CBF PrepU: Violence and Abuse

Which statement made by a male client who has a history of perpetrating intimate partner violence reflects a known factor that is characteristic of this behavior?

"My classmates always called me a bully."

A new nurse in the emergency department is caring for a pregnant woman who was beaten by her partner. Which statement by the new nurse would require intervention from the supervising nurse?

"That woman must be doing something to get beaten like that."

36s Report this Question A client tells the nurse "My partner is going to stop drinking, so I know I won't be hit again." What is the nurse's best response?

"Violence is a learned behavior, not caused by alcohol."

The nurse presents information on intimate partner violence (IPV) to a group of community members. The nurse will provide additional teaching when a community member makes which statement?

"I am lucky my spouse loves me. Genuine love will prevent me from being a victim."

The nursing student is studying violence and mistreatment against the older woman. While researching it, the student learns that laws require health care professionals to report elder or vulnerable person mistreatment. How many states currently have these laws?

50

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.

The nurse is assessing a client whose partner is present. The nurse notes the partner swears and yells, makes lavish promises, and threatens to hit the client. Which nursing intervention is a priority?

Ask the partner to leave the room

A client has been admitted to the inpatient psychiatric facility with a diagnosis of posttraumatic stress disorder after a history of violence by a partner. During the admission process, which action is a priority for the nurse to complete?

Assess the client for suicide risk.

12s Report this Question A client has been seen and treated in the emergency room several times for injuries that are deemed suspicious. The client is reluctant to participate in a screening process. How best can the nurse provide reassurance to this client?

Being nonjudgmental

To properly assist a victim of intimate partner violence, which action would be most appropriate for the nurse to do?

Document the details

A nurse is working in a community hospital situated in an area with a history of grievous assaults on women, including rape. The nurse discovers that most rape victims come to the hospital but leave without seeking medical treatment. Which intervention should the nurse perform to ensure that rape victims get legal and medical aid?

Ensure that the appropriate law enforcement agencies are apprised of the incident.

A client with multiple bruises comes to the clinic for treatment. The client appears withdrawn and quiet when communicating with the nurse. The spouse accompanies the client to the exam room and begins to answer all the questions the nurse asks the client. Which action will the nurse take next?

Escort the client to a private area to complete the assessment.

A 19-year-old male client is brought to the emergency department after being raped. Which nursing action is most appropriate at this time?

Listen to the client's description of what happened.

The nurse working with victims of intimate partner violence provides information on interventions to each client. Which intervention is best for the nurse to include?

Methods to strengthen the client's sense of control over one's life.

A woman arrives at the prenatal clinic and is accompanied by her partner. Which behaviors would be suggestive of intimate partner violence (IPV)? Select all that apply.

Poor weight gain during the pregnancy and low-birth-weight infant The partner is overly protective of the pregnant client. The partner answers questions for the pregnant client.

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

During a prenatal examination the nurse observes bruises on the client's arms and a black eye. When asked about the bruises, the client states, "It was an accident. My spouse just had a bad day at work, and I was late getting dinner prepared. But my spouse is being so kind now; my spouse brought me flowers yesterday. My spouse is looking for a new job, so it will not happen again." This client is in which phase of the cycle of violence?

The honeymoon phase

A 13-year-old adolescent is admitted to the health care facility with vaginal bleeding. A genital examination reveals unhealed wounds likely resulting from female genital cutting. The client has limited proficiency in the dominant language. The service of an interpreter is employed. What should the nurse keep in mind when interacting with this client?

Use pictures and diagrams to supplement the questions and answers of the client's understanding.

The nurse is caring for a client who is a victim of sexual violence. How can the nurse best support the necessary grieving process?

actively listening to the client as he or she talks about the experience

The nurse is assessing a client who was a previous victim of rape. The nurse believes the client is in the integration and recovery phase following the rape. Which action will the nurse recommend to the client for continued recovery?

joining a rape survivor group

The nurse who counsels clients who suffer from intimate partner violence (IPV) understands that IPV can come in which form(s) of abuse? Select all that apply.

physical abuse financial abuse emotional abuse sexual abuse

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."

28s Report this Question A nurse is caring for a pregnant woman who has multiple bruises in varying stages across her body. Which is the priority nursing action?

Ask if anyone at home has hit or hurt her.

A nurse is screening a client for intimate partner violence using indirect questions. Which question would the nurse most likely ask?

"Clients with your injuries are often abused. Is anything like this happening now?"

The nurse is caring for a client who has been a victim of intimate partner violence (IPV) for a few years. The client states, "My partner has been so sweet to me the last few days by telling me how special I am and bringing me flowers. I believe my partner is sorry and will not do this again." How will the nurse respond?

"It may seem better now, but over time, IPV typically becomes accelerated and more dangerous."

A 16-year-old pregnant client presents to the office for the third time this week. While completing the client's admission, the nurse screens for intimate partner violence. The client responds, "I have already told you twice this week I am not being abused. Why do you keep asking me these questions?" Which response by the nurse is best?

"It is protocol to screen all clients for intimate partner violence at every visit."

A nurse is caring for a pregnant client and discovers signs of bruises near her neck. On questioning, the nurse learns that the bruises were caused by her spouse. The client tells the nurse that the spouse had stopped hitting her some time ago, and that this was the first time during the pregnancy that she was assaulted. The client blames herself because she admits to not paying enough attention to her spouse. Which facts about intimate partner violence during pregnancy should the nurse tell the client to convince her that the violence was not her fault? Select all that apply.

Intimate partner violence is a result of the perception of the partner that the baby will be a competitor after he or she is born. Intimate partner violence is a result of resentment toward the interference of the growing fetus and change in the woman's shape. Intimate partner violence is a result of insecurity and jealousy of the pregnancy and the responsibilities it brings.

A client at 34 weeks' gestation comes to the clinic with her partner and reports neck and back pain. During the assessment, the nurse notes multiple contusions in various stages of healing on the client's torso and weight gain of 3 lb (1.36 kg) during the course of the pregnancy. Which action will the nurse take next?

Have the client's partner leave the room during the examination.