A nurse is caring for a client who was admitted for suspected abuse. The client is quiet and withdrawn. Which of the following actions should the nurse take to promote client communication?
Invite a family member to be present for the nursing history.
Provide basic wound care for obvious physical injuries.
Be direct and honest when speaking with the client.
Probe the client to offer a factual account of the abuse.
The Correct Answer is C
Rationale for A: Inviting a family member to be present may hinder communication, especially if the family member is involved in the abuse or the client feels unsafe speaking in their presence. Privacy is crucial for encouraging open communication.
Rationale for B: Providing basic wound care is important for physical injuries, but it does not directly address promoting communication. The nurse should focus on creating a safe environment for the client to talk.
Rationale for C: Being direct and honest when speaking with the client promotes trust and open communication. Clients who are suspected of being abused may be fearful or reluctant to share information, so clear, respectful communication helps create a supportive environment.
Rationale for D: Probing the client for a factual account of the abuse may make the client feel pressured or overwhelmed. The nurse should allow the client to share information at their own pace without feeling forced to disclose details.
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Related Questions
Correct Answer is D
Explanation
A. Fidelity pertains to faithfulness, loyalty, and keeping promises, which may not directly address the fairness of resource allocation or treatment.
B. Beneficence refers to doing good and promoting the patient's well-being. While it's relevant to patient care, it might not specifically address the fair distribution of resources or actions among different patients.
C. Autonomy emphasizes a patient's right to make decisions about their care and treatment, which doesn't directly address the fairness or justice in the scenario described.
D. Justice concerns the fair and equitable distribution of resources, treatment, and decisions among individuals. In this case, it's about ensuring fairness in the application of care plans and resources for patients who self-mutilate.
Correct Answer is A
Explanation
A. This statement refers to the "duty to warn," a legal obligation to protect third parties if a client expresses a serious threat of harm to others. It's a crucial exception to confidentiality.
B. This statement is inaccurate as there are scenarios where healthcare workers are legally required to provide information to the court.
C. This statement is not entirely accurate; there are legal boundaries and requirements for disclosing client information to attorneys.
D. Confidentiality extends even after a client's death in many situations, but there are exceptions based on state laws and ethical guidelines.
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