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 ["C","D","E"]
Explanation
Rationale:
A. The child attending a childcare program does not necessarily indicate risk for abuse. Childcare attendance alone does not provide evidence of abuse risk.
B. The partner living with his parents may affect the dynamics of the household but does not directly indicate risk for the child unless further context suggests otherwise.
C. The child reporting seeing the mother being hit with a baseball bat is a significant indicator of potential abuse and trauma, which could put the child at risk.
D. Clinging to the mother's side may indicate anxiety or fear, which could be related to an abusive environment or trauma.
E. Unemployment and alcohol abuse by the partner are risk factors for intimate partner violence and can also affect the safety and well-being of the child.
Correct Answer is D
Explanation
Rationale:
A. Changing the subject to focus on medication compliance might ignore the client's cultural beliefs and could undermine trust. It is important to address both cultural beliefs and medical treatment.
B. Accepting that cultural beliefs can change is not as relevant as understanding and respecting the client's current beliefs while guiding them towards effective treatment.
C. Explaining that foods cannot cure mental health disorders may come across as dismissive of the client's beliefs. It is more effective to acknowledge the client's beliefs while providing appropriate guidance.
D. Arranging for the client to speak with a dietitian is a culturally sensitive approach that respects the client's beliefs and provides an opportunity to discuss the role of diet in a way that complements medical treatment. This approach integrates cultural respect with professional guidance.