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 D
Explanation
Rationale:
A. Asking about family reactions may not address the immediate safety needs or emotional support required.
B. Dismissing or questioning the reasons for staying can be judgmental and not supportive.
C. While encouraging safety is important, it is more helpful to collaboratively work on a plan rather than making definitive statements.
D. Discussing a safety plan empowers the client and provides practical steps to ensure their safety, which is crucial for someone in an abusive situation.
Correct Answer is ["A","B","C","D"]
Explanation
Rationale:
A. Maintaining eye contact is important for effective communication and showing attentiveness.
B. Allowing time for the client to respond is crucial, especially if they are processing information in a second language.
C. Using professional interpreters ensures accurate translation and avoids miscommunication.
D. Nonverbal communication can be helpful in reinforcing understanding and expressing empathy.
E. While family members might be able to provide some help, they are not always ideal as interpreters due to potential biases and confidentiality issues. Professional interpreters are preferred.