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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 C

Explanation

Rationale:

A. Waiting for the client to bring up domestic violence may miss the opportunity for timely intervention.

B. Documentation and referral are important, but directly addressing the issue can be more effective in identifying and assisting victims.

C. Directly asking the client about domestic violence in a private and supportive manner facilitates open communication and disclosure.

D. Providing general information may not be as effective as directly addressing the issue with the client.

Correct Answer is A

Explanation

Rationale:

A. Chemical hazard is correct because chlorine gas is a chemical substance that poses risks of exposure through inhalation or contact.

B. Biologic hazard refers to exposure to biological agents such as bacteria or viruses, which is not relevant in this context.

C. Physical hazard involves physical injuries or environmental conditions like noise or temperature extremes, not applicable here.

D. Ergonomic hazard relates to repetitive strain or poor posture-related injuries, which is not related to chlorine gas exposure.

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