Which of the following is NOT appropriate for screening for domestic violence by the
emergency department nurse?
a.asking if the person has been hit, kicked, or otherwise hurt by someone in the past
year; if so, by whom
b.asking, "Do you feel safe in your present relationship?"
c.avoid asking about intimate person violence if the patient is in the emergency
department for a medical ailment, not trauma
d.asking if there is a partner from a previous relationship that makes the individual feel
unsafe - ✔️✔️C: Domestic violence, nearly always perpetrated against women, is a major
problem confronted by the emergency nurse. Screening for possible cases should
include answers A, B and D. Interestingly, victims of intimate partner violence often
present with a medical ailment, not trauma. These include back, abdominal, or pelvic
pain, headaches, urinary infections, sexually transmitted disease, or symptoms
consistent with posttraumatic stress disorder (PTSD). Sometimes evidence of old
trauma such as healing fractures or cosmetically concealed bruises may point toward
the presence of domestic violence. Many victims will deny it but sometimes
compassionate questioning in a private setting will elicit a positive response. The nurse
may then offer advice, refer to a social agency or shelter, or ask for a consultation by
the hospital social worker.
A patient is intubated and on mechanical ventilation. The ventilator alarm rings and the
airway pressure is found to be elevated. Possible causes include the following
EXCEPT:
3
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