Mental Chapter 12

What percentage of women can expect to be a victim of an ongoing unwanted pursuit from stalking?

12-32% men:17%

Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? A. I don't know what else I can do to keep him from getting angry at me B. He doesn't like it when I go out with my friends C. His father physically abused his mother for years D. He was so much nicer when we started dating

A. A warning sign of relationship violence is feeling that you must change yourself so you won't anger the person.

Which statement, made by a nurse who experienced sexual abuse as a child, demonstrates being best prepared to work with sexual abuse and trauma survivors? a. I've been supported by hcp and now I want to support other survivors b.survivors of sexual assault deserve the best care I can give them c. working with survivors of sexual trauma is very fulfilling work d. I've put the incident behind me and seldom think about it

A. Nurses with a personal history of abuse or trauma must seek professional assistance to deal with these issues before working with survivors of trauma or abuse. Such nurses can be very effective and supportive of other survivors but on,y after engaging in therapeutic work and accepting and understanding their own trauma. The nurse should not repress the memories but rather engage in the work needed to accept the incident. The other options present true statements but none are associated with being prepared to provide the necessary care.

A client describes to a nurse therapist that the client has been verbally abusive to the client's 6-year old child and belittles the child routinely. Which form of abuse best describes the client's treatment of the child? a. Sexual abuse b. Emotional abuse c. Physical abuse d. Neglect

B Emotional abuse includes acts such as name-calling, belittling, screaming, yelling, destroying property, making threats, refusing to speak to the child, or ignoring the child.

Which is the most commonly identified issue preventing people from leaving an abusive relationship? a. Possessiveness b. Emotional immaturity c. Dependency d. Jealousy

C. Dependency Dependency is the most common trait seen in abused wives who stay with their husbands. Women often cite personal and financial dependency as reason why they find leaving an abusive relationship extremely difficult.

Nurses working with rape victims need to be aware of their own attitudes about rape and sexual assault. Which rationale best explains why? A. Nurses need to be able to sympathize with their clients B. Nurses can learn from the experiences of clients and thus help prevent becoming victims of assault themselves. C. The attitudes of individual nurses reflect on the overall profession D. Giving back the survivor as much control as possible is important

D Knowing to recognize when personal feelings are likely to interfere with optimal care is part of the Nurses professional responsibility. Giving back the survivor as much control as possible is important by allowing the client to make decisions about who to call, what to do next, and what the client would like done in relation to the crime. The nurses role in helping the survivor regain control is an essential part of recovery.

The nurse should consider which as a possible indicator of child neglect?

Malnourishment unrelated to illness

Which provides the most acceptable example of neglect according to the definition of the term? a. When an adult does not intervene when a 10-year-old child is being bullied by older peers B. Rejecting a 3-year-old who is crying and seeking attention after the child stumbles and falls C. Correcting a child for copying homework in front of the entire class D. Discipline a 6-year-old for sassing by putting tape on the child's mouth

Rejecting a 3-year-old who is crying and seeking affection after the child stumbles and falls Neglect is an act of omission and refers to a parent's failure meet a dependent's basic needs such as providing appropriate emotional care

n a toddler, which injury is most likely the result of child abuse? Several small, circular burns on the child's back A 1-inch forehead laceration A small, isolated bruise on the right lower extremityA hematoma on the occipital region of the head

a Small circular burns on a child's back are no accident and may be from cigarettes. Toddlers are injury prone because of their developmental stage, and falls are frequent because of their unsteady gait; head injuries are not uncommon. A small area of ecchymosis is not suspicious in this age group.

After a series of admissions to the emergency department over the past several months, an 80-year-old client's malnutrition, vague history, and pattern of physical injuries lead the nurse to suspect elder abuse. Which aspect of the client's situation may contribute to elder abuse? Select all that apply. The client has no income or savings of the client's The client self-describes and describes the client's child as "not well-off, but not terribly poor either." The client is physically dependent on the client's son since losing mobility. The client's son describes the client as "needy, helpless, and pathetic." The client and client's child are recent immigrants to the United States.

a,c,d Physical and financial dependence and personality conflicts with caregivers and children are known to contribute to elder abuse. Low socioeconomic status and recent immigration are not identified as causative factors

Which characteristics are found in violent families? Select all that apply a. Alcohol use disorder b. adequate support systems c. Social isolation d. abuse of power and control

a,c,d abuse of power and control, alcohol use disorder, and social isolation are characteristics of violent families, as is an inter generational transmission process.

Which are forms of psychological abuse? a. Insulting b. Rape c. incest d. Humiliating e. Isolating a person from family

a,d,e Psychological abuse includes behaviors such as criticizing, insulting, humiliating, or ridiculing someone. It can also involve actions such as destroying another's property, threatening or harming pets, controlling or monitoring spending and activities, or isolating a person from family and friends. Rape and incest are forms of sexual assault.

