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. Consultation involves seeking expert advice and is not primarily focused on influencing broad population behaviors or beliefs.
B. Advocacy involves supporting a cause or policy but does not directly focus on changing knowledge, attitudes, or behaviors of a population.
C. Social marketing uses marketing principles to influence behaviors and practices of specific populations by addressing their knowledge, attitudes, and values.
D. Coalition building involves bringing groups together to address issues but is not the primary method for changing individual knowledge or behaviors.
Correct Answer is ["C","D","E"]
Explanation
Rationale:
A. Telling the client she should leave is not supportive and may not be appropriate; decisions about leaving should be made by the client.
B. Helping the client get her partner into a treatment program is not within the nurse's immediate role and does not address the client’s immediate safety needs.
C. Helping the client to develop a safety plan and providing emergency contact information is crucial for the client’s immediate safety and is an appropriate intervention.
D. Assisting the client to explore resources such as shelters and legal protection supports her in making informed decisions and accessing necessary help.
E. Communicating acceptance of the client's decision and avoiding blame helps build trust and ensures the client feels supported in a non-judgmental environment.