhance neurotransmitter activity for effective treatment.
Correct Answer is A
Explanation
Choice A reason: A daily routine and relaxation techniques stabilize post-disaster symptoms like nightmares or hyperarousal. Scientifically, routines reduce cortisol, while relaxation calms amygdala activity, promoting emotional regulation. This mitigates trauma’s neurobiological impact, supporting recovery from acute stress or PTSD by fostering predictability and calm.
Choice B reason: Immediate psychiatric referral for medication is premature without assessment. Symptoms like nightmares stem from trauma-induced neural changes. Scientifically, unguided medication risks inappropriate treatment, potentially disrupting neurotransmitter balance and delaying psychological stabilization, as specific trauma needs must be evaluated first for effective care.
Choice C reason: Avoiding trauma discussion may suppress processing, worsening symptoms. Scientifically, unaddressed trauma increases amygdala-driven hyperarousal and cortisol, risking chronic PTSD. Encouraging avoidance delays recovery by preventing engagement with therapeutic interventions needed to reframe trauma’s psychological and neurobiological impact effectively.
Choice D reason: Isolation exacerbates symptoms by limiting support. Post-disaster stress involves heightened amygdala activity, and isolation increases cortisol, worsening anxiety. Scientifically, social withdrawal delays trauma processing, risking chronic mental health issues, as engagement with support systems is critical for stabilizing neurobiological responses and recovery.
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