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. Checking with the doctor ensures that the herbal tea does not interact with the client's medications and is safe for their specific health condition. This response shows concern for the client's safety and adheres to clinical guidelines.
B. Filling out forms is not relevant or necessary for this situation; ensuring safety and medical compatibility is more appropriate.
C. Prohibiting herbal tea without considering the client’s preferences or potential benefits is not patient-centered care.
D. Questioning the client's choice without a valid reason dismisses their preferences and does not address potential safety concerns.
Correct Answer is B
Explanation
Rationale:
A. Criminal investigation focuses on legal aspects and potential criminal behavior, not on identifying and solving workplace safety issues.
B. Root cause analysis involves investigating the underlying causes of incidents to prevent future occurrences. This approach is used to understand what happened, why, and how to prevent it.
C. Risk analysis involves assessing potential risks and hazards but may not delve deeply into specific incident causes.
D. Occupational assessment is a broader evaluation of workplace conditions and practices, rather than focusing on specific incidents.