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 A
Explanation
Rationale:
A. Developing an emergency plan is crucial because patterns of violence often continue or escalate, and having a plan can help ensure the client’s safety.
B. While battering patterns often persist, focusing on immediate safety measures like an emergency plan is more practical.
C. Discouraging hope might not be supportive; instead, focusing on practical safety measures is more helpful.
D. Learning self-defense might not address the root issue of the violence and does not ensure safety in abusive situations.
Correct Answer is C
Explanation
Rationale:
A. Suggesting the patient read religious texts may provide some comfort but does not address the need for personal and communal spiritual support.
B. Encouraging the patient to focus solely on medical treatment neglects the importance of addressing the patient's emotional and spiritual needs, which are crucial tfor overall well-being.
C. Arranging for a spiritual advisor to visit is the most appropriate action as it directly addresses the patient’s spiritual needs and provides support from someone familiar with their religious practices.
D. Instructing the patient to practice meditation may not align with the patient’s specific religious practices and does not address the need for community-based spiritual support.