A 17-year-old female presents to the emergency department with bruises, a disheveled appearance, and signs of malnutrition. She is reluctant to provide information about her situation and appears fearful. During the assessment, she reveals that she was brought to the city by someone she referred to as her "employer" who promised her a job but has since taken her identification documents and restricted her freedom. Which of the following actions should the nurse prioritize to ensure the safety and well-being of this patient?
Contact the patient's employer to verify the legitimacy of the job offer and the patient's current situation.
Encourage the patient to return to her home town and report her situation to local law enforcement there.
Provide the patient with a list of local job agencies to help her find new employment opportunities.
Assess the patient for immediate medical needs and ensure that she is not in immediate danger.
The Correct Answer is D
Rationale:
A. Contacting the employer could potentially put the patient at further risk if the trafficker becomes aware of her location or intentions.
B. Encouraging the patient to return to her home town might not address immediate safety concerns and could place her at greater risk.
C. Providing job agency information does not address the immediate safety and health needs of the patient.
D. Ensuring the patient's immediate safety and addressing any urgent medical needs is the top priority. This includes assessing for immediate threats and providing necessary medical care.
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Correct Answer is B
Explanation
Rationale:
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.
Correct Answer is C
Explanation
Rationale:
A. While knowing previous knowledge and interest is useful, the priority is to ensure that the client can understand the educational materials.
B. Willingness to participate is important but secondary to ensuring that the material is accessible to the client.
C. Determining the client's ability to read and understand English is crucial as it affects their ability to comprehend pamphlets. If they cannot read or understand English, alternative methods of education should be used.
D. Readiness to learn is important but presupposes that the material can be understood; therefore, assessing language comprehension is a priority.