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 A
Explanation
Choice A rationale
Families with children are the most rapidly growing group experiencing poverty and homelessness due to economic instability, housing affordability issues, and systemic social challenges affecting vulnerable populations.
Choice B rationale
African-American families face socioeconomic challenges but are not the most rapidly growing demographic in poverty and homelessness compared to families with children.
Choice C rationale
Single men often experience homelessness; however, their population growth does not surpass that of families with children in the context of poverty and homelessness.
Choice D rationale
Hispanic families encounter systemic challenges, but they are not identified as the fastest-growing group in poverty and homelessness statistics compared to families with children. .
Correct Answer is A
Explanation
Choice A rationale
High energy levels are a hallmark symptom of cocaine intoxication. Cocaine stimulates the central nervous system, leading to heightened alertness, restlessness, and increased activity levels temporarily.
Choice B rationale
Drowsiness contradicts the stimulant effects of cocaine, which usually leads to wakefulness and reduced need for sleep during intoxication episodes.
Choice C rationale
Cocaine increases heart rate and blood pressure due to its stimulant properties, making a low heart rate inconsistent with the physiological effects of cocaine intoxication.
Choice D rationale
Cocaine use suppresses appetite through its effects on dopamine and serotonin systems. Increased appetite is more typical during withdrawal phases, not during intoxication.
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