Child, older adult, and intimate partner violence

A

A patient tells the nurse, "My husband lost his job. He's abusive only when he drinks too much. His family was like that when he was growing up. He always apologizes and regrets hurting me." What risk factor was most predictive for the husband to become abusive? A. History of family violence B. Loss of employment C. Abuse of alcohol D. Poverty

B

A survivor of physical spousal abuse was treated in the emergency department for a broken wrist. This patient said, "I've considered leaving, but I made a vow and I must keep it no matter what happens." Which outcome should be met before discharge? The patient will A. facilitate counseling for the abuser. B. name two community resources for help. C. demonstrate insight into the abusive relationship. D. reexamine cultural beliefs about marital commitment.

D

A young adult has recently had multiple absences from work. After each absence, this adult returned to work wearing dark glasses and long-sleeved shirts. During an interview with the occupational health nurse, this adult says, "My partner beat me, but it was because I did not do the laundry." What is the nurse's next action? A. Call the police . B. Arrange for hospitalization. C. Call the adult protective agency . D. Document injuries with a body map.

A

After treatment for a detached retina, a survivor of intimate partner abuse says, "My partner only abuses me when I make mistakes. I've considered leaving, but I was brought up to believe you stay together, no matter what happens." Which diagnosis should be the focus of the nurse's initial actions? A. Risk for injury related to physical abuse from partner B. Social isolation related to lack of a community support system C. Ineffective coping related to uneven distribution of power within a relationship D. Deficient knowledge related to resources for escape from an abusive relationship

C

An 11-year-old reluctantly tells the nurse, "My parents don't like me. They said they wish I was never born." Which type of abuse is likely? A. Sexual B. Physical C. Emotional D. Economic

A

An 11-year-old says, "My parents don't like me. They call me stupid and say they wish I were never born. It doesn't matter what they think because I already know I'm dumb." Which nursing diagnosis applies to this child? A. Chronic low self-esteem related to negative feedback from parents B. Deficient knowledge related to interpersonal skills with parents C. Disturbed personal identity related to negative self-evaluation D. Complicated grieving related to poor academic performance

A

An adult has a history of physical violence against family when frustrated, followed by periods of remorse after each outburst. Which finding indicates a successful plan of care? The adult A. expresses frustration verbally instead of physically. B. explains the rationale for behaviors to the victim. C. identifies three personal strengths. D. agrees to seek counseling.

D

An adult has recently been absent from work for 3-day periods on several occasions. Each time, the individual returned wearing dark glasses. Facial and body bruises were apparent. What is occupational health nurse's priority assessment? A. Interpersonal relationships B. Work responsibilities C. Socialization skills D. Physical injuries

C

An adult tells the nurse, "My partner abuses me when I make mistakes, but I always get an apology and a gift afterward. I've considered leaving but haven't been able to bring myself to actually do it." Which phase in the cycle of violence prevents this adult from leaving? A. Tension-building B. Acute battering C. Honeymoon D. Stabilization

B

An older adult diagnosed with Alzheimer's disease lives with family in a rural area . During the week, this adult attends a day care center while the family is at work. In the evenings, members of the family provide care. Which factor makes this adult most vulnerable to abuse ? A. Multiple caregivers B. Alzheimer's disease C. Living in a rural area D. Being part of a busy family

C

An older adult with Lewy body dementia lives with family and attends a day care center. A nurse at the day care center noticed the adult had a disheveled appearance, strong odor of urine, and bruises on the limbs and back. What type of abuse might be occurring? A. Psychological B. Financial C. Physical D. Sexual

A

An older adult with Lewy body dementia lives with family. After observing multiple bruises, the home health nurse talked with the daughter, who became defensive and said, "My mother often wanders at night. Last night she fell down the stairs." Which nursing diagnosis has priority? A. Risk for injury related to poor judgment, cognitive impairments, and inadequate supervision B. Wandering related to confusion and disorientation as evidenced by sleepwalking and falls C. Chronic confusion related to degenerative changes in brain tissue as evidenced by nighttime wandering D. Insomnia related to sleep disruptions associated with cognitive impairment as evidenced by wandering at night

B

An older woman diagnosed with Alzheimer's disease lives with family and attends day care. After observing poor hygiene, the nurse talked with the caregiver. This caregiver became defensive and said, "It takes all my energy to care for my mother. She's awake all night. I never get any sleep." Which nursing intervention has priority? A. Teach the caregiver about the effects of sundowner's syndrome. B. Secure additional resources for the mother's evening and night care. C. Support the caregiver to grieve the loss of the mother's cognitive abilities. D. Teach the family how to give physical care more effectively and efficiently.

C

Several children are seen in the emergency department for treatment of various illnesses and injuries. Which assessment finding would create the most suspicion for child abuse? The child who has A. complaints of abdominal pain. B. repeated middle ear infections. C. bruises on extremities. D. diarrhea.

A

The parents of a 15-year-old seek to have this teen declared a delinquent because of excessive drinking, habitually running away, and prostitution. The nurse interviewing the patient should recognize these behaviors often occur in adolescents who A. have been abused. B. are attention seeking. C. have eating disorders. D. are developmentally delayed.

B

What feelings are most commonly experienced by nurses working with abusive families ? A. Outrage toward the victim and discouragement regarding the abuser B. Helplessness regarding the victim and anger toward the abuser C. Unconcern for the victim and dislike for the abuser D. Vulnerability for self and empathy with the abuser

C

What is a nurse's legal responsibility if child abuse or neglect is suspected? A. Discuss the findings with the child's parent and health care provider. B. Document the observation and suspicion in the medical record. C. Report the suspicion according to state regulations. D. Continue the assessment.

A

Which comment by the nurse would best support relationship building with a survivor of intimate partner abuse? A. "You are feeling violated because you thought you could trust your partner." B. "I'm here for you. I want you to tell me about the bad things that happened to you." C. "I was very worried about you. I knew you were living in a potentially violent situation." D. "Abusers often target people who are passive. I will refer you to an assertiveness class."

B

Which rationale best explains why a nurse should be aware of personal feelings while working with a family experiencing family violence? A. Self- awareness enhances the nurse's advocacy role. B. Strong negative feelings interfere with assessment and judgment. C. Strong positive feelings lead to healthy transference with the victim . D. Positive feelings promote the development of sympathy for patients .

C

Which referral will be most helpful for a woman who was severely beaten by intimate partner, has no relatives or friends in the community, is afraid to return home, and has limited financial resources? A. A support group B. A mental health center C. A women's shelter D. Vocational counseling