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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View Related questions
Correct Answer is A
Explanation
Rationale:
A. Understanding culture is crucial because it influences how individuals perceive and respond to violence, which can impact their engagement with support services and interventions.
B. While cultural considerations can help with referrals, the primary focus should be on understanding the patient's responses and needs in the context of their cultural background.
C. Asking about culture is not merely a habit; it’s a critical aspect of providing comprehensive care that respects and understands the patient's background.
D. Culture is not directly related to deciding on the scope of physical assessments but is essential for understanding the patient’s context and needs.
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A. Nurses and other healthcare workers may be the primary or only point of contact for trafficking victims, providing crucial opportunities for identification and support.
B. Nurses are obligated to report suspected abuse but are generally required to report abuse or neglect for minors rather than all ages; trafficking often involves minors, but this is not a universal rule.
C. Nurses work in many different settings, which increases their opportunities to encounter and assist trafficking victims.
D. Nurses are trained to view a patient holistically and can recognize subtle signs of maltreatment that others might miss, making them critical in identifying trafficking.
E. Nurses do not have the legal authority to remove victims; their role involves identification and reporting rather than enforcement actions.