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 C
Explanation
Rationale:
A. Suggesting the patient read religious texts may provide some comfort but does not address the need for personal and communal spiritual support.
B. Encouraging the patient to focus solely on medical treatment neglects the importance of addressing the patient's emotional and spiritual needs, which are crucial tfor overall well-being.
C. Arranging for a spiritual advisor to visit is the most appropriate action as it directly addresses the patient’s spiritual needs and provides support from someone familiar with their religious practices.
D. Instructing the patient to practice meditation may not align with the patient’s specific religious practices and does not address the need for community-based spiritual support.
Correct Answer is C
Explanation
Rationale:
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.