The nurse in the Emergency Department is taking a history from a family accompanying a child with traumatic injuries that are suspicious for abuse. Which of the following actions is most appropriate for the nurse to take?
Avoid responding to hints that abuse has occurred.
Separate the family from the child during the interview.
Report the concern for potential abuse to the immediate supervisor.
Obtain information as covertly as possible.
The Correct Answer is B
Rationale:
A. Avoid responding to hints that abuse has occurred is not appropriate. The nurse should address and assess any signs or suspicions of abuse openly.
B. Separate the family from the child during the interview is appropriate as it allows the nurse to obtain information from the child without potential coercion or influence from the family members.
C. Report the concern for potential abuse to the immediate supervisor is important but should be done after gathering sufficient information. The immediate action should focus on separating and interviewing the child.
D. Obtain information as covertly as possible is not ideal. It is important to obtain accurate information while ensuring the safety and comfort of the child, rather than being covert.
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Correct Answer is B
Explanation
Rationale:
A. Provides outreach to a faith community with referrals is a role that can overlap with public health nursing, which often involves community outreach and education.
B. Uses the congregation's tenets and beliefs to administer care reflects the specialized role of a faith-based nurse who integrates faith principles into healthcare, distinct from general public health practice.
C. Demonstrates a knowledge of the community's faith beliefs is important but is not exclusive to the institutional-based faith community role.
D. Administers prescribed treatments is part of both roles but does not specifically distinguish the faith-based aspect of care.
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.