Mental Health Exam 4 Abuse Questions

During a prenatal assessment, the clinic nurse suspects that her client was abused. Which of the following questions would be most appropriate? A. "Are you being threatened or hurt by your partner?" B. "Are you frightened of your partner?" C. "Is something bothering you?" D. "What happens when you and your partner argue?"

A. "Are you being threatened or hurt by your partner?"

A male client is admitted to a psychiatric facility by court order for evaluation for antisocial personality disorder. This client has a long history of initiating fights and abusing animals and recently was arrested for setting a neighbor's dog on fire. When evaluating this client for the potential for violence, nurse Perry should assess for which behavioral clues? A. A rigid posture, restlessness, and glaring B. Depression and physical withdrawal C. Silence and noncompliance D. Hypervigilance and talk of past violent acts

A. A rigid posture, restlessness, and glaring

Kevin is remanded by the courts for psychiatric treatment. His police record, which dates to his early teenage years, includes delinquency, running away, auto theft, and vandalism. He dropped out of school at age 16 and has been living on his own since then. His history suggests maladaptive coping, which is associated with: A. Antisocial personality disorder B. Borderline personality disorder C. Obsessive-compulsive personality disorder D. Narcissistic personality disorder

A. Antisocial personality disorder

Which situation would Nurse Sally identify as placing a client at high risk for caregiver abuse? A. Antonia, an adult child, quits her job to move in and care for a parent with severe dementia. B. Mr. Wright, an elderly man with severe heart disease, resides in a personal care home and is frequently visited by his adult child. C. Mrs. Hale, an elderly parent with limited mobility, lives alone and receives help from several adult children. D. Antoinette cares for her husband who is in early stages of Alzheimer's disease and has a network of available support persons.

A. Antonia, an adult child, quits her job to move in and care for a parent with severe dementia.

During a well-child checkup, a mother tells Nurse Rio about a recent situation in which her child needed to be disciplined by her husband. The child was slapped in the face for not getting her husband breakfast on Saturday, despite being told on Thursday never to prepare food for him. Nurse Rio analyzes the family system and concludes it is dysfunctional. All of the following factors contribute to this dysfunction except: A. Conflictual relationships of parents B. Inconsistent communication patterns C. Rigid, authoritarian roles D. Use of violence to establish control

A. Conflictual relationships of parents

Which nursing assessment findings are physical signs of sexual abuse of a female child? Select all that apply. A. Enuresis B. Red and swollen labia and rectum C. Vaginal tears D. Injuries in different stages of healing E. Cigarette burns F. Lice infestation

A. Enuresis B. Red and swollen labia and rectum C. Vaginal tears

The interventions common to treatment plans for survivors include which of the following? Select all that apply. A. Establish trust and rapport. B. Identify areas of control. C. Remove the client from home. D. Support the client in the decisions he/she makes. E. Encourage the client to pursue legal action.

A. Establish trust and rapport. B. Identify areas of control. D. Support the client in the decisions he/she makes.

A group of nursing students at Nurseslabs University is currently learning about family violence. Which of the following is true about the topic mentioned? A. Family violence affects every socioeconomic level. B. Family violence is caused by drugs and alcohol abuse. C. Family violence predominantly occurs in lower socioeconomic levels. D. Family violence rarely occurs during pregnancy.

A. Family violence affects every socioeconomic level.

Sheila tells the community nurse that her boyfriend has been abusive and she is afraid of him, but she doesn't want to leave. The client asks the nurse for assistance. Which nursing interventions are appropriate in this situation? Select all that apply. A. Help Sheila to develop a plan to ensure safety, including phone numbers for emergency help. B. Help Sheila to get her boyfriend into an appropriate treatment program. C. Communicate acceptance, avoiding any implication that Sheila is at fault for not leaving. D. Help Sheila to explore available options, including shelters and legal protection. E. Tell Sheila that she should leave because things will not improve. F. Reinforce concern for Sheila's safety and her right to be free of abuse.

