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?

Wait for the client to mention any concerns about domestic violence during their treatment.

Document the injuries and refer the client to a social worker without discussing the possibility of domestic violence.

Ask the client directly if they are experiencing domestic violence in a private and supportive manner.

Inform the client that domestic violence is common and provide general information on available resources.

Answer and Explanation

The Correct Answer is C

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.

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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.

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse in the Emergency Department is taking a history from a family accompanying a child with traumatic injuries that are suspicious for abuse. Which of the following actions is most appropriate for the nurse to take?

Correct Answer is B

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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