Which of the following questions should the nurse ask to assess intimate partner safety?
Do you ever feel pressured to do something that you did not want to do or felt uncomfortable doing?
Are you afraid of anyone with whom you have had a previous relationship?
Do you feel safe in your relationship?
Has your caretaker hurt you or threatened to harm you?
Correct Answer : A,B,C
Choice A reason: Asking if the client feels pressured to do things they do not want to do helps identify coercion or abuse. This is a direct way to assess safety and autonomy in the relationship.
Choice B reason: Fear of a previous partner can indicate ongoing threats, stalking, or unresolved trauma. This question helps assess risk of continued abuse even after the relationship has ended.
Choice C reason: Asking if the client feels safe in their relationship is a broad but essential screening question. It allows the client to express concerns about current safety and potential abuse.
Choice D reason: Asking about a caretaker threatening harm is more relevant to elder abuse or dependent care situations rather than intimate partner violence. While important in other contexts, it does not directly assess intimate partner safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Resting with eyes closed may temporarily relieve blurred vision but does not address the underlying issue of possible lithium toxicity.
Choice B reason: Blurred vision and nausea are signs of lithium toxicity. The nurse should withhold the medication and notify the provider immediately to prevent worsening toxicity.
Choice C reason: Waiting to re-check in 4 hours delays intervention and increases risk of harm.
Choice D reason: Administering the next dose despite symptoms could worsen toxicity and endanger the client.
Correct Answer is D
Explanation
Choice A reason: Clang associations involve speech driven by rhyming or sound rather than meaning. This is not present here.
Choice B reason: Flight of ideas refers to rapid shifting from one topic to another. The statement is focused, not rapidly changing.
Choice C reason: Confabulation is filling memory gaps with fabricated stories, often seen in dementia, not bipolar disorder.
Choice D reason: Grandiosity is an inflated sense of self-importance or ability, common in manic episodes. Claiming to revolutionize an industry reflects this symptom.
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