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. They are a stranger to the victim in most cases. B. They are often in a psychotic state during the act. C. They are usually under the influence of alcohol or drugs. D. They are most often someone the victim knows.

Correct Answer is D

Explanation

A. They are a stranger to the victim in most cases is incorrect. Perpetrators of interpersonal violence are often known to the victim.

B. They are often in a psychotic state during the act is not typically the case. Many perpetrators do not exhibit psychosis during violent acts.

C. They are usually under the influence of alcohol or drugs is not universally true; while substance abuse can be a factor, it is not a characteristic that defines all perpetrators.

D. They are most often someone the victim knows is accurate. Many instances of interpersonal violence involve perpetrators who are acquaintances, partners, or family members of the victim.

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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

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Correct Answer is D

Explanation

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