A nurse is working in the emergency department, and is conducting an interview with a victim of intimate partner abuse. Which step should the nurse take first?
Establish a rapport with the victim and the abuser.
Request the presence of a security guard.
Contact the appropriate legal services.
Ensure privacy for interviewing the victim away from the abuser.
The Correct Answer is D
Rationale:
A. Establishing rapport with both the victim and the abuser might not be appropriate in an abusive situation where the victim’s safety is a priority.
B. Requesting a security guard may be necessary but should be considered after ensuring the interview environment is safe and private.
C. Contacting legal services is important but should come after addressing immediate privacy and safety concerns.
D. Ensuring privacy for the interview is crucial to provide the victim with a safe environment where they can speak freely without fear of the abuser’s presence or intervention.
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Correct Answer is A
Explanation
Rationale:
A. Understanding culture is crucial because it influences how individuals perceive and respond to violence, which can impact their engagement with support services and interventions.
B. While cultural considerations can help with referrals, the primary focus should be on understanding the patient's responses and needs in the context of their cultural background.
C. Asking about culture is not merely a habit; it’s a critical aspect of providing comprehensive care that respects and understands the patient's background.
D. Culture is not directly related to deciding on the scope of physical assessments but is essential for understanding the patient’s context and needs.
Correct Answer is B
Explanation
Rationale:
A. Physical hazards involve environmental factors that cause physical harm, such as unsafe structures or hazardous materials, but cholera is not classified under this.
B. Biologic hazards are related to living organisms or their byproducts, such as bacteria or viruses. Cholera, caused by the bacterium Vibrio cholerae, is a biological hazard.
C. Chemical hazards involve substances that can cause harm through chemical reactions or toxicity, which does not apply to cholera.
D. Psychosocial hazards relate to mental and social factors impacting health, not applicable to the cholera epidemic.