PrepU----30

A nurse is performing a physical examination of a pregnant woman. During examination, the nurse notices a bruise on the client's abdomen. Which action should the nurse take?

Ask the client to account for the bruise.

A physically abused pregnant woman reports to the nurse that her spouse has stopped hitting her and promises never to hurt her again. Which response by the nurse would be most appropriate?

Remember, the cycle of violence often repeats itself."

A nurse is caring for a client who was raped at gunpoint. The client does not want any photos taken of the injuries. The client also does not want the police to be informed about the incident even though state laws require reporting life-threatening injuries. Which intervention should the nurse perform to document and report the findings of the case?

Use direct quotes and specific language.

A nurse is developing a plan of care for a victim of intimate partner violence. Which intervention would be least appropriate for the nurse to include?

assisting the client to project anger

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?

avenues for referral

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

flashbacks

When a pregnant client is victim of intimate partner violence during pregnancy, what complication is likely to occur after birth due to the abuse?

postpartum depression

A nurse is assessing a survivor of intimate partner violence. During the interview, the nurse determines that the survivor's partner is using power and control over the client through coercion and threats. Which client statement would lead the nurse to suspect this?

"My partner tells me that I will be turned into child services for being a bad mother."

Which of the following scenarios should the nurse follow up on as a potential indication of intimate partner violence?

The partner of a pregnant woman attends each of her appointments. The partner is friendly and outgoing. Each time the nurse asks the client a question, the partner answers. While the partner speaks, the client looks at her lap. Correct response: The partner of a pregnant woman attends each of her appointments. The partner is friendly and outgoing. Each time the nurse asks the client a question, the partner answers. While the partner speaks, the client looks at her lap.

An adolescent who is 8 weeks' pregnant is at her first perinatal visit. During the health history interview, the nurse asks the client, "Are you afraid of anyone?" What is the nurse assessing with this question?

intimate partner violence