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?

"Do you have a gun in your home?"

"Have you ever tried to leave?"

"How many times have you been hospitalized for abuse?"

"Do you have a plan if things go too far?"

Answer and Explanation

The Correct Answer is A

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.

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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.

A. Avoid responding to hints that abuse has occurred. B. Separate the family from the child during the interview. C. Report the concern for potential abuse to the immediate supervisor. D. Obtain information as covertly as possible.

Correct Answer is B

Explanation

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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