Chapter 9 Violence and Abuse prepU

A 19-year-old pregnant client presents to the office for the third time this week. While completing the client's admission, the nurse screens for abuse. The client responds, "I have already told you twice this week I am not being abused. Why do you keep asking me these questions?" What is the nurse's best response?

"We screen all clients for abuse during every visit."

A 10-week-gestation client states "My boyfriend used to hit me before the pregnancy, but he promised he would stop now that I'm pregnant. He loves our baby." How will the nurse respond?

"You are at a higher risk of abuse since you are pregnant."

The nurse is caring for a client who was raped a few hours ago. The client is worried about an unwanted pregnancy and asked for an emergency contraceptive pill. What will the nurse do?

Administer an emergency contraceptive to the client.

The nurse is educating women on characteristics of men who abuse their partners. What characteristics of male abusers will the nurse include in the teaching? Select all that apply.

Correct response: • A history of oxycodone and diazepam abuse • 10 different employers in the past 18 months • Arrested twice in the last year • Dominates the control in personal and social situations

Which occurrence is a biologic indicator of posttraumatic stress disorder (PTSD)?

Flashbacks

The nurse is caring for a client who was raped a few hours ago. The client is concerned about the possibility of being pregnant and requests an emergency contraceptive pill. How will the nurse respond?

Notify the health care provider of the client's request.

A nurse is describing the cycle of violence to a group of women at a community clinic. The nurse determines that the women have understood the information when they identify which phase as usually lasting the longest?

Tension building

When implementing an intervention for a woman in an abusive situation, what is the primary goal?

The woman will regain a sense of control in her life.

While assessing a woman who underwent a female circumcision for cultural reasons when she was 9 years old, the nurse observes that the prepuce and a portion of the clitoris have been removed. The nurse identifies this as which type of female genital mutilation procedure?

Type I

A female client tells the nurse "My boyfriend is going to stop drinking, so I know he won't hit me again." What is the nurse's best response?

• "Abuse is a learned behavior, not caused by alcohol."

A client who has been a victim of domestic violence is being counseled on the development of a safety plan. Which statement made by the client suggests the need for additional counseling to assure the safety of the client and children?

• "I have a special telephone card to use if we have to leave in a hurry."

A victim of rape is prescribed emergency contraception. After teaching the client about this therapy, the nurse determines that the teaching was effective based on which client statement?

• "It contains high doses of a typical birth control pill"

The nurse is interviewing a client who has been physically abused by the domestic partner. Which nursing intervention will likely be most effective in assuring the client that the interview will be kept confidential?

• Assure the client agrees before any information can be released

The nurse has completed an assessment and interview on a client being treated for lacerations and abrasions. What acquired data support the nurse's suspicion that the client may be a victim of human trafficking? Select all that apply.

• Female • Age 16 • Speaks only minimal English

A female client, accompanied by her domestic partner, has presented to the emergency department with injuries suggestive of physical abuse. When considering client safety, what is the basis for interviewing the client privately?

• Minimizing the risk of causing abuser-triggered violence during the interview or later

The nurse is assessing a woman who is a victim of intimate partner violence and recognizes a belief that is common among victims of abuse. Which belief would the nurse most likely identify?

• The woman is inadequate in some way.

A nurse is working in a local community health care facility where she frequently encounters victims of abuse. For which signs should the nurse assess to find out if a client is a victim of abuse? Select all that apply.

• mental health problems such as depression, anxiety, or substance abuse • injuries on the face, head, and neck • reported history of the injury inconsistent with the presenting problem

When caring for an abused woman, the nurse uses the ABCDES framework to provide interventions. Which components are part of this framework? Select all that apply.

• reassurance that the woman is not alone in this situation • maintenance of confidentiality of the information reported • education about the cycle of violence and its escalation • plan of action and resources for safety for when the woman decides to leave

The nursing instructor overhears students discussing their recent lecture topic of abuse and realizes that they need clarification when she hears a student make which statement?

• "Abuse occurs only in heterosexual relationships."

As part of a local college awareness program, a nurse is interviewing several of the participants about their views on rape. Which statement would lead the nurse to determine that teaching about rape is necessary?

• "A woman can avoid being raped. If she doesn't want it to happen, then it won't." (lol what the fck prepU)