Which intervention would be most therapeutic as a nurse cares for a victim of partner abuse?
a. Validate the truthfulness of the victim's comments.
b. Avoid pressuring the victim or disparaging the abuser.
c. Acknowledge the victim's inability to change the situation.
d. Encourage the partner to stay with the victim during an interview.
B
Nurses should never pressure a victim to leave the abuser. The patient must make the decision without coercion. Leaving is dangerous, because it escalates the violence and might result in death. Neither should the nurse disparage the perpetrator. The victim still cares about the batterer. The nurse should ask directly about abuse. The nurse should not suggest that the individual is unable to take constructive action. The patient should have a safe environment, without the abuser, to discuss the events. The nurse should not question the truthfulness of the victim's complaints.
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A client with a history of physical and sexual abuse by her husband is admitted to the hospital for treatment of vaginal lacerations. While hospitalized, the client expresses concerns to the nurse about her safety when she returns home
The first priority for the nurse is to: 1. Offer to contact outpatient services if the client promises that she will not return home after her discharge. 2. Encourage the client to take charge of her situation. 3. Make it clear to the client that her husband needs to see a therapist. 4. Assist the client to devise a safety or escape plan.
The charge nurse is aware that some staff nurses routinely "short-cut" assessment activities for long-term patients. In case of a negative patient outcome related to this practice, does the charge nurse hold any liability?
1. No, these are licensed nurses who are responsible for their own practice. 2. Yes, but only if the charge nurse has documented previous suspicion of "short-cutting." 3. No, the liability is limited to the staff nurses and the facility. 4. Yes, the charge nurse has a duty to ensure staff competency.
How have nurses historically learned to identify a possible relationship between environmental chemical exposures and their potential harm?
a. Extrapolation by toxicologists b. Biomonitoring c. Completing chemistry courses d. Observing signs and symptoms in clients
What might result from sexual harassment if the manager does not take preventative action?
A) The development of post-traumatic stress disorder in the victim B) Future sexual harassment by the perpetrator C) Employee demoralization D) Litigation