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 A
Explanation
Rationale:
A. CAGE is a well-validated screening tool for alcohol use disorders, assessing issues related to drinking and its impact on a person’s life.
B. FAST is not as commonly used as CAGE for alcohol addiction screening.
C. STAT is not a recognized tool for alcohol screening.
D. PACE is not specifically known for alcohol addiction screening; it is more related to adolescent substance use assessments.
Correct Answer is B
Explanation
Rationale:
A. Socioeconomic status can affect stress responses, but resilience specifically refers to the ability to withstand or recover from adversity.
B. Resilience refers to the ability of individuals or groups to withstand or bounce back from adverse conditions or stressors. This describes resistance to risk factors effectively.
C. Increased susceptibility to risk factors describes vulnerability rather than resilience.
D. Sensitivity to risk factors describes vulnerability rather than resilience, which focuses on recovery and resistance.