EAQ interpersonal violence
which physical finding is most likely to be observed in an abused older adult
hematomas
priority for the nurse when providing care in the emergency department to a school-age client who has been identified abuse
removing the client from any immediate danger
which physical finding may be seen in a client who is the victim of intimate partner violence
burns abrasions human bites
which early sign is suggestive of an abusive personality
- jealously controlling - hypersensitive, easily insulted - makes others responsible for his or her feelings - verbal abuse - enforces rigid sex roles - isolated partner from family and friends
which physical finding is most likely associated with child sexual abuse
foreign bodies in the urethra
which advantage of inpatient care is important regarding psychiatric care for a client diagnosed with schizophrenia who admits to hearing people encouraging the client to self-harm
Care in a safe and secure environment
an 8-year old girl visits the school nurse frequently with vague ailments. the nurse spends time listening to the girl, takes her temperature, and always sends her back to class. one Thursday, the girls tells the nurse hat she no longer wants to visit her grandfathers at his home because he "hugs me too tight and touches me down there" she has told her parent that she doesnt want to spend the weekend with her grandparents, but her parents says that she has no choice. which is the appropriate action by the nurse?
Reporting the alleged abuse to the local child protective agency and encouraging an investigation before the weekend visit
which client is most liekly to exhibit increased forgetfulness, low self-esteem, and depression as a result of abuse
a married 31 year old woman
with whom would the nurse discuss his or her suspicions of physical abuse when witnessing a clients spouse shaving the client vigorously because the client has had an episode of incontinence
adult protective services
which statement about family violence is true
alcohol and substance abuse can lead to family violence
sign and symptoms likely found in adult experiencing sexual abuse
anorexia flat affect panic attacks (child S/S: physical aggression and excessive day dreaming)
a 7 year old sustains a fractured femur in a bicycle accident. the admission x-ray films reveal evidence of fractures of other long bones in various stages of healing. which would the nurse suspect as the cause of the fractures
child abuse
which behavioral finding might lead the nurse to the suspicion that a woman is experiencing intimate partner violence
depression suicide attempts
which is a risk factor for other directed violence
difficulty managing anger
during the examination of a client who is 16-weeks gestation, the nurse notes bruises on the clients face an abdomen, but there are no bruises on her legs and arms. further assessment is required to confirm which condition
domestic abuse ( intesifies during pregnancy and usually target the abdomen. - hydatidiform mole: enlarged uterus for gestational age, - thrombocytopenic purpura: bruises or petechiae on body but not face or abdomen)
the nurse observes biting, rocking, sucking, and lags in intellectual development in a child. they also conclude the child is suffering from sleep disorder. which reason might the nurse suspect is responsible for the childs condition
emotional abuse
which behavior would the nurse expect when approaching a toddler who was physically abused
exhibiting fear of physical contacted initiated by anyone
which realm of family life process is the nurse trying to assess when the nurse asks what the family does for relaxation
interactive
which statement about family violence indicated a need for further teaching
it occurs only in certain social classes social isolation decreases the risk
a 6- year old with a leg fracture of suspicious origin is brought to the emergency department by the parents. it is the childs first visit to this hospital. the nurse anticipates that the health care provider will prescribe a skeletal survey. why is a skeletal survey the preferred diagnostic tool
it will identify the skeletal history of the current fracture and any previous healing or healed fractures (abusive parents may go to different hospitals that have no record of the child, this X-ray shows previous injuries)
which type of abuse involves a caregiver failing to give medications on time to an older adult
neglect ( intentionally or unintentionally causes harm by failing to provide appropriate care)
which factor is associated with an increased incidence of abuse within a family
pregnancy drug abuse sexual orientation
which is the nurses priority responsibility when abuse of a child is suspected
protecting the child from future abuse
a young female client is admitted to the trauma center after being sexually assaulted continues to talk about the rape. which goal will the primary nursing intervention be directed toward.
providing a safe environment that permits the ventilation of feelings
which type of abuse verbally inflicts anguish, emotional pain, and distress on an adult
psychologic
the nurse in the emergency department notes large welts and scars on the back of a toddler who has been admitted for an asthma attack. which additional information must be included in the nurses assessment
signs of child abuse
which type of caregiver is the most frequent abuser of older adults
spouse
a nurse is evaluating a toddler and the family dynamics of the childs family, in which abuse is suspected
the childs cringes when approached the child has unexplained healed injuries the child lies still while surveying the environment
which finding might have led a nurse to suspect sexual abuse when examining a child
trouble sitting or walking
which behavioral findings might lead the nurse to suspect that an older adult client is experiencing abuse
verbal aggression