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?"

Answer and Explanation

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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Correct Answer is A

Explanation

A. Developing an emergency plan is crucial because patterns of violence often continue or escalate, and having a plan can help ensure the client’s safety.

B. While battering patterns often persist, focusing on immediate safety measures like an emergency plan is more practical.

C. Discouraging hope might not be supportive; instead, focusing on practical safety measures is more helpful.

D. Learning self-defense might not address the root issue of the violence and does not ensure safety in abusive situations.

A. Encouraging the patient to return to her home town might not address immediate safety concerns and could place her at greater risk. B. Providing job agency information does not address the immediate safety and health needs of the patient. C. Ensuring the patient's immediate safety and addressing any urgent medical needs is the top priority. This includes assessing for immediate threats and providing necessary medical care.

Correct Answer is B

Explanation

A. Socioeconomic status can affect stress responses, but resilience specifically refers to the ability to withstand or recover from adversity.

B. Resilience refers to the ability of individuals or groups to withstand or bounce back from adverse conditions or stressors. This describes resistance to risk factors effectively.

C. Increased susceptibility to risk factors describes vulnerability rather than resilience.

D. Sensitivity to risk factors describes vulnerability rather than resilience, which focuses on recovery and resistance.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A. Contacting the employer could potentially put the patient at further risk if the trafficker becomes aware of her location or intentions.

Correct Answer is B

Explanation

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