Topic 4 DQ 1 “Asian-American victims of domestic violence rarely seek help from police or health care providers. While cultural barriers can discourage victims from seeking help, there also is a lack of culturally sensitive services available to them and also in many Asian cultures, seeking help can be seen as shameful to the victim and the victim’s family” (Asians reluctant to seek help for domestic violence). Given Ms. Li’s ethnicity, she’ll most likely appear reserved, avoid eye contact, stoic, and will not ask many questions. She will not speak unless she’s being spoken to, her willingness to answer and ask questions may differ if she is second or third generation in America. I would be mindful not to ask any leading questions that'll make her suspicious of my intentions, use open ended questions, reassure her privacy, and use motivational interviewing to obtain vital information. I would avoid complicated terminology and use language according to her education level. I would also be very careful of any signs and symptoms of possible suicide ideation and remind her that whatever happened is not her fault and she has nothing to fear or be ashamed of. There might also be a tendency to give yes or no replies. The Abuse Assessment Screen (AAS) “is a multiple-item questionnaire that asks about past and current emotional, sexual, and physical abuse, both prior to and during pregnancy (see copy attached below). The questions assess the severity and frequency of injury and abuse. The form is included in all medical charts prepared for new prenatal care patients at their first visit to a clinic or emergency room” (National Institute of Justice, 2014).
If abuse is discovered, the nurse must ensure patient safety (remove any items that may cause harm, complete diagnostic tests PRN, and provide a safe milieu), document well, report to authorities, refer