A nurse is conducting a home visit for a client suspected of experiencing intimate partner violence. The client appears withdrawn, has multiple bruises in various stages of healing, and hesitates when asked about their relationship. The client explains, "He didn't mean to hurt me: it just gets worse sometimes." Which nursing action is most appropriate to promote the client's safety and autonomy?
Advise the client to document all injuries and seek a restraining order.
Encourage the client to immediately leave the relationship for their safety.
Provide nonjudgmental support and educate the client about the cycle.
Refer the client to couples counseling to address relationship issues.
The Correct Answer is C
Rationale:
A. While documentation may be helpful, immediately advising legal action may overwhelm the client and compromise trust if they are not ready.
B. Urging the client to leave immediately may ignore their sense of readiness or fear, which could reduce engagement or increase danger.
C. Offering nonjudgmental support and information about the cycle of abuse promotes both safety and autonomy by helping the client make informed, empowered decisions.
D. Couples counseling is inappropriate in cases of intimate partner violence, as it may place the victim at further risk and shift blame.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. While medication noncompliance and repeated hospitalizations are concerning, they do not alone meet the threshold for involuntary admission without immediate risk.
B. Refusal of treatment and lack of insight (anosognosia) are common in schizophrenia but do not justify involuntary admission unless there is risk of harm.
C. Family concerns are important but not sufficient by themselves to justify involuntary commitment.
D. Involuntary admission is legally justified when a person poses a danger to themselves or others due to mental illness. Wandering into traffic while disoriented and paranoid demonstrates an imminent safety risk.
Correct Answer is A
Explanation
Rationale:
A. Sertraline, a Selective Serotonin Reuptake Inhibitor (SSRI), is FDA-approved and commonly prescribed for panic disorder as a first-line long-term treatment.
B. Citalopram is also an SSRI, but it is not first-line or FDA-approved specifically for panic disorder.
C. Lorazepam, a benzodiazepine, can be used for short-term relief of panic symptoms, but it is not recommended for long-term management due to risk of dependence.
D. Propranolol, a beta-blocker, may help with physical symptoms of anxiety, such as tremors or tachycardia, but it is not a primary treatment for panic disorder.
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