ModeCheck each answer as you go
Case 1 of 10Communication and ProfessionalismManaging challenging clinical encounters (e.g., delivering bad news, de-escalation of aggression, boundary setting)
A 34-year-old woman presents to the emergency department after a fall down the stairs at home. She has tenderness over the left wrist and bruises on both upper arms, some purple and some yellow-green. Her partner stays at the bedside, answers most questions for her, and says she is "clumsy". She avoids eye contact and gives short answers. She takes no medications and has no known allergies. Wrist radiograph shows no fracture.
| Heart rate | 96/min |
| Respiratory rate | 16/min |
| Temperature | 36.9 °C |
| O2 saturation | 99%, room air |
| Blood pressure | 128/78 mm Hg |
Question 1 of 30
Intimate partner violence is suspected. Which of the following are the most appropriate initial approaches?
Select 2. (0 / 2 selected)
100%
AInterview her alone
BNotify the police immediately
CAsk the partner to describe how the injuries occurred
DDefer any discussion of abuse to a follow-up visit
EDiscuss concerns openly with both of them present
FRecommend couples counselling
GConfront the partner about suspected abuse
HAsk direct, nonjudgmental questions about abuse
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