The nurse decides to spend extra time with a pregnant patient in ...

[Wadzanai]

The nurse decides to spend extra time with a pregnant patient in the prenatal clinic in efforts to determine if the patient is a victim of intimate partner violence. What caused the nurse to make this plan prior to assessing the patient?
 
  A) Patient chatting with another patient in the waiting room
  B) Patient wearing a long sleeved jacket on a hot summer day
  C) Patient periodically looking at a wrist watch to check the time
  D) Patient unconsciously rubbing the abdomen while reading a magazine

Question 2

The nurse in the emergency department is documenting the appearance and care provided to a victim of rape. Which statement should the nurse include when documenting this care?
 
  A) Victim has blood stains on both inner thighs.
  B) Victim claims to be raped but does not appear fearful or traumatized.
  C) Victim handling the incident well by talking with the male police officers.
  D) Victim wearing provocative low-cut lace blouse and bra and short skirt with high heels.

[k2629]

Answer to Question 1

B
Feedback:
Pregnant maltreated patients may demonstrate typical behaviors that reveal violence. A patient may dress inappropriately for warm weather, wearing long-sleeved blouses to cover up bruises on the neck or arms. A patient who is talking with another patient, checking the time on a wrist watch, and rubbing the abdomen while reading a magazine are not behaviors that indicate intimate partner violence.

Answer to Question 2

A
Feedback:
When documenting the care and condition of a victim of rape, the nurse needs to be certain that statements are accurate and unbiased. The nurse should describe the victim's appearance in unbiased detail, including the presence and location of injuries. Making a statement such as victim claims to be raped but does not appear fearful or traumatized is a biased statement. The statement that the victim is handling the incident well by talking with male police officers and using the word provocative when describing the victim's clothing are biased statements and should not be a part of the medical record.