Exam 3

ask the client if they are comfy with having an examination today.

A nurse is caring for a client in an infectious disease clinic at the health department. The client is being treated for an STI and reports they have left an abusive partner. WOTF is an example of patient-centered care?

determine the cause of the bleeding while asking about other social family concerns.

A nurse in the ER is assisting with the care for an older adult client who lives with a family member reports the client has blood in their urine. Which action should the nurse suggest taking first?

Child's caregiver reports an abusive partner.

A nurse is caring for a client in an acute pediatric unit. The nurse should Id that WOTF most likely puts the child at risk for exposure to violence?

advocate for the client needs

A nurse is caring for a client who is a member of a vulnerable population. WOTF actions should the nurse take?

The nurse refers the client to a campus support group for those who have experiences violence in their lives.

A nurse is working in a college health center is caring for a student who experienced sexual assault 1 year ago and is having trouble sleeping. WOTF would be an appropriate plan of care for the client?

the child may also be a perpetrator of violence with peers.

A school nurse is caring for an adolescent who has been the victim of cyberbullying. What concerns may the nurse have for the school community?

Nurse establishes a peer-to-peer new parenting class at the local church.

A nurse is in a newborn nursery in a rural community. The nurse notices new parents are often isolated at home with their newborns. Which is an example of how the nurse can promote prevention of child abuse in the community?

Socio-economic status

A nurse understands that social determinants contribute to poor health, health disparities, and inequities. WOTF is an example of a social determinant of health?

the school has known gang groups and graffiti marking territories near the school.

A school nurse is concerned with safety in the school. The nurse wants to address community risk factors that increase the risk of students experiencing violence. The nurse should id WOTF as community risk factors for the student?

Review policies on number of staff assigned to clients during mealtime, review policies allowing family visits during mealtime, review policies on reporting signs of neglect.

A nurse in a long-term care facility is concerned that residents are showing sign of poor nutrition. What are examples of ways to address environmental factors to prevent neglect of residents?

Advocate for a zero-tolerance policy regarding incivility in the workplace, create peer-to-peer conflict resolution programs, speak with the new staff member about any concerns they have regarding adjusting to the unit

A nurse in an acute setting witnessed a peer make uncivil remarks to a new staff member in the unit/. The nurse should take WOTF actions to promote a safe work culture in the unit?

A client who has substance use disorder and tests positive for HIV, A client who smokes and uses chewing tobacco daily, a client who has limited access to health care because they live in a rural area, a veteran who just returned from an overseas tour of duty after being injured.

A nurse is caring for a group of clients. The nurse should ID the WOTF clients is a member of a vulnerable population?

Client may be experiencing abuse

A nurse is caring for an older adult client and notices bruising on client's wrists. WOTF is a concern for the nurse?

client doesn't receive visits from friends or family

A home health nurse is caring for a client in their home. The nurse is concerned that the client may be at risk of neglect. The nurse should Id WOTF as relationship factors that can put the client at an increased risk for neglect.

The infant has faded bruise marks on their upper arms.

A nurse in a pediatric clinic is assessing an infant during a well-child visit. The nurse should Id WOTF as a possible sign of child abuse?

I include the client's cultural traditions as I complete my assessment.

A nurse is assisting with a community group presentation about eh needs of vulnerable groups. WOTF statements by the nurse indicates an understanding of the unique needs of vulnerable groups?

Have all clients complete a partner violence screening.

A nurse is working in a primary care clinic. WOTF is a way the nurse can id clients who have experienced abuse or violence?

provide stress reduction techniques for the client.

A community health nurse is speaking with an older adult client about methods to reduce the risk of depression. WOTF is a primary intervention the nurse should include in the teaching?

Ensure the environment is comfortable and nonthreatening, discuss client care with other member of the interprofessional team, and provide culturally appropriate health care.

A nurse at a clinic who is part of a vulnerable population. WOTF actions should the nurse take?

Client reports being without housing

A nurse is collecting data form an adolescent who is pregnant. WOTF findings represents the greatest risk factor for the client?

condition of roads and other infrastructure.

A public health nurse is conducting a windshield survey in a new community they will be serving. WOTF data should the nurse expect to collect?

establish a mobile clinic to provide services for clients in rural communities.

A nurse is preparing an in-service about methods to remove barriers to health care. WOTF info should the nurse include?

vulnerable populations experience more adverse health outcomes than the general population.

A nurse manager is preparing an in-service about vulnerable populations for nursing staff. WOTF info should the nurse include?

Perpetrator of violence

A nurse is caring for a child who has experienced neglect from a caregiver. WOTF most accurately describes the caregiver?

Client has unwashed hair and clothing

A visiting nurse is assessing an older adult client who is living alone in an apartment. The nurse should id WOTF as a risk for abuse?

Initiate suicide precautions

A nurse is caring for a client following a suicide attempt. The client has a history of depression, substance use disorder, and anorexia nervosa. WOTF actions should the nurse takes first?

works with the client to create a plan of care, respects client's decision not to call a domestic abuse hotline immediately, supports client's decision to incorporate holistic measure in the plan of care.

A nurse is creating a plan of care for a client who has experienced abuse. WOTF steps should the nurse take when creating the plan?

implementation

A nurse is reinforcing the importance of adhering to their medication regimen with a vulnerable group of clients who has been diagnosed with a mental illness. The nurse should ID that this is an example of WOTF phases of the nursing process?

Evaluation

A nurse is reviewing that data for the number of new colorectal cancer screenings. This data is for the 6 months following a community campaign stressing the importance of screening for colorectal cancer. The nurse should ID that this is an example of WOTF phases of the nursing process?

The supervisor remarks that the unit should not hire nurse immigrants, the supervisor doesn't allow male nurses to rotate into the unit to provide additional coverage, and the supervisor doesn't allow the use of interpreters in the labor room for clients who don't speak English.

A nurse is working in a labor delivery unit has been feeling distressed about the work environment due to comments made by their supervisor. WOTF would be a form of microaggression by the supervisor?

present to all the staff the use of IPV screening on the unit, teach infant development classes at the local library, start a parenting class for expectant partners at the hospital.

A nurse is working in the NICU. The nurse should take WOTF actions to advocate for protective factors to prevent abuse for infants and parents in the community?

Provide the parent with info on parenting classes at their local library, provide info on the location of nutritional services in their local health department, refer the parent for a visiting nurse program that visits parents and newborns in their community.

A nurse in a newborn nursery is caring for a parent with their first child. The parent shares with the nurse that they were abused as a child. WOTF are steps the nurse can take to break the possible intergenerational cycle of violence?

The accompanying person refuses to leave the room during the assessment and examination, the adolescent appears fatigued and anxious, adolescent states they are traveling and are not sure of the name of the city they are in.

A nurse is assessing a young adult client in the ER for abdominal pain. The client is accompanied by an unrelated person. The nurse should Id WOTF signs as a risk for human trafficking?

A client who has diabetes mellitus and reports inadequate medical supplies at home.

A nurse is assisting with the care of multiple clients at a community health center. For WOTF clients should the nurse anticipate a referral for a social worker?

provide a partner violence crisis number to the client, provide the client with info on healthy relationships, provide info on how people may experience abuse in relationships.

A nurse is caring for a client in an ER who is being seen for treatment of injuries sustained from their partner. The nurse should take WOTF actions to provide care to this client?