A nurse is assessing a client who presents with injuries and signs that may suggest intimate partner violence. Which of the following statements by the client would most likely indicate the need for further assessment and intervention?
"I have bruises from a recent sports injury."
"I'm experiencing stress from work and it's affecting my health."
"I fell down the stairs and injured my arm."
"I often feel afraid at home, but I don't want to talk about it."
The Correct Answer is D
Rationale:
A. Bruises from a sports injury are less likely to indicate intimate partner violence without additional context.
B. Stress from work is a general issue and does not directly suggest intimate partner violence.
C. A fall down the stairs could be an accident; however, further context is needed to assess if this is related to violence.
D. Fear at home and reluctance to discuss it could indicate underlying intimate partner violence, requiring further assessment and intervention.
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Correct Answer is A
Explanation
Rationale:
A. An expression of anger is appropriate because the statement reflects feelings of unfairness and blaming the deceased for the situation, which is characteristic of anger in the grieving process.
B. A plea for help is not as evident in the statement, which focuses more on the unfairness of the situation rather than directly seeking assistance.
C. Fear of making decisions is not directly related to the emotional expression in this context.
D. An explosive episode implies a sudden and intense reaction, but the statement is more reflective of anger and grief rather than an uncontrolled outburst.
Correct Answer is A
Explanation
Rationale:
A. Chemical hazard is correct because chlorine gas is a chemical substance that poses risks of exposure through inhalation or contact.
B. Biologic hazard refers to exposure to biological agents such as bacteria or viruses, which is not relevant in this context.
C. Physical hazard involves physical injuries or environmental conditions like noise or temperature extremes, not applicable here.
D. Ergonomic hazard relates to repetitive strain or poor posture-related injuries, which is not related to chlorine gas exposure.