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 ["C","D","E"]
Explanation
Rationale:
A. The child attending a childcare program does not necessarily indicate risk for abuse. Childcare attendance alone does not provide evidence of abuse risk.
B. The partner living with his parents may affect the dynamics of the household but does not directly indicate risk for the child unless further context suggests otherwise.
C. The child reporting seeing the mother being hit with a baseball bat is a significant indicator of potential abuse and trauma, which could put the child at risk.
D. Clinging to the mother's side may indicate anxiety or fear, which could be related to an abusive environment or trauma.
E. Unemployment and alcohol abuse by the partner are risk factors for intimate partner violence and can also affect the safety and well-being of the child.
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.