Assessing for Family Violence (graded)

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)
Discussion
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 When Elizabeth is asked about the abuse she appears scared, insecure, and withdrawn.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.
Grading
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ReplyReply to Week 5 Discussion: Assessing for Family Violence (graded)
Collapse SubdiscussionJacqueline Cox
Jacqueline Cox
Jun 8, 2020Jun 8 at 9:24am
Students, this is a heart wrenching and difficult scenario this week. I don’t want it to trigger any difficulties for you, and if you need to reach out to me please do so. I also want to remind you to focus on the questions, the goals/objectives. As easy as it may seem , there is a temptation to “editorialize” and express personal viewpoints. This isn’t the forum for that, but merely a place to look at the care of those in abusive situations. If there are posts that are outside that realm, I will personally reach out to you and will possibly delete your posts. There is a time and place for certain discussions but we need to maintain civility and professionalism here. This topic seems to open emotions and we loose track of what the topic at hand is. As professional nurses we have some requirements that go with the career we have chosen so we must be able to work with this type of issue as well. Safety for the child, interview methods, possible considerations are all important as well as the actual physical assessment for the patient. again a good reminder: collaboration is a positive! Prof Cox

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