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Community health nursing final exam (exemplify)
Community health nursing final exam (exemplify)
Total Questions : 80
Showing 10 questions Sign up for moreWhat is the nurse's main goal when (s)he encounters a possible trafficking situation?
Explanation
A. While convincing a victim to escape might be a goal, it’s not always feasible or safe to suggest immediate action in such a dangerous situation.
B. Gathering information is important but should be done cautiously, ensuring the victim’s safety and comfort.
C. Being a safe and supportive presence is crucial, as it allows the victim to feel secure and open up at their own pace, which is essential for their safety and trust-building.
D. Providing resources is valuable, but ensuring that the victim feels safe and supported is a priority before sharing resources.
A 17-year-old female presents to the emergency department with bruises, a disheveled appearance, and signs of malnutrition. She is reluctant to provide information about her situation and appears fearful. During the assessment, she reveals that she was brought to the city by someone she referred to as her "employer" who promised her a job but has since taken her identification documents and restricted her freedom. Which of the following actions should the nurse prioritize to ensure the safety and well-being of this patient?
Explanation
A. Contacting the employer could potentially put the patient at further risk if the trafficker becomes aware of her location or intentions.
B. Encouraging the patient to return to her home town might not address immediate safety concerns and could place her at greater risk.
C. Providing job agency information does not address the immediate safety and health needs of the patient.
D. Ensuring the patient's immediate safety and addressing any urgent medical needs is the top priority. This includes assessing for immediate threats and providing necessary medical care.
A. Contacting the employer could potentially put the patient at further risk if the trafficker becomes aware of her location or intentions.
Explanation
A. Socioeconomic status can affect stress responses, but resilience specifically refers to the ability to withstand or recover from adversity.
B. Resilience refers to the ability of individuals or groups to withstand or bounce back from adverse conditions or stressors. This describes resistance to risk factors effectively.
C. Increased susceptibility to risk factors describes vulnerability rather than resilience.
D. Sensitivity to risk factors describes vulnerability rather than resilience, which focuses on recovery and resistance.
A public health nurse is involved in a discussion about the challenges faced when assisting victims of human trafficking. The nurse is evaluating various issues that complicate the process of providing effective support and intervention. Among the numerous difficulties encountered, which of the following is considered the most significant problem when it comes to helping victims of human trafficking today?
Explanation
A. Financial constraints are a significant issue but may not be the primary barrier compared to systemic issues.
B. The lack of standardized protocols and resources can lead to significant gaps in care and support for trafficking victims, making this a critical issue for effective intervention.
C. While training costs are a concern, they are part of a broader issue of inadequate protocols and resources.
D. Beliefs about trafficking being only a foreign issue contribute to underreporting but do not directly address the operational challenges faced in victim support.
A new graduate nurse asks the experienced nurse, "Why did you ask about culture when it was obvious that you needed to focus on the battering?" Which of the following would be the best response by the experienced nurse?
Explanation
A. Understanding culture is crucial because it influences how individuals perceive and respond to violence, which can impact their engagement with support services and interventions.
B. While cultural considerations can help with referrals, the primary focus should be on understanding the patient's responses and needs in the context of their cultural background.
C. Asking about culture is not merely a habit; it’s a critical aspect of providing comprehensive care that respects and understands the patient's background.
D. Culture is not directly related to deciding on the scope of physical assessments but is essential for understanding the patient’s context and needs.
A nurse is working in the emergency department, and is conducting an interview with a victim of intimate partner abuse. Which step should the nurse take first?
Explanation
A. Establish a rapport with the victim and the abuser: While establishing rapport with the victim is important, it is essential to first ensure the victim’s safety and privacy. The abuser should not be present during this interview because it could lead to intimidation and prevent the victim from being open and honest.
B. Request the presence of a security guard: While security may be necessary if there is a concern about the victim’s immediate safety, the priority should be to establish privacy for the interview. If the situation becomes dangerous, security can be called afterward.
C. Contact the appropriate legal services: Legal services may be contacted later, but the immediate priority is to ensure that the victim has the opportunity to speak without fear of the abuser’s presence. Legal support and other services can be arranged after the interview.
D. Ensure privacy for interviewing the victim away from the abuser: The victim must feel safe to speak honestly and openly about the abuse. To ensure confidentiality and prevent the abuser from overhearing, the nurse must first create a private space for the interview. This step is critical for establishing trust and gaining accurate information about the situation.
The nurse is considering making a child abuse or neglect report to protective services. To initiate a report on child abuse or neglect, which of the following criteria does the nurse need to meet?
Explanation
A. Nurses are mandated reporters and must report suspicions of abuse or neglect, regardless of concrete evidence or verbal admission.
B. A verbal admission from the victim is not required; suspicions alone are sufficient to make a report.
C. While notifying a supervisor may be part of internal protocols, it is not a legal requirement for making a report.
D. Notifying the parents may not be safe or appropriate in cases of abuse, and it is not a requirement for reporting abuse or neglect.
A client who is physically abused by their partner mentions to the nurse "Someday I'll have to leave him." Which of the following would be the nurse's best response?
Explanation
A. Asking about family reactions may not address the immediate safety needs or emotional support required.
B. Dismissing or questioning the reasons for staying can be judgmental and not supportive.
C. While encouraging safety is important, it is more helpful to collaboratively work on a plan rather than making definitive statements.
D. Discussing a safety plan empowers the client and provides practical steps to ensure their safety, which is crucial for someone in an abusive situation.
A nurse educator is presenting about the long-term effects of witnessing intimate partner violence (IPV) on children. The nurse knows that the material was understood if the staff accurately identify which of the following as adverse childhood events (ACES) impacting children? Select all that apply
Explanation
A. Living in a household with substance abuse and domestic violence is an ACE that can significantly impact a child's development and mental health.
B. Discipline using "time out" is generally considered a less harmful form of discipline and not classified as an ACE.
C. Childhood abuse is a significant ACE that has long-term effects on physical and mental health.
D. Being behind in reading skills is an educational concern but not classified as an ACE.
E. Neglect is an ACE that can severely affect a child's development and well-being.
While assessing a family system, the nurse is aware that which of the following can alter the family dynamic?
Explanation
A. A change in employment status can significantly impact family roles, finances, and emotional dynamics.
B. Coping with a chronic medical condition affects family routines, emotional health, and caregiving responsibilities.
C. Daily activities of living typically do not cause significant alterations in family dynamics unless they are part of a larger issue.
D. The addition of a new family member can alter family roles, dynamics, and relationships significantly.
E. A crisis affecting a family member can dramatically change family dynamics due to emotional stress and shifts in responsibilities.
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