Which nursing intervention will assist a patient being treated in the Emergency Department for extensive soft tissue injuries to disclose an experience of domestic violence?

Providing a safe, non intimidating, and supportive environment

Speaking with the patient in the absence of her husband

Interviewing her in the presence of another healthcare professional

Allowing the patient to initiate the topic of violence

Answer and Explanation

The Correct Answer is A

A. Providing a safe, non-intimidating, and supportive environment is the most crucial intervention. It allows the patient to feel comfortable and safe enough to disclose sensitive information, like domestic violence. Creating an environment where the patient feels supported and free from judgment is key to encouraging disclosure.
B. Speaking with the patient in the absence of her husband is important, but it is not enough by itself. While the husband may be the abuser, the emotional and physical safety provided by the healthcare team in a supportive environment is essential for disclosure.
C. Interviewing her in the presence of another healthcare professional may be helpful in some situations but can be intimidating if not done carefully. The primary concern is ensuring that the patient feels comfortable and safe to speak freely.
D. Allowing the patient to initiate the topic of violence may not always work, especially if the patient feels threatened, afraid, or emotionally overwhelmed. While it's important to respect the patient's autonomy, being proactive in providing a safe space can encourage her to disclose abuse more readily.

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Correct Answer is D

Explanation

A. A cry for sympathy is an oversimplified interpretation of the comment. While the statement might reflect feelings of sadness, it should not be assumed to be merely seeking sympathy. The focus should be on the underlying concerns of loss and despair.
B. Normal grieving refers to the emotional response to the loss of loved ones, which can involve feelings of sadness, but the comment reflects more than just grief. The man mentions financial concerns, declining health, and the loss of significant people in his life, which may point to a deeper sense of hopelessness or despair that goes beyond normal grieving.
C. Normal negativity of older adults is a stereotype and does not accurately reflect the individual's situation. While some older adults may experience negative feelings due to various life challenges, it is important to distinguish between normal aging-related sadness and more serious emotional distress or mental health concerns.
D. Evidence of suicide risk is the most concerning interpretation. The comment includes elements of hopelessness ("My money is running out, and my health is failing") and isolation ("My family and friends are all dead"), which can be indicators of a risk for suicide. Older adults are at an increased risk for suicide, especially when they experience multiple losses, declining health, and financial difficulties.

A. Lewy body disease B. Traumatic brain injury. C. Huntington chorea D. Alzheimer's disease

Correct Answer is C

Explanation

A. Lewy body disease is a progressive neurological disorder that affects cognition, movement, and behavior. However, it is primarily characterized by symptoms like visual hallucinations, fluctuating cognitive abilities, and Parkinsonism, not primarily uncontrolled movements as in Huntington's disease.
B. Traumatic brain injury (TBI) refers to damage to the brain due to external physical force, such as from a fall or accident. While TBI can lead to cognitive and emotional changes, it does not cause the uncontrolled movements seen in Huntington's disease.
C. Huntington chorea is a progressive brain disorder caused by a genetic mutation. It is characterized by uncontrolled movements (chorea), emotional problems, and cognitive dysfunction. It primarily affects movement, mood, and cognitive function over time.
D. Alzheimer's disease is a progressive neurodegenerative disease primarily characterized by memory loss, confusion, and cognitive decline. It does not typically cause uncontrolled movements like those seen in Huntington's disease.

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Which nursing intervention will assist a patient being treated in the Emergency Department for extensive soft tissue injuries to disclose an experience of domestic violence?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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