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
Explanation
Rationale:
A. Developing an individualized care plan focusing solely on one issue may not address the family’s overall dynamics and interactions, which are critical in the Calgary Family Intervention Model.
B. Referring the family to specialized services without considering the family’s overall functioning misses the opportunity to address the interconnectedness of issues within the family unit.
C. Engaging the entire family in discussions to identify and address patterns of interaction and coping strategies aligns with the Calgary Family Intervention Model, which emphasizes understanding and improving family dynamics and relationships.
D. Providing education on specific medical conditions is important but does not address the broader family dynamics and support systems critical in the Calgary model.
Correct Answer is ["C","D","E"]
Explanation
Rationale:
A. Sex workers are not specifically a mandatory reporting group. While they may be at risk, mandatory reporting laws generally focus on certain vulnerable populations such as children, the elderly, and disabled individuals.
B. Pregnant women are not a mandatory reporting group unless there is clear evidence of abuse or neglect impacting the health of the unborn child.
C. Children are a mandatory reporting group. Healthcare professionals are required by law to report suspected abuse or neglect to child protective services.
D. Disabled individuals are also a mandatory reporting group, as they are at increased risk of abuse and neglect. Reports should be made if abuse or neglect is suspected.
E. The elderly are a mandatory reporting group. Elder abuse must be reported to appropriate agencies, such as adult protective services, when suspected.