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 D
Explanation
Rationale:
A. They are a stranger to the victim in most cases is incorrect. Perpetrators of interpersonal violence are often known to the victim.
B. They are often in a psychotic state during the act is not typically the case. Many perpetrators do not exhibit psychosis during violent acts.
C. They are usually under the influence of alcohol or drugs is not universally true; while substance abuse can be a factor, it is not a characteristic that defines all perpetrators.
D. They are most often someone the victim knows is accurate. Many instances of interpersonal violence involve perpetrators who are acquaintances, partners, or family members of the victim.
Correct Answer is ["A","B","C","E"]
Explanation
Rationale:
A. Religious practices can significantly influence health behaviors, such as dietary restrictions or healthcare practices.
B. Folk remedies are cultural traditions that may affect how individuals approach health and treatment options.
C. Diet is often influenced by cultural beliefs and practices, impacting overall health and nutritional choices.
D. Educational level is more related to socioeconomic status and access to resources than directly to cultural influence.
E. Role in the family can impact health behaviors and access to healthcare due to culturally specific roles and expectations within the family structure.