Exhibits
A woman is slowly walking into the ED with her head down and whispers her name at the desk to the nurse. You type her name in and see her Past Medical History and quickly and slowly at the same time, walk close but at a safe distance to the nearest trauma room with her as she says her name is Jane. You pull the curtain and ask her to sit on the bed. Which questions below are appropriate to ask Patient Jane? Select all that apply.
Why don't you leave?
Is there a safe place to go if you need to?
Do you have children and are they safe?
Are you concerned about your safety?
You can get help, we can hide you!
Who is hurting you? This is enough now!
Please stop the madness.
Correct Answer : B,C,D
A. Why don't you leave? This question can come across as judgmental and may make Jane feel defensive or unsupported.
B. Is there a safe place to go if you need to? Asking about a safe place respects her autonomy and helps assess her safety plan.
C. Do you have children, and are they safe? Ensures the welfare of potential dependents who may also be at risk.
D. Are you concerned about your safety? Allows Jane to express concerns about her current situation without feeling pressured.
E. You can get help; we can hide you! Offering to "hide" someone could create unrealistic expectations and might compromise her safety.
F. Who is hurting you? This is enough now! This confrontational approach may escalate Jane’s fear and deter her from sharing information.
G. Please stop the madness. This is dismissive and lacks empathy, making it highly inappropriate in a trauma-informed care approach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A 6-year-old child who has a fracture of the tibia and fibula, which reportedly occurred while riding a bicycle: This injury is consistent with the developmental activities of a 6-year-old.
B. A 9-month-old infant who sustained near drowning when he reportedly climbed into the tub and turned on the water. At 9 months, an infant does not have the developmental ability to climb into a tub and turn on the water, making this account suspicious.
C. A 3-year-old toddler with scalding burns over the face and chest reportedly sustained when the child pulled on a tablecloth, spilling a cup of tea on himself: This explanation aligns with typical accidents in toddlers.
D. A 14-month-old toddler who is reportedly learning to walk and has several bruises on bony prominences of the lower legs and elbows: These are common injuries in toddlers learning to walk.
Correct Answer is C
Explanation
A. The child participates in school activities: Participation in activities may suggest resilience and a return to normalcy, rather than a sign of trauma.
B. The child talks about best friends at school: Positive social interactions suggest healthy coping and adjustment.
C. The child reports abdominal pain at night when going to bed. Psychosomatic symptoms such as abdominal pain are common in children who have experienced trauma or stress. These physical complaints often reflect unresolved emotional distress.
D. The child is doing well in school: Academic success is not typically associated with trauma symptoms and may reflect stability.
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