PANCE Exam Practice Questions: Quiz 863 June 2, 2016 By Aamir Khan Leave a Comment A 21-year-old female complains of fatigue and difficulty swallowing. She describes the difficulty swallowing as a choking sensation that occurs randomly and not with eating. She denies fever, chills, nausea or vomiting. She notes some difficulty sleeping at night. She is 28 weeks pregnant with her first child. You note that she is wearing long sleeves in warm weather to cover up bruising on her forearms; she also has a bruise on her left lateral thoracic area. How would you most appropriately introduce your concern about domestic violence? a. “Those bruises look uncomfortable. Do you want to talk about how you got them?” b. “Who hit you?” c. “How long has your partner been abusing you?” d. “I will have to report these injuries to the appropriate authorities if you can’t explain them.” Δ
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