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 B
Explanation
Rationale:
A. Physical hazards involve environmental factors that cause physical harm, such as unsafe structures or hazardous materials, but cholera is not classified under this.
B. Biologic hazards are related to living organisms or their byproducts, such as bacteria or viruses. Cholera, caused by the bacterium Vibrio cholerae, is a biological hazard.
C. Chemical hazards involve substances that can cause harm through chemical reactions or toxicity, which does not apply to cholera.
D. Psychosocial hazards relate to mental and social factors impacting health, not applicable to the cholera epidemic.
Correct Answer is A
Explanation
Rationale:
A. Developing an emergency plan is crucial because patterns of violence often continue or escalate, and having a plan can help ensure the client’s safety.
B. While battering patterns often persist, focusing on immediate safety measures like an emergency plan is more practical.
C. Discouraging hope might not be supportive; instead, focusing on practical safety measures is more helpful.
D. Learning self-defense might not address the root issue of the violence and does not ensure safety in abusive situations.