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 A
Explanation
Rationale:
A. Improving ventilation and increasing cleaning frequency addresses the environment component by altering the physical setting to reduce pathogen exposure and control infection spread.
B. Administering a vaccination targets the host component by enhancing immunity to prevent infection.
C. Providing antimicrobial medication addresses the agent component by treating an existing infection.
D. Educating on hand hygiene is an important intervention but primarily affects the host-agent interaction rather than the environment.
Correct Answer is C
Explanation
Rationale:
A. Relativity is not the appropriate term for this situation.
B. Ethnocentrism involves judging other cultures by one's own cultural standards and is not relevant here.
C. Stereotyping involves making generalized assumptions about individuals based on their age or other characteristics. Speaking loudly and slowly may reflect a stereotype about older adults needing special treatment or being less capable.
D. Racism involves discrimination based on race, not age.