History Present Problem Question & Answer Guide (With Explanation)
Understanding this question requires applying core subject principles.
What This Question Is About
This question relates to history present problem and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves history present problem. A strong answer should include explanation, application, and examples.
Original Question
History of Present Problem: Jody Foster is a 28-year-old Caucasian woman who presents to the emergency department complaining of right-sided rib pain, neck pain, and headache after being physically assaulted by her husband. Last evening her husband came home intoxicated and became angry when their 12-month-old son began to cry. He punched her in the face, chest, then began to choke her by squeezing her neck for about a minute. She began to feel dizzy, but did not lose consciousness. She admits that this is not the first time she has been assaulted by her husband, but acknowledges that it has gotten worse lately. Her right cheek is swollen with a large abrasion. She has left lateral neck pain, but no cervical spine tenderness. Her headache is on the left side of her head that has been continuous since she was assaulted. She rates it as a 9/10 and a “throbbing” sensation. She has increased pain in her right chest when she takes a deep breath. She has no other neurologic complaints. The CT of her head is normal, and x-rays revealed no facial or rib fractures. The Dilemma Begins… Current Concern: Jody has no family in the community and no close friends who can assist her. She refuses to press charges against her husband, therefore she does not want the police to be notified. Information regarding shelters for women are given to her but Jody wants to go back home because, “My husband left the house to cool off after I left and said he would go to a friend’s house for the night.” Despite the primary care provider communicating that her life is possibly in danger if she returns home, Jody states that she has no place to go. She relates that she does not want to go to a woman’s shelter with her baby because everything is going to be OK and this time, he is really sorry. QUESTION 2 Based on Jody’s social history discussed in the case study, what puts her at risk for an abusive situation? A. She refuses to press charges. B. She does not have the women’s shelter address. C. She is isolated from family. D. She continues to make her husband angry. QUESTION 3 Evidence shows, that without intervention, physical violence tends to: A. Decrease in frequency and lethality. B. Increase in frequency and lethality. C. Increase in frequency but decrease in lethality. D. Increase in lethality but decrease in frequency. QUESTION 4 Which statement by Jody is the most concerning? A. “My husband became angry when my 1 year old started to cry.” B. “This is not the first time this has happened.” C. “My husband went to a friend’s house to cool off after I left.” D. “I do not want to go to a women’s shelter at this time.” QUESTION 5 How would the nurse determine a therapeutic space has been established with a victim of IPV? A. The client denies there is a problem. B. The client states the abuse is her fault. C. The client displays a willingness to engage with the nurse. D. The client leaves the hospital against medical advice. QUESTION 6 What should the nurse focus on as the primary intervention related to IPV? A. Getting the client to a women’s shelter immediately. B. Creating a safety plan with the client. C. Expecting the client to want to leave the situation immediately. D. Discussing the details of the physical and emotional trauma. QUESTION 7 An example of using non-verbal cues to communicate with a client experiencing IPV would be: A. listening to what the client says and repeating it back to her in your own words. B. accepting what the client says as the truth and not passing judgement. C. maintaining eye contact and proximity to the client. D. creating a safety plan and helping the client initiate the first step. QUESTION 8 The client seems hesitant to talk about her past with her husband. How should the nurse approach this situation? A. Modify the nursing approach to help the client feel more comfortable. B. Send in another health care provider for the client to talk to. C. Continue to provide care in the same manner; the client will open up when ready. D. Instruct her that the abuse will only get worse if she does not talk about it now. QUESTION 9 What is the best way for the nurse to understand the situation the client is in? A. The nurse should imagine being in the client’s situation to identify what is being experienced. B. The nurse should draw on her own personal feelings regarding the IPV. C. The nurse should compare this case of IPV to other cases she has been involved with before. D. The nurse should remain outside of the situation and experience it only from a health care perspective. 1 points QUESTION 10 IPV can include (Select all that apply): A. Neglect. B. Financial abuse. C. Sexual abuse. D. Emotional abuse E. Physical abuse.
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