Author Question: A nurse is working with a woman who is experiencing intimate partner violence (IPV). The woman ... (Read 103 times)

elizabeth18 · **on:** Jul 22, 2018

A nurse is working with a woman who is experiencing intimate partner violence (IPV). The woman states, At least my children aren't getting hurt. The best response by the nurse is,

a. Children who witness violence have many indirect injuries.
b. It's just a matter of time before one of them really does get hurt.
c. Many children get hurt when they try to intervene in the situation.
d. Yes, you are right. You are lucky they haven't been hurt.

Question 2

At a rally for better health care coverage, a nurse hears someone say that government-sponsored health programs are inherently unfair. What statement best justifies this position?

a. Government-sponsored plans have no system of ensuring accountability.
b. Taxes should not be used for anything other than running the government.
c. The people who pay the most in taxes often get the fewest benefits.
d. There are no tax deductions for the contributions made to the plans.

parshano · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Children who witness IPV have indirect injuries such as poor health, behavior problems, school problems, and social problems.
IPV is associated with increased numbers of child abuse, but predicting that one of the patient's children will get hurt is extremely insensitive and not helpful.
Some children do get hurt intervening in a situation of IPV, but this statement is inaccurate, because it implies large numbers of them are injured.
Agreeing with the patient that she is lucky does nothing to help. The nurse needs to educate the patient on the harmful effects of IPV on her children.

Answer to Question 2

C
Whereas healthy, middle-income people often pay more in taxes than they receive in benefits, the less affluent usually pay less than the value of the health care services they receive.
Government activities have the ultimate accountability: the vote.
Many people argue that taxes should not be used for anything other than running the government, but this does not get at the equity debate. In fact, if the government were not somehow involved in health care financing, there would be less equity because many individuals would have no way of paying for needed health care.
Social security taxes are not deductible, but this affects everyone equally.