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Zorluk: ZorAbuse or Neglect

A practical nurse (PN) in a women's health clinic is collecting data from a pregnant client who has visible, multi-stage bruising on the neck and forearms. The client's partner is present in the examination room, answers all questions on the client's behalf, and refuses to leave the bedside. Which action should the PN take to safely screen the client for suspected intimate partner violence?

  1. Escort the client privately to the restroom under the pretext of collecting a routine prenatal urine specimen.Cevap
  2. B
    Document the physical findings and delay reporting the suspected abuse until concrete proof is obtained.
  3. C
    Firmly instruct the partner that they must leave the room because clinic policy mandates a private assessment.
  4. D
    Reassure the client that they are safe and ask them to explain the origin of the bruises while the partner is present.

Cevap

The correct action is to escort the client privately to the restroom under the pretext of collecting a routine prenatal urine specimen.
The correct action uses a routine, plausible clinical procedure to separate the client from the suspected abuser safely. Screening for intimate partner violence must always occur in private. Directly confronting a controlling partner or demanding they leave can quickly escalate a volatile situation and place the client at an increased risk for severe physical retaliation.

Adım Adım Çözüm

1
Analyze the clinical scenario
The client exhibits physical signs of trauma (multi-stage bruising) and behavioral indicators of intimate partner violence (a controlling partner who answers questions and refuses to leave).
Recognizing both physical and behavioral red flags is the first step in identifying abuse.
2
Identify the safety priority
Screening for abuse must always be conducted in private.
Asking about abuse in front of the suspected perpetrator prevents honest disclosure and places the client at immediate risk of retaliation.
3
Determine the safest intervention strategy
The PN must separate the couple using a non-confrontational, routine clinical procedure.
Directly confronting the partner can trigger violence. Using a standard prenatal procedure like a urine specimen collection provides a plausible reason to separate the client safely.

Anahtar Kavram

Client Safety and Strategic Separation in Intimate Partner Violence
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Konular

Abuse or Neglect

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