A. Help Sheila to develop a plan to ensure safety, including phone numbers for emergency help. C. Communicate acceptance, avoiding any implication that Sheila is at fault for not leaving. D. Help Sheila to explore available options, including shelters and legal protection. F. Reinforce concern for Sheila's safety and her right to be free of abuse.

When interviewing the parents of an injured child, which of the following is the strongest indicator that child abuse may be a problem? A. The injury isn't consistent with the history or the child's age. B. The mother and father tell different stories regarding what happened. C. The family is poor. D. The parents are argumentative and demanding with emergency department personnel.

A. The injury isn't consistent with the history or the child's age.

In the emergency department, a client with facial lacerations states that her husband beat her with a shoe. After the health care team repairs her lacerations, she waits to be seen by the crisis intake nurse, who will evaluate the continued threat of violence. Suddenly the client's husband arrives, shouting that he wants to "finish the job." What is the first priority of the health care worker who witnesses this scene? A. Remaining with the client and staying calm. B. Calling a security guard and another staff member for assistance. C. Telling the client's husband that he must leave at once. D. Determining why the husband feels so angry.

B. Calling a security guard and another staff member for assistance.

Nurse Angela is working in the emergency department of Nurseslabs Medical Center. She is conducting an interview with a victim of spousal abuse. Which step should the nurse take first? A. Contact the appropriate legal services. B. Ensure privacy for interviewing the victim away from the abuser. C. Establish a rapport with the victim and the abuser. D. Request the presence of a security guard.

B. Ensure privacy for interviewing the victim away from the abuser.

Nurse Sharie is assessing a parent who abused her child. Which of the following risk factors would the nurse expect to find in this case? A. Flexible role functioning between parents. B. History of the parent having been abused as a child. C. Single-parent home situation. D. Presence of parental mental illness.

B. History of the parent having been abused as a child.

Nurse Taylor is aware that the victims of domestic violence should be assessed for what important information? A. Reasons they stay in the abusive relationship (for example, lack of financial autonomy and isolation). B. Readiness to leave the perpetrator and knowledge of resources. C. Use of drugs or alcohol. D. History of previous victimization.

B. Readiness to leave the perpetrator and knowledge of resources.

Macoy and Helen seek emergency crisis intervention because he slapped her repeatedly the night before. The husband indicates that his childhood was marred by an abusive relationship with his father. When intervening with this couple, nurse Gerry knows they are at risk for repeated violence because the husband: A. Has only moderate impulse control. B. Denies feelings of jealousy or possessiveness. C. Has learned violence as an acceptable behavior. D. Feels secure in his relationship with his wife.

C. Has learned violence as an acceptable behavior.

A community nurse conducts a primary prevention, home-visit assessment for a newborn and mother. Mrs. Smith has three other children, the oldest of whom is age 12. She tells the nurse that her 12-year-old daughter is expected to prepare family meals, to look after the young children, and to clean the house once a week. Which of the following is the most appropriate nursing diagnosis for this family situation? A. Delayed growth and development, related to performance expectations of the child. B. Anxiety (moderate), related to difficulty managing the home situation. C. Impaired parenting, related to the role reversal of mother and child. D. Social isolation, related to lack of extended family assistance.

C. Impaired parenting, related to the role reversal of mother and child.

Mariefer is studying about abuse for the upcoming exam. For her to fully instill the topic, she should know that the priority nursing intervention for a child or elder victim of abuse is: A. Assess the scope of the abuse problem. B. Analyze family dynamics. C. Implement measures to ensure the victim's safety. D. Teach appropriate coping skills.

C. Implement measures to ensure the victim's safety.

Nurse Jannah is monitoring a male client who has been placed in restraints because of violent behavior. Nurse determines that it will be safe to remove the restraints when: A. The client verbalizes the reasons for the violent behavior. B. The client apologizes and tells the nurse that it will never happen again. C. No acts of aggression have been observed within 1 hour after the release of two of the extremity restraints. D. The administered medication has taken effect.

