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. Manners are important but do not specifically maximize the information gleaned during the interview.
B. Acknowledging family strengths is important for support but does not directly maximize the amount of information obtained.
C. Ecomaps and genograms are useful tools for understanding family dynamics but may not be the primary means of maximizing information during an interview.
D. Therapeutic questions and conversation are essential for maximizing information during an interview, as they encourage open communication and exploration of family issues.
Correct Answer is D
Explanation
Rationale:
A. Physical hazards involve physical injuries or environmental factors, which are not the primary focus here.
B. Biological hazards involve exposure to infectious agents, which is a part of the context but not the primary stressor described.
C. Chemical hazards are related to exposure to harmful chemicals, not directly described in the context of stressors mentioned.
D. Psychosocial hazards are correct as they encompass stressors like work overload, time pressure, and emotional strain that affect mental health and job satisfaction.