A pregnant female come to the Emergency Department with bruises on her arms and abdomen after a fight with her boyfriend. The nurse would determine which of the following to be the priority for teaching with this client?
Childbirth classes to prepare for the birth
Risks of pregnancy complications caused by abuse
Instructions on the use of resources available to her
Available resources on domestic violence
The Correct Answer is D
A. Childbirth classes to prepare for the birth may be relevant, but they are not the priority in this situation. The immediate concern is the safety and well-being of the pregnant woman and her ability to address the abuse.
B. Risks of pregnancy complications caused by abuse are important to discuss, but the priority at this moment should be ensuring the woman knows where to get help and support regarding the domestic violence she is experiencing.
C. Instructions on the use of resources available to her may be important, but the most immediate concern is ensuring she is aware of domestic violence resources that can help her escape further harm.
D. Available resources on domestic violence should be the priority. The nurse needs to ensure that the woman knows how to access safe spaces and support systems to escape from the abusive relationship. Domestic violence poses immediate risk to both the woman and her pregnancy, and addressing it must be the first step in the care plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "If you are educated and have money, abuse does not happen" is a myth and a misconception about domestic violence. Abuse can occur in any relationship, regardless of socio-economic status, education, or wealth. Domestic violence can affect individuals of all backgrounds, including those who are educated or financially secure. This statement indicates a lack of understanding about the widespread nature of abuse, so further teaching is needed.
B. "Abusers are often excessively jealous and possessive" is a true statement. Many abusers exhibit controlling behavior, which can include jealousy and possessiveness. This is a common characteristic of abusive relationships.
C. "Violence often begins in a dating relationship" is also true. Domestic violence can begin in dating relationships, and early signs of abuse can include controlling behavior, verbal abuse, or physical aggression. Early education on this issue can help prevent future violence.
D. "The abuser will often apologize and promise to stop" is a true statement. Many abusers apologize after an incident and promise that it won’t happen again. This is part of the cycle of abuse, where the abuser may exhibit remorse, but the violence often escalates over time.
Correct Answer is A
Explanation
A. Delegate visiting family members to watch delirious patient is not a recommended safety guideline. While family members can offer support, they are not trained to monitor and manage the safety of a patient with delirium. This could also place undue stress on the family and compromise patient care.
B. Never leave a patient in acute delirium alone is a key safety guideline. Patients with delirium are at a higher risk for falls, injury, and disorientation. Close supervision is necessary to ensure their safety.
C. Use trained sitters to help with safety is a best practice. Trained sitters can ensure that the delirious patient remains safe and prevent them from wandering, falling, or becoming more agitated.
D. Use effective engagement techniques like reorientation and distraction are important in managing delirium. These techniques help to calm the patient, reduce confusion, and improve their comfort level.
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