C. No acts of aggression have been observed within 1 hour after the release of two of the extremity restraints.

A female client with borderline personality disorder is admitted to the psychiatric unit. Initial nursing assessment reveals that the client's wrists are scratched from a recent suicide attempt. Based on this finding, the nurse Lenny should formulate a nursing diagnosis of: A. Ineffective individual coping related to feelings of guilt. B. Situational low self-esteem related to feelings of loss of control. C. Risk for violence: Self-directed related to impulsive mutilating acts. D. Risk for violence: Directed toward others related to verbal threats.

C. Risk for violence: Self-directed related to impulsive mutilating acts.

A parent brings a preschooler to the emergency department for treatment of a dislocated shoulder, which allegedly happened when the child fell down the stairs. Which action should make the nurse suspect that the child was abused? A. The child cries uncontrollably throughout the examination. B. The child pulls away from contact with the physician. C. The child doesn't cry when the shoulder is examined. D. The child doesn't make eye contact with the nurse.

C. The child doesn't cry when the shoulder is examined.

During a home visit to a family of three: a mother, father, and their child, The mother tells the community nurse that the father (who is not present) had hit the child on several occasions when he was drinking. The mother further explains that she has talked her husband into going to Alcoholics Anonymous and asks the nurse not to interfere, so her husband won't get angry and refuse treatment. Which of the following is the best response of the nurse? A. The nurse agrees not to interfere if the husband attends an Alcoholics Anonymous meeting that evening. B. The nurse commends the mother's efforts and agrees to let her handle things. C. The nurse commends the mother's efforts and also contacts protective services. D. The nurse confronts the mother's failure to protect the child.

C. The nurse commends the mother's efforts and also contacts protective services.

Which statement by the client during the initial assessment in the emergency department is most indicative of suspected domestic violence? A. "I am determined to leave my house in a week." B. "No one else in the family has been treated like this." C. "I have only been married for two (2) months." D. "I have tried leaving, but have always gone back."

D. "I have tried leaving, but have always gone back."

When a husband takes out his work frustrations and anger by abusing his wife at home, the nurse will identify this crisis as which type? A. Psychiatric emergency crisis B. Developmental crisis C. Anticipated life transition D. Dispositional crisis

D. Dispositional crisis

Mrs. Smith was admitted to the emergency department of Nurseslabs Medical Center with a fractured arm. She explains to the nurse that her injury resulted when she provoked her drunken husband, Mr. Smith, who then pushed her. Which of the following best describes the nurse's understanding of the wife's explanation? A. Mrs. Smith's explanation is appropriate acceptance of her responsibility. B. Mrs. Smith's explanation is an atypical reaction of an abused woman. C. Mrs. Smith's explanation is evidence that the woman may be an abuser as well as a victim. D. Mrs. Smith's explanation is a typical response of a victim accepting blame for the abuser.

D. Mrs. Smith's explanation is a typical response of a victim accepting blame for the abuser.

Joseph, a 12-year-old child, complains to the school nurse about nausea and dizziness. While assessing the child, the nurse notices a black eye that looks like an injury. This is the third time in 1 month that the child has visited the nurse. Each time, the child provides vague explanations for various injuries. Which of the following is the school nurse's priority intervention? A. Contact the child's parents and ask about the child's injury. B. Encourage the child to be truthful with her. C. Question the teacher about the parent's behavior. D. Report suspicion of abuse to the proper authorities.

D. Report suspicion of abuse to the proper authorities.

Nurse Meredith is observing 8-year-old Anna during a community visit. Which of the following findings would lead the nurse to suspect that Anna is a victim of sexual abuse? A. The child is fearful of the caregiver and other adults. B. The child has a lack of peer relationships. C. The child has self-injurious behavior. D. The child has an interest in things of a sexual nature.

D. The child has an interest in things of a sexual nature.