A nurse is working in the emergency department, and is conducting an interview with a victim of intimate partner abuse. Which step should the nurse take first?

Establish a rapport with the victim and the abuser.

Request the presence of a security guard.

Contact the appropriate legal services.

Ensure privacy for interviewing the victim away from the abuser.

Answer and Explanation

The Correct Answer is D

A. Establish a rapport with the victim and the abuser: While establishing rapport with the victim is important, it is essential to first ensure the victim’s safety and privacy. The abuser should not be present during this interview because it could lead to intimidation and prevent the victim from being open and honest.

B. Request the presence of a security guard: While security may be necessary if there is a concern about the victim’s immediate safety, the priority should be to establish privacy for the interview. If the situation becomes dangerous, security can be called afterward.

C. Contact the appropriate legal services: Legal services may be contacted later, but the immediate priority is to ensure that the victim has the opportunity to speak without fear of the abuser’s presence. Legal support and other services can be arranged after the interview.

D. Ensure privacy for interviewing the victim away from the abuser: The victim must feel safe to speak honestly and openly about the abuse. To ensure confidentiality and prevent the abuser from overhearing, the nurse must first create a private space for the interview. This step is critical for establishing trust and gaining accurate information about the situation.

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Correct Answer is A

Explanation

A. Improving ventilation and increasing cleaning frequency addresses the environment component by altering the physical setting to reduce pathogen exposure and control infection spread.

B. Administering a vaccination targets the host component by enhancing immunity to prevent infection.

C. Providing antimicrobial medication addresses the agent component by treating an existing infection.

D. Educating on hand hygiene is an important intervention but primarily affects the host-agent interaction rather than the environment.

A. Change the subject to focus on medication compliance. B. Accept that cultural beliefs about illness can change. C. Explain that foods cannot cure mental health disorders. D. Arrange for the client to speak with a dietitian.

Correct Answer is D

Explanation

A. Changing the subject to focus on medication compliance might ignore the client's cultural beliefs and could undermine trust. It is important to address both cultural beliefs and medical treatment.

B. Accepting that cultural beliefs can change is not as relevant as understanding and respecting the client's current beliefs while guiding them towards effective treatment.

C. Explaining that foods cannot cure mental health disorders may come across as dismissive of the client's beliefs. It is more effective to acknowledge the client's beliefs while providing appropriate guidance.

D. Arranging for the client to speak with a dietitian is a culturally sensitive approach that respects the client's beliefs and provides an opportunity to discuss the role of diet in a way that complements medical treatment. This approach integrates cultural respect with professional guidance.

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A nurse is working in the emergency department, and is conducting an interview with a victim of intimate partner abuse. Which step should the nurse take first?

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Correct Answer is D

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