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. 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. Discouraging the client from using any alternative therapies is not appropriate as it disregards the client’s autonomy and preferences. It is important to respect the client’s choices while providing evidence-based guidance.
B. Advising the client about "good" versus "bad" therapies can be subjective and may not provide the comprehensive information the client needs. Instead, focus should be on evidence-based information.
C. Educating the client about therapies that they are using or interested in ensures they are informed about potential benefits, risks, and interactions with conventional treatments. This approach supports informed decision-making and safe use of complementary and alternative therapies.
D. Recommending herbal remedies is outside the scope of the nurse's role unless there is clear evidence-based information to support such recommendations. Nurses should focus on providing education rather than specific recommendations.