A nurse is assessing a client who presents with injuries and signs that may suggest intimate partner violence. Which of the following statements by the client would most likely indicate the need for further assessment and intervention?

"I have bruises from a recent sports injury."

"I'm experiencing stress from work and it's affecting my health."

"I fell down the stairs and injured my arm."

"I often feel afraid at home, but I don't want to talk about it."

Answer and Explanation

The Correct Answer is D

A. Bruises from a sports injury are less likely to indicate intimate partner violence without additional context.

B. Stress from work is a general issue and does not directly suggest intimate partner violence.

C. A fall down the stairs could be an accident; however, further context is needed to assess if this is related to violence.

D. Fear at home and reluctance to discuss it could indicate underlying intimate partner violence, requiring further assessment and intervention.

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Correct Answer is A

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. Increase outreach efforts to provide information about available health services, regardless of specific community needs. B. Conduct a comprehensive community assessment to identify key health issues and resource gaps, then develop targeted interventions based on the findings. C. Focus on providing immediate emergency care services to address urgent health issues. D. Implement a health education program aimed at promoting general wellness and preventive care for all community members.

Correct Answer is B

Explanation

A. Increasing outreach efforts without understanding specific needs may lead to ineffective or misaligned interventions.

B. Conducting a comprehensive community assessment allows the nurse to identify and prioritize key health issues and resource gaps, leading to more targeted and effective interventions based on actual community needs.

C. Immediate emergency care addresses urgent issues but does not address the broader, long-term needs of the community.

D. Health education programs are beneficial but should be based on a thorough assessment of community needs to ensure they are relevant and effective.

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A nurse is assessing a client who presents with injuries and signs that may suggest intimate partner violence. Which of the following statements by the client would most likely indicate the need for further assessment and intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is B

Explanation

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