The wife of an abusive husband reports to the nurse that her husband has been increasingly more abusive over the past year.
Which of the following should be the first action taken by the nurse?
Work with the client on developing better self-esteem.
Teach the client how to avoid conflict with the husband.
Arrange for the couple to attend counseling sessions together.
Develop a safety plan for the wife.
The Correct Answer is D
Choice A rationale
While improving self-esteem can benefit the client, it does not address the immediate danger posed by an abusive relationship. Self-esteem-focused interventions are long-term and secondary to ensuring the client’s physical safety and security in abusive situations.
Choice B rationale
Teaching the client to avoid conflict places the burden of change on the victim, which is inappropriate in cases of domestic abuse. It does not reduce the risk of harm or address the perpetrator’s behavior, nor does it prioritize the client’s safety.
Choice C rationale
Couples counseling is contraindicated in cases of domestic violence as it can increase the risk of harm to the victim. Addressing abuse requires individual interventions and prioritizing the safety of the victim rather than joint sessions that might escalate tension or conflict.
Choice D rationale
Developing a safety plan is the first priority when dealing with cases of domestic violence. This plan includes identifying safe spaces, emergency contacts, and strategies to leave the abusive environment if necessary. It addresses the immediate risk and ensures the client’s physical safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Psychological and physiological dependence on marijuana are observed with chronic use. Though dependence may be mild compared to other substances, it does occur, disproving the claim.
Choice B rationale
The strength of marijuana has increased due to advancements in cultivation techniques. Stronger strains pose more significant health risks than weaker versions from the past.
Choice C rationale
Marijuana exposure during pregnancy can impact fetal development. Risks include low birth weight or developmental delays, making the claim scientifically inaccurate.
Choice D rationale
Dependency and long-term health issues, such as cognitive effects or respiratory problems, are valid concerns with chronic marijuana use. These risks necessitate awareness of its impacts. .
Correct Answer is B
Explanation
Choice A rationale
Marijuana's legal status varies by state, and its cultural acceptance is inconsistent, reflecting ongoing debates regarding its medical and recreational use.
Choice B rationale
Caffeine is legal and widely accepted across the United States, with its inclusion in cultural practices such as coffee consumption, despite its potential for dependence.
Choice C rationale
Cocaine is classified as a Schedule II controlled substance, prohibited for recreational use, and associated with significant health and legal ramifications.
Choice D rationale
Opioids are prescription-controlled substances with strict legal limitations, often scrutinized due to their role in the ongoing opioid epidemic in the United States. .
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