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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?

A.

Establish a rapport with the victim and the abuser.

B.

Request the presence of a security guard.

C.

Contact the appropriate legal services.

D.

Ensure privacy for interviewing the victim away from the abuser.

Answer and Explanation

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 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 C

Explanation

Rationale:

A. The Domestic Violence Screening Tool is used to screen for domestic violence but may not be as specifically validated for assessing immediate safety and lethality.

B. The Intimate Partner Assessment is a general tool for assessing relationships but lacks specific validation for safety concerns in abuse cases.

C. The Lethality Tool is specifically designed to assess the risk of harm or death in situations of intimate partner violence. It is widely validated and focuses on assessing immediate safety and risk.

D. The Mini Mental Status Exam is used to assess cognitive function and mental status, not specifically for abuse or safety assessment.

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