The nurse is interviewing a client who presents with a dislocated shoulder who appears anxious and relies on her partner to answer questions. While the partner is out of the room, which question is most important for the nurse to ask?
"Shall I notify the police that you would like to press charges?"
"Have you ever been physically or emotionally hurt by someone?"
"Have you been with your partner long?"
"Are you being abused by your partner?"
The Correct Answer is D
A. Asking if the client wants to press charges might be premature and could be intimidating, potentially making the client uncomfortable.
B. This question is relevant but may not directly address the immediate concern of the current situation.
C. While knowing the length of the relationship might provide some context, it does not directly address the potential issue of abuse.
D. Asking directly if the client is being abused is crucial for identifying potential abuse, especially when the partner is not present. This question provides an opportunity for the client to disclose any abuse they may be experiencing in a safer environment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. Cultural imposition occurs when a nurse enforces their own cultural norms and practices on clients, such as not allowing them to choose whether to bathe daily.
B. Insisting that a client see a priest based on personal beliefs imposes religious practices on the client, not considering their individual preferences or needs.
C. Treating all clients the same without considering cultural differences is not cultural imposition but rather a lack of cultural competence.
D. Dismissing Jewish dietary restrictions as merely a preference reflects a lack of respect for the client's cultural practices, which is an example of cultural imposition.
E. Directing questions to the client's daughter instead of the client shows a lack of respect for the client's autonomy but does not exemplify cultural imposition.
Correct Answer is D
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.
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