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 C

Explanation

A. Waiting for the client to bring up domestic violence may miss the opportunity for timely intervention.

B. Documentation and referral are important, but directly addressing the issue can be more effective in identifying and assisting victims.

C. Directly asking the client about domestic violence in a private and supportive manner facilitates open communication and disclosure.

D. Providing general information may not be as effective as directly addressing the issue with the client.

A. An expression of anger B. A plea for help C. Fear of making decisions D. An explosive episode

Correct Answer is A

Explanation

A. An expression of anger is appropriate because the statement reflects feelings of unfairness and blaming the deceased for the situation, which is characteristic of anger in the grieving process.

B. A plea for help is not as evident in the statement, which focuses more on the unfairness of the situation rather than directly seeking assistance.

C. Fear of making decisions is not directly related to the emotional expression in this context.

D. An explosive episode implies a sudden and intense reaction, but the statement is more reflective of anger and grief rather than an uncontrolled outburst.

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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

Which nursing intervention is most likely to help a client in the Emergency Department with extensive soft tissue injuries disclose an incident of domestic violence?

Correct Answer is C

Explanation

A young woman has just learned of the accidental death of her husband. She begins to cry and states, "It's not fair! How could he do this to me?" This remark is assessed as which of the following?

Correct Answer is A

Explanation

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