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    Hesi rn psychology proctored exam (mental health)
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    Patient Data Click to highlight the aspects of the history and physical that represent risk factors for intimate partner violence. The client is a 24-year-old female. She has not had any serious illnesses or surgeries. She has had minor injuries in the past from falling. The client is married and is pregnant with her first child. She is approximately 24 weeks into the pregnancy. S has been working as a veterinary technician for the past few years and plans to continue to work as long as possible. Her family lives close by, including an older sister and both parents. They are able to help when the baby arrives.

    Explanation & Rationale

    • Minor injuries in the past from falling: A history of unexplained or frequent minor injuries can be a warning sign of past physical abuse. Even if attributed to accidents, repeated injuries may indicate patterns of intimate partner violence (IPV). Identifying this history allows the nurse to explore the circumstances surrounding these injuries in a sensitive and nonjudgmental way. • Pregnancy (first child, 24 weeks gestation): Pregnancy increases vulnerability to intimate partner violence, particularly during the first pregnancy. The physical and emotional changes, along with dependency on the partner, can escalate risk. Awareness of pregnancy-related IPV risk allows the nurse to implement screening and safety planning appropriately.

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