A nursing student asks the clinic nurse why it is important to ...

[bobbysung]

A nursing student asks the clinic nurse why it is important to find out whether a woman in a violent relationship feels safe leaving the clinic. The best response by the nurse would be to tell the student that
 
  a. femicide is a major cause of death, especially in African American women.
  b. if the woman is not safe, the nurse can have the police escort her.
  c. the law requires asking about patient safety in this situation.
  d. women who are not safe need to be given referral information.

Question 2

A nurse working in a rural hospital explains to a friend in another location that one aspect of rural nursing that differs markedly from urban practice is that the rural nurse
 
  a. has to use critical thinking on a daily basis in order to practice.
  b. may know some of his or her patients personally, leading to stress.
  c. might have to handle situations on her or his own until help arrives.
  d. will see a variety of patients with a variety of medical problems.

[lindahyatt42]

Answer to Question 1

A
Femicide, the murder of a woman, is the seventh leading cause of premature death in women overall, and it is the most serious consequence of intimate partner violence. The student (and nursing staff) need to ensure the woman feels safe going home.
Offering to have police escort the woman home does not explain where the police would escort the woman to, nor does it consider that police may not be available at the time.
The law does not require asking specifically whether a woman is safe to leave a medical facility, but there are consensus guidelines on appropriate questioning.
Women who are not safe do need referral information, but this answer is too narrow in scope to be the best answer.

Answer to Question 2

C
In rural facilities, there may be no medical staff available during off times, and the nurse may be one of a very few number of employees present when a medical emergency strikes. The nurse must be able to intervene appropriately and manage the situation alone until other help arrives. This is markedly different than in metropolitan hospitals with onsite medical staff and larger nursing staffs.
All nurses should use critical thinking skills on a daily basis.
The rural nurse is probably more prone to knowing the patients personally, but this can happen anywhere.
Although the rural nurse probably does see a great variety of patients, this can also be true of nurses working in general medical or surgical units or in tertiary care centers that have an influx of unusual referral cases.