NSER 7210 - Module 1 Verified Answers A+
Define Interpersonal Violence Pattern of assaultive of coercive behaviours, by a partner.
Include: Injury, psychological abuse, forced social isolation, intimidation, threats, stalking
Describe the role of universal screening in the ED and how it rela...
Define Interpersonal Violence ✅Pattern of assaultive of coercive behaviours, by a partner.
Include: Injury, psychological abuse, forced social isolation, intimidation, threats, stalking
Describe the role of universal screening in the ED and how it relates to violence ✅Looking for a
condition before it is overtly symptomatic
Interpersonal violence is common and high consequence
Describe the 3 necessary components of effective violence screening ✅Interview in private place,
without visitors
Use respectful, non judgmental communication
An appropriate response if screen is positive and access to resources
Name 4 high risk groups that should receive a secondary interpersonal violence screen by an MD
✅Those admitted with mental health concerns, altered LOC and/or intox.
Those with high risk injuries (face, neck, head)
Those with repeat visits
Undocumented or dependent immigration status
State 5 actions required if a violence screen is positive ✅Allow patient to explain via open ended
questions
Validate and legitimize the patient (To address shame, blame and isolation). Affirm disclosure was
appropriate
Encourage and empower patient to seek help for abuse
Address immediate safety concerns
Document conversation and injuries
, State the 5 components of the screening tool for severe or high risk violence ✅Has violence increased in
freq or severity in past 6 mo
Has your partner every used (or threatened) a weapon
Do you believe your partner is capable of killing you
Has your partner ever beaten you while you're pregnant
Is your partner violently and constantly jealous
What 4 steps must occur once a patient discloses substance misuse, ETOH overuse ✅Provide support
and resources
Ask about hx of withdrawal and prevent it
Prepare for worst case scenario
Maintain professionalism - curb negative thoughts
Define ectopic pregnancy ✅Fertilized ovum implants in a location outside of endometrial cavity
State 6 risk factors for ectopic pregnancy. ✅Hx of pelvic inflammatory disease
Previous tubal surgery
Previous ectopic pregnancies
Pregnancy with fertility treatment
Pregnancy with IUD insitu
Maternal age >35
What is the classic triad of presenting symptoms of a non-ruptured ectopic pregnancy ✅Missed
menstrual period
Abdominal pain
Vaginal bleeding
What symptoms suggest a ruptured ectopic pregnancy ✅Signs of internal hemorrhage
- Hypotension, tachycardia
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