The nurse is assessing a 38-year-old female for the possible presence of spousal abuse. Which of the following questions would be appropriate for the nurse to ask first?
"Have you discussed your fears with anyone?"
"Do you have fears about your spouse?"
"Do you feel safe in the home?"
"Would you like me to recommend a safe place for you?"
The Correct Answer is C
A. Discussing fears with anyone is not the most immediate question to ask when assessing for safety; it may be relevant later but does not directly address immediate safety concerns.
B. Fears about the spouse could be a part of the assessment but are more specific than asking about overall safety.
C. Asking if the client feels safe in the home is a direct and straightforward question that addresses immediate safety concerns and can provide crucial information about the presence of abuse.
D. Recommending a safe place may be helpful but should come after establishing the client’s current safety and assessing immediate risks.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Physical hazards involve physical injuries or environmental factors, which are not the primary focus here.
B. Biological hazards involve exposure to infectious agents, which is a part of the context but not the primary stressor described.
C. Chemical hazards are related to exposure to harmful chemicals, not directly described in the context of stressors mentioned.
D. Psychosocial hazards are correct as they encompass stressors like work overload, time pressure, and emotional strain that affect mental health and job satisfaction.
Correct Answer is B
Explanation
A. Observing the client's communication with family might provide some insight but does not directly address the cultural influences on the client’s behavior.
B. Understanding the cultural background is crucial as cultural norms and traditions can significantly influence communication behaviors, such as eye contact and engagement.
C. Asking the client directly might be appropriate but does not take into account potential cultural factors that could influence their communication.
D. Misdiagnosing shyness as a communication issue could be a concern, but recognizing cultural influences helps to ensure that the diagnosis is culturally appropriate.
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