Chapter 30: PrepU -

What is the leading cause of death in pregnant women? Intimate partner violence Pulmonary embolism Undiagnosed cardiac condition Amniotic fluid embolism

1

When implementing an intervention for a client experiencing intimate partner violence, what is the primary goal? The client will regain a sense of control in life. The client will be removed from the abusive relationship. The client will be able to care for oneself. The client will be able to stand up to the abuser.

1

A 74-year-old client presents with depression, insomnia, and atypical chest pain. When asked about thoughts of suicide, the client states "Yes, I do think about ending all this." What will the nurse do next? Perform an electrocardiography on the client. Ask the client if he or she is being mistreated. See how long the client has been depressed. Notify the health care provider.

2

A nurse is assigned to care for a client who was brought to the emergency department. The client was a victim of human trafficking. When providing care to this client, which intervention would have priority? building trust promoting privacy ensuring safety completing documentation

1

A nurse is giving a talk on violence against women to a community group and informs the attendees that violence is growing in the United States today. The nurse informs them of which alarming statistic? 1/3 to 1/2 of all U.S. women will experience some form of physical violence in their lifetimes. 1/2 to 3/4 of all U.S. women will experience some form of physical violence in their lifetimes. 1/4 to 1/3 of all U.S. women will experience some form of physical violence in their lifetimes. Fewer then 1/3 of all U.S. women will experience some form of physical violence in their lifetimes.

1

Nurses at an emergency department seek to develop a plan to help clients who are victims of intimate partner violence. Which component is critical to the success of the plan? an intimate partner violence (IPV) counselor avenues for referral a quality of life assessment tool educational materials

1

A nurse is caring for a client who admits to living in an abusive relationship. Which action would be the priority to meet the client's safety needs? Refer the client to social services for assistance. Help the client develop an emergency plan to leave. Give the client a list of shelters in the area. Encourage the client to take a self-defense class.

2

The nurse is caring for a client suspected of being a victim of human trafficking. Which question, when given priority by the nurse during the admission interview, demonstrates a need for additional training? "Can you leave your job if you find a better one?" "Are you working towards achieving American citizenship?" "Are you afraid of those you work for?" "Can you get in touch with your family easily?"

2

A nurse is preparing a presentation for a local community group about intimate partner violence. Which statement would be most appropriate for the nurse to include in the presentation? Intimate partner violence primarily affects young, unmarried women. Until the 1990s, society tended to legitimize a man's control over a woman. Intimate partner violence in homosexual relationships may go unreported for fear of harassment. Children who witness intimate partner violence against a parent are less likely to become abusers.

3

A client has been admitted to the inpatient psychiatric facility with a diagnosis of posttraumatic stress disorder after a history of violence by a partner. During the initial assessment interview, which assessment would be the priority? nutritional status hydration status sleep patterns suicide risk

4

A nurse is assessing a victim of rape. Further assessment reveals that the client received rohypnol. The nurse understands that this drug can lead to memory loss for up to how many hours? 2 4 6 8

4

A client who is a victim of intimate partner violence fails to report the violence primarily because of which reason? The client feels responsible for causing the incident. The client does not want anyone to know. The client thinks it will not happen again. The client feels lucky to be alive.

1

A first year nursing student is learning how to differentiate between the two types of violence against women: intimate partner violence and sexual abuse. She learns that intimate partner violence includes: dating, cohabitating, or marital relationships. a stranger off the street. a neighbor. a working associate.

1

A nurse is driving to visit a home care patient when she notices a car following and several youths lingering on the corner. The nurse feels uneasy. Which is the best option for the nurse to take in this situation? Proceed to the nearest police station for an escort. Park close to the patient's home,and quickly go in. The patient is the primary concern. Talk to the youths to determine their intentions. Drive around the corner and see if the car is still following.

1

A nurse is working with a victim of intimate partner violence. Which intervention would be most important for this client? providing for the client's safety reassuring the client he or she is not alone documenting the violence educating about the cycle of violence

1

A woman arrives at the neighborhood clinic asking for care related to symptoms that include bruising, lacerations and vague reports of perineal discomfort. The nurse assesses and provides care for the client's physical condition, then questions the client. Which is the best question for the nurse to ask? "Intimate partner violence is a problem among women in our community. Are you experiencing any type of physical or emotional abuse?" "Your injuries suggest that you are experiencing physical and or sexual abuse. Would you like to talk about what's happening?" "It appears that your injuries are a result of abuse and violence. Do you feel safe at home?" "Physical abuse is not something you have to tolerate. Would you like me to notify the police?"

1

A nurse is working with a victim of intimate partner violence. The client has decided that she is going to leave the relationship. Which instructions by the nurse would be most appropriate? Select all that apply. "Remember, it might take you several tries before you succeed." "Let's work on a safety plan so that it is ready for when you leave." "Don't worry. I will make all the decisions for you about leaving." "Listen to me because I know when it would be best for you to leave the situation." "I can offer you choices, but you are the one who has to choose."

1,2,5

After teaching a group of young adults about sexual violence, the nurse determines that the teaching was successful when the group identifies which acts as a type of sexual violence? Select all that apply. female genital mutilation bondage infanticide human trafficking rape

14,5

A 16-year-old girl is seen in an emergency department following a rape. The management of a rape victim should be directed primarily toward: relieving physical discomfort and pain. decreasing guilt and increasing self-esteem. assessing for sources of infection resulting from the rape. teaching the client how to prevent further attacks.

2

A woman arrives at the prenatal clinic and is accompanied by her partner. Which behaviors would be suggestive of intimate partner violence (IPV)? Select all that apply. The pregnant client looks at the examiner when asked questions. The partner answers questions for the pregnant client. The partner is overly protective of the pregnant client. Poor weight gain during the pregnancy and low birth weight infant The client asks questions of the nurse about her pregnancy.

4,2,3

The nurse is caring for a victim of intimate partner violence who needs emotional support. What nursing actions are appropriate for this client? Select all that apply. Allow the client to make as many decisions as possible. Encourage the client to attend support groups. Tell the client how your friend dealt with intimate partner violence. Explain how alcohol can cause intimate partner violence. Teach strategies for problem-solving and stress management.

1,2,5

A nurse is working with a client who is anticipating the possibility of leaving a relationship with intimate partner violence. In helping the client make the decision to leave or to stay in the abusive situation, which action would be most important for the nurse to take? Ensure the client understands the behaviors inherent in the cycle of intimate partner violence. Explain to the client how to develop a safety plan for leaving the relationship. Assist the client in finding a new apartment and a new job. Suggest that the client legally change his or her name and move out of state.

2

An obese client admits to regularly binging on large amounts of food. The client expresses feelings of guilt and shame but is unable to stop this behavior. What does the nurse recognize is the major treatment goal for this client? Eliminate purging episodes Normalize potassium levels Determine mental health needs Reduce number of binge episodes Increase daily physical activity level

4

A nurse is conducting a presentation on violence and abuse for a community health program. When describing this concept, which information would the nurse include? Select all that apply. Violence against men by women is being significantly addressed. Violence against women often goes unrecognized and unreported. It ranks low on the scale as a cause for morbidity. Violence during pregnancy is rare occurrence. In some countries, violence against women is considered acceptable behavior.

4,2

A nurse is teaching a group of college students about rape and sexual assault. The nurse determines that additional teaching is necessary based on which statements by the group? Select all that apply. Most victims of rape tell someone about it. Few individuals falsely cry "rape." Women have rape fantasies desiring to be raped. A rape victim feels vulnerable and betrayed afterwards. Medication and counseling can help a rape victim cope.

1,3