Which interventions should a nurse include in the plan of care ...

[nmorano1]

Which interventions should a nurse include in the plan of care for a woman who has been physically abused by a partner for 10 years? Select all that apply.
 
  a. Be objective and nonthreatening.
  b. Help the victim to assess strengths.
  c. Make referrals contingent on leaving the abuser.
  d. Inform the woman that marital counseling is rarely effective.
  e. Help the victim recognize that the perpetrator's behavior is abusive.

Question 2

During the impact stage of response to a violent crime, which nursing interventions would be appropriate for a victim? Select all that apply.
 
  a. Provide physical safety.
  b. Use empathetic responses.
  c. Distract the patient with humor.
  d. Provide clear, simple directions.
  e. Support expression of feelings.

[Dominic]

Answer to Question 1

A, B, E
An objective, nonthreatening approach builds trust. Identifying the perpetrator's behavior as abusive is honest and supports the seriousness of the behavior. Helping the victim assess strengths will be necessary if the patient is to see herself as having sufficient resources to leave the abusive relationship. The distracters are nontherapeutic. Referrals should never be offered contingently. Marital counseling should be supported, if that is what the victim chooses. It might help reduce guilt feelings when the victim leaves the relationship.

Answer to Question 2

A, B, D, E
Because the individual experiences disorganization during the impact stage, the nurse must provide for safety and security via use of empathy, encourage expression of feelings, and provide simple clear directions. Humor might be helpful in the reorganization stage, not the impact stage.