Which is the best reason for the nurse to screen this client for intimate partner violence? -
ANSAll Women of Childbearing age should be screened for intimate partner violence
Which is the best way for the nurse to screen for intimate partner violence? - ANSUse an
evidence-based tool such as the Abuse Assessment Screen.
Which behavior should the nurse avoid because it could make Brook less likely to disclose
violence to you? - ANSUsing probing language to press for a response.
What risk factors for depression and anxiety you are evident in the client's health history? -
ANSFemale gender and history of physical abuse
What is the nurse most concerned about for this client, knowing her history of depression and
intimate partner violence? - ANSRisk for suicide or self harm
Based on the history of violence, which physical health conditions would the nurse expect the
healthcare provider to screen for? - ANSSexually transmitted disease due to forced sex.
Now that the nurse knows that a specific violent event has occurred, what is the nurse's
responsibility to report the incident - ANSThe nurse is not required to report the incident
because it may put the client at greater risk
How should the nurse document an assault such as the one the client just described in the
record? - ANSWrite down verbatim the statements that the client makes related to who
assaulted her and when
What does the nurse know about Brook's level of danger, based on the strangulation incident? -
ANSStrangulation is an indication that her risk of being murdered by her husband is high.
What other factors may affect Brook's risk for being murdered by her husband? - ANSShe will
have a higher risk of being murdered if she believes he is capable of killing her
Based on Brook's experiences of physical and sexual abuse and her symptoms found during
the assessment, the nurse realizes that the priority nursing diagnosis is Post-Trauma syndrome
related to physical abuse. The nurse is ready to begin a plan of care for the client. Which is the
most important piece of information that the nurse needs at this point to inform the nursing
diagnosis - ANSPrevious history of abuse in childhood and adulthood
Which is not a symptom that the nurse would expect to see in a client with Post-Trauma
syndrome - ANSFeeling things more deeply than usual. Correct