The information noted in a client's history that suggests ...

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The information noted in a client's history that suggests marginal coping skills and the need for
  careful assessment of risk for violence is a history of
 
  a. childhood trauma.
  b. family involvement.
  c. academic problems.
  d. chemical dependence.

Question 2

A client who has come to the hospital for treatment of injuries sustained when he was raped abruptly
  decides to refuse treatment and return home. Before the client leaves, the nurse should
 
  a. provide written information about physical and emotional reactions that he may
  experience.
  b. tell him he cannot leave until given prophylactic sexually transmitted disease
  treatment.
  c. give verbal information about legal resources.
  d. mention the need for HIV testing.

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Answer to Question 1

D
The nurse should suspect marginal coping skills in a client with chemical dependence. They are
often anxious, may be concerned about inadequate pain relief, and may have personality styles that
externalize blame. The other options do not signal as high a degree of risk as chemical dependence.

Answer to Question 2

A
All information given to a client before he or she leaves the emergency department should be in
writing. Clients who are anxious are unable to concentrate and therefore cannot retain much of what
is verbally imparted. Written information can be read and referred to at later times. Options C and D
ignore the need for written information. Option B is inappropriate. Clients cannot be kept against
their will or coerced into receiving medication as a condition of being allowed to leave. This
constitutes false imprisonment.

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Excellent

[FergA]

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