NR305 Week 5 Discussion Latest 2019 March Question # 00598858 Course Code : NR305 Subject: Health Care Due on: 03/05/2019 Posted On: 03/05/2019 01:15 PM Tutorials: 1 Rating: 4.9/5
NR305 Health Assessment for the Practicing RN
Week 5 Discussion
Assessing for Family Violence
This week’s graded topics relate to the following Course
Outcomes (COs).
(CO #1) – Utilize prior knowledge of theories and principles
of nursing and related disciplines to explain expected client behaviors, while
differentiating between normal findings, variations, and abnormalities. (PO #1)
(CO #4) Utilize effective communication when performing a
health assessment. (PO #3)
A 10-year-old child named Elizabeth is brought into the
emergency department by her mother. The mother appears anxious but sits quietly
next to her daughter in the waiting room. When called into the triage area, the
mother gives a history of coming home from work to find Elizabeth sitting on
the couch watching television. Elizabeth did not go to the door to greet her or
look toward her when she said hello. The mother thought the daughter’s behavior
was odd because she always greeted her at the door with a hug. As she
approached Elizabeth, she noticed that she was clutching her right arm as if in
pain. The mother asked what was wrong, but Elizabeth remained silent. Then she
said “Nothing is wrong.” The father is sleeping upstairs. The mother
gives a family history of having an alcoholic husband who usually drinks
himself to sleep. She said he has abused Elizabeth physically and
psychologically in the past, and she brought her to the emergency room because
she fears he has hurt her. When Elizabeth is asked about the abuse she appears
scared, insecure, and withdrawn.
What considerations should be made by the nurse, to provide
a physically and emotionally safe environment for the interview and assessment
of this client who has experienced domestic abuse?
In your response, include some special considerations that
should be taken when interviewing a child.
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