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Case Study, Chapter 10, Assessing For Violence

A mother brings her 10-year-old daughter to the emergency department because she noticed odd behavior from her daughter including clutching her arm in pain but saying nothing is wrong. The mother has an alcoholic, abusive husband who physically and psychologically abused the daughter in the past. When asked about the abuse, the daughter appears scared, insecure, and withdrawn.

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42 views

Case Study, Chapter 10, Assessing For Violence

A mother brings her 10-year-old daughter to the emergency department because she noticed odd behavior from her daughter including clutching her arm in pain but saying nothing is wrong. The mother has an alcoholic, abusive husband who physically and psychologically abused the daughter in the past. When asked about the abuse, the daughter appears scared, insecure, and withdrawn.

Uploaded by

clyde i am
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Case Study, Chapter 10, Assessing for Violence

A 10-year-old child 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 her daughter sitting on

the couch watching television. Her daughter 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 her daughter, she noticed that she

was clutching her right arm as if in pain. The mother asked what was wrong, but the daughter

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 the child physically and psychologically in the past, and she brought her to

the emergency room because she fears he has hurt the child. When the child is asked about the

abuse she appears scared, insecure, and withdrawn.

(Learning Objectives: 1, 2, 5, 6)

Questions:

a. How may the nurse obtain subjective information from the child when she is reluctant

to speak?

b. Given the information provided by the mother, what further assessment should the
nurse conduct?

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