After treatment for a detached retina, a victim of intimate partner violence says, "My partner only abuses me when intoxicated. I've considered leaving, but was brought up to believe you stay together, no matter what happens. I always get an apology, and I can tell my partner feels bad after hitting me. Which nursing diagnosis applies?
Disabled family coping related to uneven distribution of power within a relationship
Social Isolation, related to lack of community support system
Deficient knowledge, related to resources for escape from the abusive relationship
Risk for injury, related to partner's physical abuse when intoxicated
The Correct Answer is D
A. Disabled family coping related to uneven distribution of power within a relationship is a potential diagnosis, but it doesn't address the immediate concern of the victim's physical safety. The primary issue here is the risk of further injury due to abuse.
B. Social Isolation, related to lack of community support system could be a contributing factor in some cases of intimate partner violence, but the primary concern in this case is the physical harm the victim is facing, rather than isolation.
C. Deficient knowledge, related to resources for escape from the abusive relationship is also relevant, as the victim expresses confusion about leaving. However, the more immediate issue here is the risk of injury due to ongoing abuse.
D. Risk for injury, related to partner's physical abuse when intoxicated is the most appropriate diagnosis because the victim is at immediate risk of harm from the partner’s behavior, especially when intoxicated. This is the most urgent and accurate concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Pain is a well-known risk factor for delirium. Uncontrolled or severe pain can lead to physiological stress, which may trigger or exacerbate delirium, especially in vulnerable populations such as older adults.
B. Medication is another significant risk factor for delirium. Certain medications, particularly anticholinergics, benzodiazepines, and sedatives, can cause or worsen delirium, especially when taken in high doses or during the process of withdrawal.
C. Infection is a major risk factor for delirium, especially in older adults or critically ill patients. Infections, particularly urinary tract infections or respiratory infections, can lead to inflammation and metabolic disturbances that may precipitate delirium.
D. Gender is not considered a direct risk factor for delirium. While delirium can affect individuals of any gender, there is no strong evidence to suggest that gender alone plays a significant role in the development of delirium. The risk factors for delirium are more closely related to medical conditions, medications, and environmental factors rather than gender.
Correct Answer is D
Explanation
A. Disabled family coping related to uneven distribution of power within a relationship is a potential diagnosis, but it doesn't address the immediate concern of the victim's physical safety. The primary issue here is the risk of further injury due to abuse.
B. Social Isolation, related to lack of community support system could be a contributing factor in some cases of intimate partner violence, but the primary concern in this case is the physical harm the victim is facing, rather than isolation.
C. Deficient knowledge, related to resources for escape from the abusive relationship is also relevant, as the victim expresses confusion about leaving. However, the more immediate issue here is the risk of injury due to ongoing abuse.
D. Risk for injury, related to partner's physical abuse when intoxicated is the most appropriate diagnosis because the victim is at immediate risk of harm from the partner’s behavior, especially when intoxicated. This is the most urgent and accurate concern.
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