The nurse in the emergency department explains to a client who is the victim of domestic violence
that the client's psychosocial history, statements about the battering,
a body map detailing injuries,
and the photos taken will be placed in the medical record. The nurse also asks the client to return in
2 days for additional photos. The victim begs the nurse not to save the information for fear the
perpetrator will find out. The information the nurse can give to the client that will be of greatest
relevance in helping her accept the plan includes the facts that the medical record (more than one
option may be correct)
A. is not available to the perpetrator or his legal counsel.
B. will be valuable to the client if she takes legal action later.
C. makes pertinent information available to other care providers.
D. will provide evidence to law enforcement if another incident occurs.
E. can be a resource to providers of treatment to the perpetrator or the victim.
A, B, C
Rationale: Options A, B, and C are important facts for the client to know. The medical record is a
powerful tool if legal action is initiated. Even if legal action is not taken at the time, the record is
begun and the next provider will not have to stumble across the problem and will be in a better
position to offer support. Options D and E are of lesser relevance.
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A nurse researcher is conducting a study on the relationship between medication errors and the number of consecutive days worked by a nurse. One of the assumptions of this study is that medication errors are a serious threat to patients
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A) The child has oppositional defiant disorder. B) The child has a school phobia. C) The child has ADHD. D) The child has a developmental disorder.