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. Quetiapine (Seroquel) is an atypical antipsychotic medication used for the treatment of conditions like schizophrenia, bipolar disorder, and major depression. It is not commonly used for the immediate short-term treatment of someone who has been sexually assaulted.
B. Fluoxetine (Prozac) is a selective serotonin reuptake inhibitor (SSRI) used to treat depression, anxiety, and other mood disorders. While it may be used for long-term treatment of anxiety or depression, it is not typically the first-line choice for short-term treatment immediately after a sexual assault.
C. Cyclobenzaprine (Flexeril) is a muscle relaxant used for muscle spasms and is not typically used for short-term treatment following a sexual assault.
D. Lorazepam (Ativan) is a benzodiazepine used for its anxiolytic (anti-anxiety) and sedative properties. After a sexual assault, a victim may experience acute anxiety, panic, and distress. Lorazepam can be used short-term to help reduce anxiety, calm the individual, and assist in sleep. However, it should be used cautiously, considering the risk of dependency or sedation.
Correct Answer is A
Explanation
A. The Donepezil (Aricept) slows the progression of neural damage is the best response. Donepezil is a cholinesterase inhibitor that works by increasing the amount of acetylcholine in the brain, which may help maintain cognitive function in individuals with Alzheimer’s disease. While it does not stop or reverse the disease, it can help slow the progression of symptoms such as memory loss and confusion in the earlier stages.
B. The Donepezil (Aricept) prevents aggressive behaviors is incorrect. While it may have some mild benefits on behavior for some patients, Donepezil is not primarily used for aggression; antipsychotic or mood-stabilizing medications are more commonly used if aggression is a significant concern.
C. The Donepezil (Aricept) reverses the neural damage and improves cognitive function is inaccurate. Donepezil does not reverse neural damage or cure Alzheimer's disease. It only manages symptoms to a limited degree.
D. The Donepezil (Aricept) improves mood often associated with cognitive is incorrect. Donepezil is not an antidepressant or mood stabilizer. While improved cognition might indirectly improve mood, mood disorders are typically treated with other classes of medications.
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