Which approach would be most appropriate when counseling a client who is a suspected victim of intimate partner violence?

Ask, "Have you ever been physically hurt by your partner?"

Offer the client a pamphlet about the local shelter for victims of intimate partner violence.

Call the client at home to ask some questions about the marriage.

Wait until the client comes in a few more times to make a better assessment.

Answer and Explanation

The Correct Answer is A

A. Ask, "Have you ever been physically hurt by your partner?":

This approach involves directly asking the client about their experience with intimate partner violence. While it's crucial to address the issue openly and directly, some clients may feel uncomfortable or unsafe disclosing abuse, especially during an initial encounter. However, for many clients, this direct approach can be empowering and may facilitate disclosure.

B. Offer the client a pamphlet about the local shelter for victims of intimate partner violence:

Providing informational resources about local shelters and support services can be a supportive and non-confrontational way to offer assistance to a client who may be experiencing intimate partner violence. It allows the client to access resources privately and at their own pace. However, it may not lead to immediate disclosure or intervention.

C. Call the client at home to ask some questions about the marriage:

Calling the client at home to inquire about their relationship may inadvertently escalate the situation and put the client at risk if the abusive partner overhears the conversation. It can also violate the client's privacy and autonomy, as they may not be comfortable discussing sensitive issues over the phone, especially if the abusive partner is present.

D. Wait until the client comes in a few more times to make a better assessment:

Delaying assessment and intervention can potentially prolong the client's exposure to abuse and increase their risk of harm. Intimate partner violence often escalates over time, so it's essential to address suspected abuse as soon as possible to ensure the client's safety and well-being.

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Correct Answer is D

Explanation

A. Alcohol:

Alcohol consumption during pregnancy can lead to a range of adverse effects on the fetus, collectively known as fetal alcohol spectrum disorders (FASDs). However, the symptoms described in the scenario—tachycardia, hypertension, and evidence suggesting vasoconstriction—are not typical of alcohol use. While alcohol can lead to hypertension in chronic heavy drinkers, it is not commonly associated with tachycardia and vasoconstriction in the same way that stimulant drugs like cocaine are.

B. Heroin:

Heroin is an opioid drug that depresses the central nervous system, leading to effects such as respiratory depression, sedation, and decreased heart rate. While heroin use during pregnancy can have serious consequences for both the mother and the fetus, including neonatal withdrawal syndrome (neonatal abstinence syndrome), it is not typically associated with tachycardia, hypertension, and vasoconstriction. Therefore, heroin is less likely to be the substance causing the symptoms described in the scenario.

C. Marijuana:

Marijuana use during pregnancy has been associated with various adverse outcomes, including low birth weight and neurodevelopmental issues in children. However, the symptoms described—tachycardia, hypertension, and evidence suggesting vasoconstriction—are not typical of marijuana use. Marijuana is more commonly associated with effects such as relaxation, increased heart rate (tachycardia), and vasodilation (not vasoconstriction). Therefore, marijuana is less likely to be the substance causing the symptoms described in the scenario.

D. Cocaine:

Cocaine is a potent stimulant drug that acts on the central nervous system and cardiovascular system, leading to effects such as tachycardia, hypertension, and vasoconstriction. These symptoms are consistent with acute cocaine intoxication. Cocaine use during pregnancy can have serious adverse effects on both the mother and the fetus, including increased risk of miscarriage, preterm labor, placental abruption, and fetal growth restriction. Therefore, given the symptoms described in the scenario, cocaine is the substance that the nurse would question the woman about.

A. engaging in daily exercise B. eating a high-fat diet C. becoming pregnant D. using estrogen contraceptives E. Having regular pelvic exams

Correct Answer is ["A","C","E"]

Explanation

A. Engaging in daily exercise:

Regular physical activity has been associated with a reduced risk of endometrial cancer. Exercise helps maintain a healthy weight and may help regulate hormone levels, which can contribute to a lower risk of developing endometrial cancer.

B. Eating a high-fat diet:

Consuming a high-fat diet may increase the risk of endometrial cancer. High-fat diets have been linked to obesity, which in turn is a risk factor for endometrial cancer. Additionally, high-fat diets may alter hormone levels in the body, potentially affecting the development of endometrial cancer.

C. Becoming pregnant:

Pregnancy and childbirth can have a protective effect against endometrial cancer. During pregnancy, hormonal changes and the cessation of menstrual cycles may reduce the exposure of the endometrium to estrogen, potentially decreasing the risk of developing endometrial cancer.

D. Using estrogen contraceptives:

Estrogen-containing contraceptives, such as birth control pills, patches, or hormonal intrauterine devices (IUDs), have been associated with a higher risk of endometrial cancer, especially if used for extended periods. Estrogen alone, without the balancing effect of progesterone, can stimulate the growth of the endometrium and increase the risk of cancer.

E. Having regular pelvic exams:

Regular pelvic exams, which may include a Pap smear and/or endometrial biopsy, can help detect abnormalities in the endometrium at an early stage. Early detection can lead to timely intervention and treatment, potentially reducing the risk of advanced endometrial cancer.

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Which approach would be most appropriate when counseling a client who is a suspected victim of intimate partner violence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Assessment of a pregnant woman and her fetus reveals tachycardia and hypertension. There is also evidence suggesting vasoconstriction. The nurse would question the woman about use of which substance?

Correct Answer is D

Explanation

During a routine health check-up, a young adult woman asks the nurse about ways to prevent endometrial cancer. Which actions would the nurse most likely include? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

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