While assessing an older patient in the emergency department the ...

[K@]

While assessing an older patient in the emergency department the nurse suspects that the patient has been abused. In which order should the nurse approach the care of this patient?
 
  1. Review options for help
  2. Provide information for services to help
  3. Determine if the patient is in any danger
  4. Emphasize that the patient has the right to be safe
  5. Explain that the patient is not to blame for any abuse

Question 2

As a nurse assessing abused children, the abused child may display which behavioral characteristics? (Select all that apply.)
 
  1. High need for adult contact
  2. Attempt suicide or abuse alcohol or drugs
  3. Consistently be measured in the 95th percentile on growth charts
  4. Verbalize fault for injuries: I deserved it
  5. Express violence toward pets

[Juro]

Answer to Question 1

Correct Answer: 3, 5, 4. 1. 2

When providing short-term interventions to a patient who has been abused the nurse should (1) determine the immediacy of danger, (2) convey that the person is not to blame and has the right to be safe, (3) explore options for help, and (4) provide information regarding available services.

Answer to Question 2

Correct Answer: 2, 4, 5

Abused children can display a myriad of behavioral characteristics. Many of the characteristics involve shame, a lack of self esteem, and violence or anger problems. These feelings can manifest themselves in suicide, abusive behavior such as drugs or alcohol, or blaming themselves for the abusive situation. Children may present with fear of a parent or be wary of physical contact with an adult. The child may also manifest developmental delay and failure to thrive.

[K@]

Thank you

[Juro]

Happy to help you