A young client is brought into the emergency department (ED) by a friend who says the client was "beat up" at school. The client is reluctant to provide the names of parents or a home address. What should the nurse suspect has occurred with this client?
1. The client does not want the individual who did the beating to get in trouble.
2. The client does not know his parents.
3. The client does not want the school to get in trouble.
4. The client is a victim of interpersonal violence.
Correct Answer: 4
Although the nurse may initially believe that the client is telling the truth about being beaten up at school, the client's reluctance to provide parents' names or address could suggest the client is a victim of interpersonal violence. Reluctance to provide personal information could mean fear of further abuse. It is unlikely that the client does not know his parents. It is also unlikely that the client does not want to get the school or the individual who did the beating in trouble.
You might also like to view...
The nurse is preparing to discharge a patient with HIV who will continue to take enfuvirtide [Fuzeon] at home. The nurse is providing patient education about the medication
What informa-tion about the administration of enfuvirtide is most appropriate for the patient? a. The importance of injecting the drug into two alternating sites daily b. How to reconstitute and self-administer a subcutaneous injection c. The importance of taking the drug with high doses of vitamin E d. Likely drug interactions between enfuvir-tide and other antiretroviral drugs
A patient moans, "God wants me to suffer, but I don't know why. I feel like an outcast. I should have never been born." Which nursing diagnosis applies?
a. Potential for enhanced spiritual well-being b. Disturbed personal identity c. Spiritual distress d. Powerlessness
If untreated, autonomic dysreflexia can lead to:
a. Spinal cord infection b. Stroke and heart attack c. Paraplegia d. Constipation and fecal impaction
The nurse is assessing a 78-year-old client who lives alone in his own home. To assess the client's instrumental activities of daily living, the nurse should ask the client:
A) "How often do you bathe or shower?" B) "How many times do you change clothes during the day?" C) "How often are you cooking meals for yourself?" D) "How often do you go to the store to buy groceries?"