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 A
Explanation
Rationale:
A. Tertiary prevention is correct as it involves managing and improving the quality of life for individuals who already have a chronic disease or disability. Rehabilitation and strength training aim to help the client live better despite the existing condition.
B. Primary prevention aims to prevent the onset of disease, which is not the focus here.
C. Workplace prevention is not a specific level of prevention; it may include aspects of primary and secondary prevention.
D. Secondary prevention involves early detection and intervention to prevent the progression of a disease, but since the client already has the condition, tertiary prevention is more applicable.
Correct Answer is B
Explanation
Rationale:
A. Provides outreach to a faith community with referrals is a role that can overlap with public health nursing, which often involves community outreach and education.
B. Uses the congregation's tenets and beliefs to administer care reflects the specialized role of a faith-based nurse who integrates faith principles into healthcare, distinct from general public health practice.
C. Demonstrates a knowledge of the community's faith beliefs is important but is not exclusive to the institutional-based faith community role.
D. Administers prescribed treatments is part of both roles but does not specifically distinguish the faith-based aspect of care.