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
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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Related Questions
Correct Answer is D
Explanation
A. Memory impairment is a common symptom of mild cognitive impairment (MCI). People with MCI often experience forgetfulness or difficulty with memory, but the impairment is typically not severe enough to interfere with daily functioning.
B. Does not interfere with ADLs and socialization is also true for MCI. While individuals with MCI may notice some cognitive decline, it typically does not interfere significantly with activities of daily living (ADLs) or social interactions.
C. Does not interfere with general cognitive functioning is true for MCI as well. Cognitive decline in MCI is typically more subtle and does not significantly impair overall cognitive function in the way that more severe dementias do.
D. Interferes with navigation of daily life is more characteristic of dementia, especially in later stages. In MCI, the cognitive decline does not typically interfere to the extent that it impedes one's ability to navigate daily life independently.
Correct Answer is B
Explanation
A. Prevent breakdown of acetylcholinesterase by inhibiting the action of acetylcholine is incorrect because the mechanism of Donepezil (Aricept) involves inhibiting acetylcholinesterase, not acetylcholine itself. The goal is to increase the levels of acetylcholine in the brain by preventing its breakdown.
B. Prevent breakdown of acetylcholine by inhibiting the action of acetylcholinesterase is the correct mechanism. Donepezil is a cholinesterase inhibitor. By inhibiting acetylcholinesterase (the enzyme that breaks down acetylcholine), Donepezil increases the amount of acetylcholine available to stimulate receptors in the brain, which helps improve symptoms of Alzheimer's disease.
C. Promote breakdown of acetylcholine by inhibiting the action of acetylcholinesterase is incorrect because Donepezil prevents the breakdown of acetylcholine, not promotes it.
D. Promote breakdown of acetylcholinesterase by inhibiting the action of acetylcholine is also incorrect. The purpose of Donepezil is to prevent the breakdown of acetylcholine, not to break down acetylcholinesterase itself.
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