A nurse is caring for a client who was admitted for suspected abuse.
The client is quiet and withdrawn.
Which of the following actions should the nurse take to promote client communication?
Invite a family member to be present for the nursing history.
Be direct and honest when speaking with the client.
Probe the client to offer a factual account of the abuse.
Provide basic wound care for obvious physical injuries.
The Correct Answer is B
Choice A rationale
Having family members present during communication can inhibit openness, as clients might fear judgment or repercussions from family disclosure about sensitive issues.
Choice B rationale
Direct and honest communication fosters trust and encourages abused clients to open up, improving engagement in care and emotional expression without feeling coerced.
Choice C rationale
Probing for factual accounts may seem invasive and can deter communication, increasing stress levels for withdrawn clients who are hesitant to share details.
Choice D rationale
Providing basic wound care addresses physical needs but fails to promote emotional communication, which is critical in cases of suspected abuse. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Vulnerable populations often face barriers such as work schedules interfering with healthcare access. Scheduling flexibility ensures they attend appointments, reducing missed care opportunities and improving outcomes.
Choice B rationale
Obtaining an interpreter ensures communication accuracy for non-English speakers, reducing errors in treatment plans and improving health literacy. This practice adheres to professional standards and client-centered care principles.
Choice C rationale
Assuming all Hispanic immigrants have close-knit families disregards cultural diversity within the group, promoting stereotyping rather than addressing individual client needs. Effective care requires understanding unique circumstances rather than generalized assumptions.
Choice D rationale
Addressing multiple concerns in one visit maximizes efficiency for clients with limited access to healthcare. Comprehensive care reduces follow-up needs, improving health outcomes for vulnerable populations.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
Policy development influences resource allocation and societal structure, while income determines access to healthcare, education, and living standards, making them critical social determinants of health.
Choice B rationale
The physical environment impacts health through factors like air quality, housing safety, and access to green spaces, aligning with WHO’s identification of leading determinants.
Choice C rationale
Social support networks foster emotional and practical assistance, reducing stress and enhancing resilience, underscoring their importance as a determinant of health.
Choice D rationale
Education shapes health literacy and economic opportunities, directly influencing health outcomes, making it a primary focus in WHO’s determinants framework. .
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