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 C
Explanation
Rationale:
A. Inheriting cultural perspectives from parents is a part of cultural transmission, but it does not encompass the full complexity of individual cultural experiences.
B. Shared human experiences within a culture are significant, but they do not account for individual variations in cultural experience.
C. Cultural experiences are unique to each individual. Even within a shared cultural group, personal experiences, beliefs, and practices can vary widely. Recognizing this helps in providing more personalized and respectful care.
D. Cultural norms can change over time due to various factors such as personal experiences, societal changes, and migration. Individuals do not always demonstrate consistent cultural norms throughout their lives.
Correct Answer is A
Explanation
Rationale:
A. The presence of a gun in the home is associated with a higher risk of severe injury or death in cases of domestic violence.
B. While trying to leave can be risky, it does not directly indicate a higher risk of mortality compared to other factors.
C. Repeated hospitalizations indicate ongoing abuse but are not as directly related to immediate risk of mortality as the presence of a gun.
D. Having a plan could indicate awareness and preparation, which may not directly correlate with immediate risk of mortality.