Question

1. A 33 year old female who is 32 weeks pregnant comes in to the clinic for prenatal care. The nurse notices fingertip bruising around the client’s neck and on her abdomen. She is accompanied by her boyfriend into the examining room.

1. How does the nurse proceed to assess for the safety of the patient?

2. What information does the nurse need to gather?

3. Describe important components to be included in a safety plan developed by the nurse and patient.

4. What resources might be available in the community for this family?

5. What are the legal and ethical implications for the mother, the child, and the boyfriend?

2. Describe what the nurse can do to create an environment of trauma informed care on admission for a patient who has overdosed on Tylenol prior to admission.

3. The patient on the mental health unit is pacing in the hallways, yelling out, “shut up,” and begins punching and kicking into the air. As the nurse how should you respond?

Answer 1

a, The nurse should be aware of physical signs of injuries related to domestic violence when assessing the women.
assess the women's general appearance, uncomfortable, and nervousness. early intervention and health assessment help the women to resolve the conflict. assist women who are victims of domestic violence. make sure to concern their beliefs, values, and fears and make a comfortable environment and avoid serious health consequences. this violence should be informed to physician and other health care team, interview the suspected abuser in a private place.
a, make communication with the women for willingness to open up the truth. gather the information from the woman by asking relationship of her husband and women, any health issues, financial issues, is there any reason for these injuries is there anything that frightens the women at home, how did the women's partner treat her at home.
a, a safety plan is responsible for the nurses in these circumstances. listen to the women and empower them with their experience, increase the belief by communicating well. detail plans to avoid family breaks up and changes in the relationship should be a concern, make privacy, increase awareness of violence for the women, and provide information about legal rights. have a plan in advance to have the right response in various situation, get help from a general practitioner, social worker, and domestic violence unit.
a, lack of community support and family pressure increase the domestic violence incident. getting help from the community with various domestic violence programs and complex resources in the community, hotline support
local programs help the women to be safe in an emergency situation. teach the women about legal resources and information about resources in case of a dangerous and unsafe environment.