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","B","C","D"]
Explanation
Rationale:
A. Conducting health screenings and providing immunizations are common responsibilities of occupational health nurses to maintain employee health.
B. Monitoring compliance with OSHA regulations is crucial for ensuring a safe working environment.
C. Developing and implementing safety and health programs helps prevent workplace injuries and illnesses.
D. Administering first aid and managing minor injuries are direct responsibilities related to immediate employee care.
E. Long-term psychological counseling and therapy are typically beyond the scope of occupational health nursing and may be referred to specialized mental health professionals.
Correct Answer is C
Explanation
Rationale:
A. Evacuating the workspace may be premature without understanding the cause and extent of exposure. Immediate treatment is essential, but a comprehensive approach is needed.
B. Contacting management and cleaning the area are important but do not address the immediate need to treat the worker or investigate exposure.
C. Treating the client and obtaining a comprehensive exposure history is crucial for identifying the cause and planning further actions. Assessing other potentially exposed workers ensures broader safety.
D. Contacting OSHA is important for regulatory issues, but immediate patient care and investigation should take precedence to address the worker's current health needs.