The nurse in the Emergency Department is taking a history from a family accompanying a child with traumatic injuries that are suspicious for abuse. Which of the following actions is most appropriate for the nurse to take?

Avoid responding to hints that abuse has occurred.

Separate the family from the child during the interview.

Report the concern for potential abuse to the immediate supervisor.

Obtain information as covertly as possible.

Answer and Explanation

The Correct Answer is B

A. Avoid responding to hints that abuse has occurred is not appropriate. The nurse should address and assess any signs or suspicions of abuse openly.

B. Separate the family from the child during the interview is appropriate as it allows the nurse to obtain information from the child without potential coercion or influence from the family members.

C. Report the concern for potential abuse to the immediate supervisor is important but should be done after gathering sufficient information. The immediate action should focus on separating and interviewing the child.

D. Obtain information as covertly as possible is not ideal. It is important to obtain accurate information while ensuring the safety and comfort of the child, rather than being covert.

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Correct Answer is A

Explanation

A. The presence of a gun in the home is associated with a higher risk of severe injury or death in cases of domestic violence.

B. While trying to leave can be risky, it does not directly indicate a higher risk of mortality compared to other factors.

C. Repeated hospitalizations indicate ongoing abuse but are not as directly related to immediate risk of mortality as the presence of a gun.

D. Having a plan could indicate awareness and preparation, which may not directly correlate with immediate risk of mortality.

A. Interventions are not standardized and should not be preplanned B. The nurse-family relationship is integral to the interventions. C. The focus of interventions should be on family strengths and resiliency D. Interventions should be specific to each family context and directed by the family's beliefs, preferences, behaviors, and experiences. E. Family interventions will correct all issues within the household

Correct Answer is ["B","C","D"]

Explanation

A. Interventions should be planned and adapted based on the family’s specific context and needs. They are not completely unstructured but should be flexible and responsive.

B. The nurse-family relationship is central to the CFIM, facilitating effective communication and collaboration.

C. Focusing on family strengths and resiliency is a key aspect of the CFIM, aiming to build on what the family does well to improve functioning.

D. Interventions should be tailored to each family’s context and guided by their specific beliefs and experiences.

E. Family interventions aim to support and improve family functioning rather than correct all issues. The goal is not to resolve every problem but to enhance overall family functioning and support.

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The nurse in the Emergency Department is taking a history from a family accompanying a child with traumatic injuries that are suspicious for abuse. Which of the following actions is most appropriate for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse working in emergency triage is evaluating a client with injuries frequently associated with physical abuse. Which of the following questions if answered yes by the client would indicate a higher risk of mortality?

Correct Answer is A

Explanation

The Calgary Family Interventions Model (CFIM) focuses on enhancing, improving, and sustaining family functioning through the establishment of a collaborative partnership between the nurse and the family. These interventions have which of the following guidelines? (Select all that apply)

Correct Answer is ["B","C","D"]

Explanation

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