Survivors of abuse and violence Practice Q's/Child, partner, and elder abuse

A nurse working in the county jail interviews a man who recently committed a violent sexual assault against a woman. Which comment from this perpetrator is most likely?

*"I gave her what she wanted"*

Which family scenario presents the greatest risk for family violence?

*An unemployed husband with low self-esteem, a wife who loses her job, and a developmentally delayed 3 year old child*

A nurse visits the home of an 11-year-old child and finds the child caring for three younger siblings. Both parents are at work. The child says, "I want to go to school but we can't afford a babysitter. It doesn't matter; I'm too dumb to learn." What preliminary assessment is evident?

*Child and siblings are experiencing neglect*

A clinic nurse interviews an adult patient who reports fatigue, back pain, headaches, tension, and sleep disturbances. The patient then becomes reluctant to provide more information and wants to leave. How can the nurse best serve the patient?

*Have the patient complete an abuse assessment screen*

A patient tells the nurse, "My husband is 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?

*History of family violence*

An older adult diagnosed with dementia lives with family and attends an adult day care center. A nurse at the center notices the adult has a disheveled appearance, a strong odor of urine, and bruises on the limbs and back. What type of abuse might be occurring?

*Physical*

What is a nurse's legal responsibility if child abuse or neglect is suspected?

*Report the suspected abuse or neglect according to state regulations*

A patient at the emergency department is diagnosed with a concussion. The patient is accompanied by a spouse who insists on staying in the room and answering all questions. The patient avoids eye contact and has a sad affect and slumped shoulders. Assessment of which additional problem has priority?

*Risk of intimate partner violence*

Which rationale best explains why a nurse should be aware of personal feelings while working with a family experiencing family violence?

*Strong negative feelings interfere with assessment and judgement*

A young woman tells the nurse, "my partner prevents me from taking my medications. "Which should the nurse do to deal with the situation?

Conduct an interview with the client alone, when the partner is not around

Which actions would be included in the safety plan for a woman in crisis, who is emotionally and physically abused by her husband?

Determining a safe place to go in an emergency Memorizing the domestic violence hotline number

Which parental behaviors support a suspicion of child abuse?

Exhibiting difficulty in showing concern for their child Procrastinating in obtaining treatment for their child's injuries

A mother is worried about the sudden behavioral changes in her child. The child has suddenly developed a fear of certain people and places. The child school performance is declining rapidly, and the child has developed poor relationships with their peers. After assessing the physical findings of the child, the nurse suspects child abuse. Which physical findings would have led the nurse to the suspicion?

Foreign bodies in the rectum, urethra, or vagina

Which statement most accurately describes women who are involved in a situation of domestic violence?

Most women try to leave about six times before they are successful

The nurses advocate role for a victim of intimate partner violence would include which important components?

Planning for future safety Validating the experiences Promoting access to community services

While assessing an older adult during a regular health check up, the nurse finds signs of elder abuse. Which physical findings would further confirm the nurses suspicion?

Presence of burns from cigarettes Presence of bedsores Presence of unexplained bruises on the wrist

The nurse is assessing a toddler and the dynamics of the child family in which abuse is suspected. Which behaviors are expected?

The child cringes when approached The parents cannot explain previously healed injuries The child lies still surveying the environment

The nurse is caring for a pregnant client at 28 weeks gestation suspects intimate partner violence. Which assessment supports this suspicion?

The client has injuries to the breasts and abdomen The partner answers questions that are asked of the woman The client has visited the clinic several times in the past month

Which behavior is an early sign of an abusive personality?

Verbal abusive Jealous, controlling Enforces rigid sex rolls Hypersensitive, easily insulted Isolates partner from family and friends Makes others responsible for their feelings

An older adult diagnosed with dementia lives with family and attends day care. After observing poor hygiene, the nurse at the center talks with the patient's adult child. This caregiver becomes defensive and says, "It takes all my time and energy to care for my mother. She's awake all night. I never get any sleep." Which nursing intervention has priority?

*Secure additional resources for the mother's evening and night care*

Which referral is most appropriate for a woman who is severely beaten by her husband, has no relatives or friends in the community, is afraid to return home, and has limited financial resources?

*Women's shelter*

A rape victim tells the emergency department nurse, "I feel so dirty. Please let me take a shower before the doctor examines me." The nurse should:

*explain that washing would destroy evidence*