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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View Related questions
Correct Answer is C
Explanation
Rationale:
A. While knowing previous knowledge and interest is useful, the priority is to ensure that the client can understand the educational materials.
B. Willingness to participate is important but secondary to ensuring that the material is accessible to the client.
C. Determining the client's ability to read and understand English is crucial as it affects their ability to comprehend pamphlets. If they cannot read or understand English, alternative methods of education should be used.
D. Readiness to learn is important but presupposes that the material can be understood; therefore, assessing language comprehension is a priority.
Correct Answer is ["B","C","D"]
Explanation
Rationale:
A. Interventions should be planned and adapted based on the family’s specific context and needs. They are not completely unstructured but should be flexible and responsive.
B. The nurse-family relationship is central to the CFIM, facilitating effective communication and collaboration.
C. Focusing on family strengths and resiliency is a key aspect of the CFIM, aiming to build on what the family does well to improve functioning.
D. Interventions should be tailored to each family’s context and guided by their specific beliefs and experiences.
E. Family interventions aim to support and improve family functioning rather than correct all issues. The goal is not to resolve every problem but to enhance overall family functioning and support.