NR 305 Week 5 Discussion: Assessing for Family Violence
NR 305 Week 5 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 When Elizabeth is asked about the abuse she appears scared, insecure, and withdrawn.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.
NR 305 Week 5 Discussion Answer
Child abuse imposes both immediate and enduring consequences on victims. Children subjected to physical abuse face an elevated risk of developing both physical ailments, such as cardiovascular problems, and psychological issues, including impaired impulse control (Weber & Kelley, 2018). When assessing such children, the creation of a physically and psychologically secure environment is crucial for effective intervention. This setting should be characterized by qualities like serenity, tranquility, neutrality, and privacy (Carlson, Wittrup, Moylan, & Ortiz, 2019).NR 305 Week 5 Discussion
In addressing a child who has experienced abuse, the initial step involves removing them from the presence of the accompanying individual and relocating them to a private space. This is particularly essential when it becomes evident that the child is apprehensive about discussing their situation in the presence of a caregiver, such as the mother. Subsequently, employing a gentle and reassuring tone when communicating with the child becomes paramount. Uttering phrases like “relax, it is okay, you are safe here” serves to comfort the child and create an atmosphere conducive to disclosure.NR 305 Week 5 Discussion
This approach aligns with established guidelines emphasizing the significance of a safe and supportive environment when dealing with abused children (American Academy of Pediatrics, 2015). The tone, demeanor, and physical surroundings play pivotal roles in facilitating effective communication and instilling a sense of safety and trust in children who have endured abuse.
