A nurse is talking to a client who is explaining about her home situation and the intimate partner violence she recently experienced. Which of the following responses should the nurse make?

"I'd like to hear more about how you are feeling."

"Let's talk about what is going on at work."

"Now that you have come for help, you will feel much better."

"Why do you think your partner is angry with you?"

Answer and Explanation

The Correct Answer is A

A. "I'd like to hear more about how you are feeling." This response demonstrates empathy and encourages the client to express her feelings, which is critical for emotional support.

B. "Let's talk about what is going on at work.": This dismisses the client’s concerns and shifts focus away from the abuse.

C. "Now that you have come for help, you will feel much better.": This is dismissive and minimizes the client’s experience.

D. "Why do you think your partner is angry with you?": This implies blame and can further traumatize the client.

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Correct Answer is A

Explanation

A. Make a report to Child Protective Services (CPS). Nurses are mandated reporters and must report suspected abuse to the appropriate authorities, such as CPS, to ensure the safety of the child.

B. Call the police and report the suspected abuse: While police involvement may be necessary, CPS is the primary agency for child welfare and abuse cases.

C. Alert the school office to call parents: Informing the parents could place the child at further risk if the parents are the perpetrators.

D. Call the child’s guardian to have the child’s pediatrician confirm the suspected abuse: This delays reporting and does not ensure immediate intervention to protect the child.

A. The client reports that they have no social support system, but has an appointment with a case worker in two weeks. B. The client reports that they are experiencing frequent gastrointestinal issues. C. The client reports that they are currently living in a safe place. D. The client reports that they are currently going to counseling.

Correct Answer is A

Explanation

A. The client reports that they have no social support system, but has an appointment with a caseworker in two weeks. Lack of a social support system poses a risk for isolation, depression, and potential difficulty accessing resources. Immediate intervention may be required to provide emotional and practical support.

B. The client reports that they are experiencing frequent gastrointestinal issues: While important, these may be psychosomatic and can be addressed after ensuring the client’s emotional and physical safety.

C. The client reports that they are currently living in a safe place: Being in a safe environment is reassuring and not an immediate concern.

D. The client reports that they are currently going to counseling: Ongoing counseling is a positive step toward healing and does not require immediate intervention.

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A nurse is talking to a client who is explaining about her home situation and the intimate partner violence she recently experienced. Which of the following responses should the nurse make?

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Naxlex Comprehensive Predictor Exams

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