Which statement requires additional education regarding the truth about rape? Rape is a crime of passion. Rape can occur between married individuals. No person wants to be raped. No person deserves to be raped.

a. Rape is a crime of violence and humiliation of the victim expressed through sexual means. The remaining options present accurate information about the act of rape so no further education or correction is needed.

which action is best for the nurse to take when assessing a child who might be abused? a. confront the parents with the facts, and ask them what happened. b. consult with a professional member of the health team about making a report c. ask the child which parent caused the injury

b

Which assessment question should the nurse ask of a client suspected of being ostracized by a school bully? "Can you go to the school principal with personal problems?" "Do you feel like a part of a group in school?" "Do you smoke or use drugs?" "Have you talked to your parents about your problems at school?"

b Ostracism, ignoring and excluding a target individual, has recently emerged as one of the more common and damaging forms of bullying. The victim experiences threats to belonging, self-esteem, meaningful existence, and sense of control. Ostracism may pose an even greater threat to children's adjustment than bullying. Those who bully are more likely to have poor grades and to use alcohol and tobacco. None of the remaining options are directly associated with the issue of ostracizing.

Which is an inaccurate picture of the cycle of abuse that occurs over time? Severity of the injuries worsen Violent episodes are less frequent The period of remorse disappears Violent episodes are more frequent

b Rationale: Over time, the violent episodes are more frequent, the period of remorse disappears altogether, and the level of violence and severity of injuries worsen.

Which is a priority nursing intervention when child abuse or neglect is suspected? Social support Physiologic needs Safety Psychological needs

c. The first part of treatment for child abuse or neglect is to ensure the child's safety and well-being.

A client discloses to a nurse therapist that the client has been verbally abusive to the client's 6-year-old child and belittles the child routinely. Which form of abuse best describes the client's treatment of the child? Sexual abuse Physical abuse Neglect Emotional abuse

d Emotional abuse includes acts such as name-calling, belittling, screaming, yelling, destroying property, making threats, refusing to speak to the child, or ignoring the child.

A nurse is working on developing a safety plan with a client who is a survivor of violence. Which would the nurse address first? Identifying a signal to indicate it is safe to leave Devising an escape route Identifying a safe place to hide Recognizing the signs of danger

d One of the most important teaching goals is to help survivors develop a safety plan. The first step in developing such a plan is helping the survivor recognize the signs of danger. Changes in tone of voice, use of alcohol and other drugs, and increased criticism may indicate that the perpetrator is losing control. Detecting early warning signs helps survivors to escape before battering begins. The next step is to devise an escape route. This involves mapping the house and identifying where the battering usually occurs and what exits are available. The survivor needs to have a bag packed and hidden, but readily accessible, containing what is needed to get away. If children are involved, the adult survivor should make arrangements to get them out safely. That might include arranging a signal to indicate when it is safe for them to leave the house and to meet at a prearranged place. A safety plan for a child or dependent older adult might include safe places to hide and important telephone numbers, including 911, police and fire departments, and other family members and friends.

A nurse is interviewing a client who is a survivor of abuse. The client is telling the nurse about how the violence occurred. Which statement would the nurse interpret as reflecting phase 2 of the cycle of violence? "He calls me stupid and incompetent, asking himself why he ever married me." "He threw me against the wall and started punching my face." "He yells at me for not having dinner waiting for him when he comes home." "He tells me that he is sorry and that he will never hit me again."

d The cycle typically begins with the perpetrator committing an act of violence. In the second phase, the perpetrator becomes kind, contrite, and loving, begging for forgiveness and promising never to inflict abuse again. In the third phase, or tension building phase, the perpetrator criticizes or threatens the victim, eventually returning to phase 1.

During the nurse's assessment of a new client on a medical unit, the client confides in the nurse that the client's spouse often "slaps me around" after the client has been drinking. What action should the nurse take in response to this statement? Elicit further detail from the client to determine the validity of the accusation. Ask the client to write down descriptions of these instances and make these documents part of the client's medical record. Discuss with the client the possible triggers that set off the spouse's behavior. Report the client's statement promptly to the appropriate authorities.

d The nurse's responsibility in cases of suspected abuse is to report the allegations. It is not the nurse's responsibility to determine validity, encourage a written statement, or counsel the client on the dynamics of the abuse.

the majority of perpetrators of elder abuse include which of the following populations? A. Grandchildren B. Spouses C. Siblings D. Adult children

spouses -nearly 60% of the perpetrators of elder abuse are spouses, 20% are adult children, and 20% are others such as siblings, grandchildren, and boarders

Which child has the greatest risk for being the target of bullying at school? A. Child who is short for his age B. Child who recently immigrated to America C. Child who just transferred to the school E. The child who wears hearing aids

the child who wears hearing aids Children with special physical health-care needs are bullied more often, and children with a chronic, emotional, behavioral, or developmental problem are more likely to be a victim of bullying. While any child ,at be a target for bullying, none of the other children have the obvious risk factor that a special needs child brings out.