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. Inheriting cultural perspectives from parents is a part of cultural transmission, but it does not encompass the full complexity of individual cultural experiences.
B. Shared human experiences within a culture are significant, but they do not account for individual variations in cultural experience.
C. Cultural experiences are unique to each individual. Even within a shared cultural group, personal experiences, beliefs, and practices can vary widely. Recognizing this helps in providing more personalized and respectful care.
D. Cultural norms can change over time due to various factors such as personal experiences, societal changes, and migration. Individuals do not always demonstrate consistent cultural norms throughout their lives.
Correct Answer is C
Explanation
Rationale:
A. While convincing a victim to escape might be a goal, it’s not always feasible or safe to suggest immediate action in such a dangerous situation.
B. Gathering information is important but should be done cautiously, ensuring the victim’s safety and comfort.
C. Being a safe and supportive presence is crucial, as it allows the victim to feel secure and open up at their own pace, which is essential for their safety and trust-building.
D. Providing resources is valuable, but ensuring that the victim feels safe and supported is a priority before sharing resources.