Author Question: The nurse in the emergency department explains to a client who is the victim of domestic violence ... (Read 78 times)

penza

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The nurse in the emergency department explains to a client who is the victim of domestic violence
  that the client's psychosocial history, statements about the battering,
 
  a body map detailing injuries,
  and the photos taken will be placed in the medical record. The nurse also asks the client to return in
  2 days for additional photos. The victim begs the nurse not to save the information for fear the
  perpetrator will find out. The information the nurse can give to the client that will be of greatest
  relevance in helping her accept the plan includes the facts that the medical record (more than one
  option may be correct)
  A. is not available to the perpetrator or his legal counsel.
  B. will be valuable to the client if she takes legal action later.
  C. makes pertinent information available to other care providers.
  D. will provide evidence to law enforcement if another incident occurs.
  E. can be a resource to providers of treatment to the perpetrator or the victim.

Question 2

The nurse planning care for a client with the dual diagnoses of bipolar disorder and substance abuse
  disorder, cocaine,
 
  should consider the fact that the client has increased risk for (more than one
  answer may be correct)
  A. injury.
  B. suicide.
  C. homelessness.
  D. HIV infection.



Beatricemm

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Answer to Question 1

A, B, C
Rationale: Options A, B, and C are important facts for the client to know. The medical record is a
powerful tool if legal action is initiated. Even if legal action is not taken at the time, the record is
begun and the next provider will not have to stumble across the problem and will be in a better
position to offer support. Options D and E are of lesser relevance.

Answer to Question 2

A, B, C, D
Rationale: Clinical consequences of substance abuse among the severely mentally ill include all the
options listed, along with medication nonadherence, increased rates of violence, relapse of
psychosis, and increased use of institutional services.



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