Which nursing intervention is most likely to help a client in the Emergency Department with extensive soft tissue injuries disclose an incident of domestic violence?
Wait for the client to mention any concerns about domestic violence during their treatment.
Document the injuries and refer the client to a social worker without discussing the possibility of domestic violence.
Ask the client directly if they are experiencing domestic violence in a private and supportive manner.
Inform the client that domestic violence is common and provide general information on available resources.
The Correct Answer is C
Rationale:
A. Waiting for the client to bring up domestic violence may miss the opportunity for timely intervention.
B. Documentation and referral are important, but directly addressing the issue can be more effective in identifying and assisting victims.
C. Directly asking the client about domestic violence in a private and supportive manner facilitates open communication and disclosure.
D. Providing general information may not be as effective as directly addressing the issue with the client.
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Correct Answer is C
Explanation
Rationale:
A. Identify other resources for providing food service is not the nurse’s primary function during the inspection.
B. Promote the health of clients affected by the previous outbreaks is important but not the primary function during the kitchen inspection.
C. Educate the kitchen workers about safe food preparation is a key function to prevent future outbreaks by ensuring proper food handling practices are followed.
D. Ensure the workers' understanding of various microorganisms is important but less immediate than ensuring safe food preparation practices.
Correct Answer is B
Explanation
Rationale:
A. Avoid responding to hints that abuse has occurred is not appropriate. The nurse should address and assess any signs or suspicions of abuse openly.
B. Separate the family from the child during the interview is appropriate as it allows the nurse to obtain information from the child without potential coercion or influence from the family members.
C. Report the concern for potential abuse to the immediate supervisor is important but should be done after gathering sufficient information. The immediate action should focus on separating and interviewing the child.
D. Obtain information as covertly as possible is not ideal. It is important to obtain accurate information while ensuring the safety and comfort of the child, rather than being covert.