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 B
Explanation
Rationale:
A. Observing the client's communication with family might provide some insight but does not directly address the cultural influences on the client’s behavior.
B. Understanding the cultural background is crucial as cultural norms and traditions can significantly influence communication behaviors, such as eye contact and engagement.
C. Asking the client directly might be appropriate but does not take into account potential cultural factors that could influence their communication.
D. Misdiagnosing shyness as a communication issue could be a concern, but recognizing cultural influences helps to ensure that the diagnosis is culturally appropriate.
Correct Answer is A
Explanation
Rationale:
A. Offering spiritual counseling and emotional support aligns with the parish nurse's role in providing holistic care that integrates physical, emotional, and spiritual support within the faith community.
B. Conducting health screenings and providing immunizations are more aligned with public health nurses or community health nurses rather than parish nurses.
C. Administering medications and performing advanced medical procedures fall outside the typical scope of parish nursing, which focuses more on support and counseling rather than clinical procedures.
D. Developing public health policy is beyond the individual role of a parish nurse and is typically handled by public health officials and policymakers.