An emergency department nurse is assessing a female client with ...

[javeds]

An emergency department nurse is assessing a female client with traumatic injuries. To assess whether the client's injuries have resulted from abuse, which question would be most appropriate for the nurse to ask the client?
 
  A) Is your partner being mean to you?
  B) Why do you think your husband has beaten you?
  C) It looks like someone has hurt you. Tell me about it.
  D) Can you describe the person who did this to you?

Question 2

A female client has been admitted to an inpatient psychiatric facility with a diagnosis of posttraumatic stress disorder after a history of violence by her boyfriend. During the initial assessment interview, which assessment would be the priority?
 
  A) Nutritional status
  B) Hydration status
  C) Sleep patterns
  D) Suicide risk

[C.mcnichol98]

Answer to Question 1

Ans: C
The nurse should say to the client, It looks like someone has hurt you. Tell me about it. This is an open-ended statement and allows the client to verbalize her thoughts and feelings. Asking whether the partner is being mean or asking why the client thinks the husband has beaten her already assumes that the client has been abused. Asking about the person who did this would be ineffective because survivors of violence are unlikely to disclose sensitive information unless they perceive the nurse to be trustworthy and nonjudgmental. Additionally, this question is a closed question that does not allow the client to verbalize her thoughts and feelings openly.

Answer to Question 2

Ans: D
The first, and most important, assessment conducted is a lethality assessment that determines whether the survivor's life is in danger, either from homicide or suicide, and, if children are in the home, whether they are in danger. Then the physiologic areas such as nutrition, hydration, and sleep can be assessed.

[javeds]

TYSM

[T4T]

Excellent