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. Waiting for the client to bring up domestic violence may miss the opportunity for timely intervention.
B. Documentation and referral are important, but directly addressing the issue can be more effective in identifying and assisting victims.
C. Directly asking the client about domestic violence in a private and supportive manner facilitates open communication and disclosure.
D. Providing general information may not be as effective as directly addressing the issue with the client.
Correct Answer is A
Explanation
Rationale:
A. Tertiary prevention is correct as it involves managing and improving the quality of life for individuals who already have a chronic disease or disability. Rehabilitation and strength training aim to help the client live better despite the existing condition.
B. Primary prevention aims to prevent the onset of disease, which is not the focus here.
C. Workplace prevention is not a specific level of prevention; it may include aspects of primary and secondary prevention.
D. Secondary prevention involves early detection and intervention to prevent the progression of a disease, but since the client already has the condition, tertiary prevention is more applicable.