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1. A nurse is assessing a young adult client in The accompanying person refuses to leave
the emergency department for abdominal the room during the assessment and ex-
pain. The client is accompanied by an un- amination is correct. When a client is ac-
related person. The nurse should identify companied by controlling individuals, it is a
which of the following signs as a risk for potential indicator of abuse.
human trafficking? (Select all that apply.)
The accompanying person refuses to leave The adolescent appears fatigued and anx-
the room during the assessment and exam- ious is correct. Poor hygiene, untreated
ination. medical conditions, sleep deprivation, and
The client appears fatigued and anxious. fatigue are signs of human trafficking.
The client states they are traveling and are
The adolescent states they are traveling and
not sure of the name of the city they are in.
are not sure of the name of the city they
The accompanying person leaves the room
are in is correct. The client being unaware
for the client to be examined and provides
of their current location is a sign of human
transportation.
trafficking.
The adolescent requests that the unrelated
person remain in the room during inter-
viewing and examination.
2. A nurse is caring for a client in an acute pe- The child's caregiver reports an abusive
diatric unit. The nurse should identify that partner.
which of the following most likely puts the
child at risk for exposure to violence? Children are at risk for exposure to violence
The child's caregiver reports an abusive when their caregivers are victims of vio-
partner. lence.
The child attends a school that is known for
high success.
The neighborhood has stress reduction
technique classes for parents at the com-
munity center.
The child's sibling has reported bullying at
school.
, RN Violence and Abuse Assessment
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3. A nurse is caring for an older adult client The client may be experiencing abuse.
and notices bruising on the client's wrists.
Which of the following is a concern for the The client may be at risk of abuse. The nurse
nurse? should further assess the client.
The client is a perpetrator of abuse.
The nurse is not concerned since older
adults bruise easily.
The client may be experiencing abuse.
The client is not taking care of personal hy-
giene.
4. A nurse in an acute setting has witnessed Advocate for a zero-tolerance policy regard-
a peer make uncivil remarks to a new staff ing incivility in the workplace is correct. This
member in the unit. The nurse should take is an example of establishing social norms
which of the following actions to promote a that do not support incivility in the work-
safe work culture in the unit? (Select all that place.
apply.)
Advocate for a zero-tolerance policy regard- Create peer-to-peer conflict resolution pro-
ing incivility in the workplace. grams is correct. This is an example of
Create peer-to-peer conflict resolution pro- building relationships in the workplace,
grams. which can promote a safe work culture.
Reprimand the nurse who made the uncivil
Speak with the new staff member about any
remarks.
concerns they have regarding adjusting to
Speak with the new staff member about
the unit is correct. This is an example of fa-
any concerns they have regarding adjust-
cilitating a safe work culture among peers.
ing to the unit.
Advocate to terminate the employee that
made the inappropriate remark.
5. A nurse working in a college health center is The nurse refers the client to a campus sup-
caring for a student who experienced sexu- port group for those who have experienced