Reference no: EM133957431

Case study

You make a home health visit to follow up on an infant born with low birth weight. The infant was born 18 days ago and was noted at the pediatrician's office to be losing weight rather than gaining. Since your visit with the family last week, the infant has not gained weight. The infant's mother and 2 older siblings are present during the visit. You notice the children are somewhat anxious, refusing to leave their mother's side. The mother appears tired and withdrawn. She also has a bruise on her cheek. The family is of Chinese descent and English is a second language. While you gather data on the infant, you engage the mother in conversation.

1. Which nursing question is most important?

A. "Is someone hurting you or the children?"
B. "How often is the baby nursing?"
C. "When was the baby's last bowel movement?"
D. "Did the hospital provide pamphlets in Mandarin?"

2. Which nursing approach would promote trust and provide the most information?

A. "Are you sure that you are nursing on demand even at night?"
B. "Why isn't your baby gaining any weight since the last visit?"
C. "Would you share with me the struggles that you are facing?"
D. "Did you read any of the information I left with you last week?"

3. The mother shares with you that her husband is always angry because she isn't keeping the house clean or getting dinner cooked on time. He yells at her, in front of the children, and calls her names. She states, "He hit me yesterday, but he didn't mean to. He was just so angry. He is a good man, he works hard. I'm just failing. I can't keep up anymore."

Which nursing intervention is appropriate?

A. Notify the police of the violence so they can remove her from the home
B. Discuss her right to be free from harm in her home and relationship
C. Call child protective services and make a report about the abuse
D. Ask her to call you if she decides she wants help getting out

4. When discussing domestic abuse with a client, which nursing intervention best reflects cultural competency?

A. Reviewing rates of domestic violence in minority ethnic groups
B. Explaining to victims exactly what they should or should not accept
C. Expecting victims to know they are being abused from the beginning
D. Recognizing that culture influences what behaviors are considered "acceptable".