A young client is brought into the emergency department (ED) by a ...

[leilurhhh]

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.

Question 2

A client is admitted with injuries sustained from a domestic dispute. When planning care, the nurse will include which priority assessment?
 
  1. Self-development.
  2. Self-esteem.
  3. Immediacy of danger.
  4. Ability to provide payment.

[nixon_s]

Answer to Question 1

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.

Answer to Question 2

Correct Answer: 3

The priority assessment for a client who is being abused is to determine the immediacy of danger. Assessing self-development and self-esteem are not priority assessments for this client. The ability to pay is not included in the nursing assessment for this client.

[leilurhhh]

Excellent

[bulacsom]

TYSM