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
Explanation
Rationale:
A. Developing an individualized care plan focusing solely on one issue may not address the family’s overall dynamics and interactions, which are critical in the Calgary Family Intervention Model.
B. Referring the family to specialized services without considering the family’s overall functioning misses the opportunity to address the interconnectedness of issues within the family unit.
C. Engaging the entire family in discussions to identify and address patterns of interaction and coping strategies aligns with the Calgary Family Intervention Model, which emphasizes understanding and improving family dynamics and relationships.
D. Providing education on specific medical conditions is important but does not address the broader family dynamics and support systems critical in the Calgary model.
Correct Answer is C
Explanation
Rationale:
A. Providing a personal emergency response system is important but does not address the immediate physical hazards in the home that are likely to cause falls.
B. Installing grab bars and handrails is a good safety measure, but addressing immediate tripping hazards should take precedence to prevent falls.
C. Removing clutter and securing loose rugs is a direct intervention that addresses the immediate risk factors for falls in the home environment. This should be the first step in improving safety.
D. Modifying the exercise routine can be beneficial for long-term fall prevention but does not address the immediate physical hazards present in the home.