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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?

A.

Avoid responding to hints that abuse has occurred.

B.

Separate the family from the child during the interview.

C.

Report the concern for potential abuse to the immediate supervisor.

D.

Obtain information as covertly as possible.

Answer and Explanation

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 B

Explanation

Rationale:

A. Physical hazards involve environmental factors that cause physical harm, such as unsafe structures or hazardous materials, but cholera is not classified under this.

B. Biologic hazards are related to living organisms or their byproducts, such as bacteria or viruses. Cholera, caused by the bacterium Vibrio cholerae, is a biological hazard.

C. Chemical hazards involve substances that can cause harm through chemical reactions or toxicity, which does not apply to cholera.

D. Psychosocial hazards relate to mental and social factors impacting health, not applicable to the cholera epidemic.

Correct Answer is D

Explanation

Rationale:

A. Asking if the client wants to press charges might be premature and could be intimidating, potentially making the client uncomfortable.

B. This question is relevant but may not directly address the immediate concern of the current situation.

C. While knowing the length of the relationship might provide some context, it does not directly address the potential issue of abuse.

D. Asking directly if the client is being abused is crucial for identifying potential abuse, especially when the partner is not present. This question provides an opportunity for the client to disclose any abuse they may be experiencing in a safer environment.

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