The nurse working in emergency triage is evaluating a client with injuries frequently associated with physical abuse. Which of the following questions if answered yes by the client would indicate a higher risk of mortality?
"Do you have a gun in your home?"
"Have you ever tried to leave?"
"How many times have you been hospitalized for abuse?"
"Do you have a plan if things go too far?"
The Correct Answer is A
Rationale:
A. The presence of a gun in the home is associated with a higher risk of severe injury or death in cases of domestic violence.
B. While trying to leave can be risky, it does not directly indicate a higher risk of mortality compared to other factors.
C. Repeated hospitalizations indicate ongoing abuse but are not as directly related to immediate risk of mortality as the presence of a gun.
D. Having a plan could indicate awareness and preparation, which may not directly correlate with immediate risk of mortality.
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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.
Correct Answer is B
Explanation
Rationale:
A. A survey might provide some information but is less comprehensive and interactive than an interview.
B. The interview is the most appropriate method for a basic family assessment as it allows for a detailed and interactive exploration of family dynamics, health issues, and needs.
C. A poll is generally used for gathering opinions from a group rather than conducting a detailed assessment of an individual's or family's needs.
D. The physical assessments are important for evaluating health status but do not provide the comprehensive understanding of family dynamics and functioning needed for a basic family assessment.