Chapter 12: Abuse and Violence
In a toddler, which injury is most likely the result of child abuse? A 1-inch forehead laceration Several small, circular burns on the child's back A hematoma on the occipital region of the head A small, isolated bruise on the right lower extremity
C. Several small, dime-sized circular burns on the child's back Small circular burns on a child's back are no accident and may be from cigarettes. Toddlers are injury prone because of their developmental stage, and falls are frequent because of their unsteady gait; head injuries aren't uncommon. A small area of ecchymosis isn't suspicious in this age-group.
A group of nursing students is reviewing information about the types of abuse. The students demonstrate understanding of the information when they identify stalking as a crime of which of the following? Jealousy Harassment Violence Fear
Harassment Stalking is a crime of harassment in which stalkers harass and terrorize their victims through behavior that causes fear or substantial emotional distress. Rape is a crime of violence. stalking rập rình
A client states to the nurse, "My husband hits me. I want to leave him, but I have to be sure that I can leave and won't have to go back." Which question does the nurse ask during the psychosocial interview to assess the client's social network? "Did you experience any form of abuse when you were a child?" "Do you have any friends who can provide emotional support?" "Does your husband blame you for his abusive behavior?" "Does your husband criticize and belittle you?"
"Do you have any friends who can provide emotional support?" An evaluation of social networks provides additional clues of psychological abuse and controlling behavior. Having supportive family or friends is crucial in short-term planning for developing a safety plan and is also important to long-term recovery. A survivor cannot leave an abusive situation with nowhere to go. Supportive family and friends may be willing to provide shelter and safety, as well as emotional support. Asking if the spouse criticizes and belittles the client assesses self-esteem, and inquiring about blame assesses for guilt and shame. Asking the client if they experienced any form of abuse as a child assesses for revictimization.
The psychiatric nurse recognizes that a male rape victim is less likely to report the crime due to which reason? The social ramifications of possibly contracting AIDS Fear of being accused of engaging in socially inappropriate or illegal activities leading to the rape The belief that his masculinity will be in question The impact it will have on his family
"Does your partner ever strike or kick you?" Physical abuse involves any act of aggression with or without use of an object or weapon that results in injury, pain, or impairment to another. Examples include striking, kicking, shoving, choking, burning. Based on this information, the question the nurse asks when assessing for physical violence associated with IPV is "Does your partner ever strike or kick you?" Criticism, insults, destroying personal property, and humiliation in public settings are examples of psychologic, not physical, violence associated with IPV.
Which question does the nurse include when assessing a client for physical violence associated with intimate partner abuse (IPV)? lam dụng partner thân mật "Does your partner destroy your property?" "Does your partner humiliate you in public settings?" "Does your partner ever strike or kick you?" "Does your partner criticize or insult you?"
"Does your partner ever strike or kick you?" đánh Physical abuse involves any act of aggression with or without use of an object or weapon that results in injury, pain, or impairment to another. Examples include striking, kicking, shoving, choking, burning. Based on this information, the question the nurse asks when assessing for physical violence associated with IPV is "Does your partner ever strike or kick you?" Criticism, insults, destroying personal property, and humiliation in public settings are examples of psychologic, not physical, violence associated with IPV. Reference:
Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? "I don't know what else I can do to keep him from getting angry at me." "His father physically abused his mother for years." "He was so much nicer when we started dating." "He doesn't like it when I go out with my girlfriends."
"I don't know what else I can do to keep him from getting angry at me." A warning sign of relationship violence is feeling that you must change your life or yourself so you won't anger him or her. The remaining statements, while troublesome, are not as clearly associated with behaviors of violence.
A nurse is presenting a program to a church group about domestic violence. During the presentation, the nurse discusses "intergenerational transmission of violence." The nurse recognizes that learning has taken place when an audience member defines the theory as which of the below? "People who grow up in violent home situations tend to be involved in domestic violence situations as an adult." "People who are violent are that way because of the various neurochemical imbalances in their brains." "Domestic violence seems to skip every other generation when it is traced in families." "Recent research has identified a gene that is responsible for transmission of a risk for violent behavior that is passed on from generation to generation."
"People who grow up in violent home situations tend to be involved in domestic violence situations as an adult. Violent families create an atmosphere of tension, fear, intimidation, and tremendous confusion about intimate relationships. Children in violent homes often learn violent behavior as an approved and legitimate way to solve problems, especially within intimate relationships. Social learning or intergenerational transmission of violence theory posits that children who witness violence in their homes often perpetuate violent behavior in their families as adults. Moreover, children who grow up in violent homes learn to accept violence and expect it in their own adult relationships. Neurochemical imbalances, genetics, or skipping generations are unrelated to this theory.
A nurse is assessing a client in a community clinic who reports feeling anxious lately because she is considering leaving her marriage. The client describes a long history of partner abuse associated with this relationship. How should the nurse respond to this client? "I am here to help you through every step of this process." "You have the right to be safe and respected." "Relationship counseling can be very helpful." "I wonder if your perceptions of the relationship are accurate.
"You have the right to be safe and respected." When working with someone who is a victim of partner abuse, it is important that the nurse assertively support the client's decision. The affirmation of the client's decision can help to improve the client's self-confidence as she begin the process of leaving her partner. It is important the nurse refrain from recommending couple's counseling, imply doubt about the client's situation, or take charge and do everything for the client.
What percentage of women can expect to be a victim of an ongoing unwanted pursuit from stalking? 40-48% 12-32% 5-10% 50-60%
12-32% Women are 12-32% and men 17% who can expect to be victims of ongoing unwanted pursuit.
Approximately what percentage of women rape victims are raped by someone they know? 65% 55% 45% 35%
65% Explanation: Approximately two-thirds of women are raped by people they know, including spouses, boyfriends, friends, or acquaintances. Among young women, about 50% of rapes are date rapes.
A nursing student learning about intimate partner violence (IPV) correctly identifies the percentage of deaths attributed to IPV to be what? 70% men and 30% women 90% women and 10% men 70% women and 30% men 50% women and 50% men
70% women and 30% men Approximately 70% of victims killed by IPV are women and 30% are men.
A nurse is working in the emergency department. Which situation would lead the nurse to suspect possible abuse of a client? Select all that apply. A 6-year-old is being seen for the 5th time for a urinary tract infection A baby with contrecoup injuries to the brain A 3-year-old with a deep finger laceration A 3-month-old with a fractured femur A 15-month-old with shortness of breath after peanut ingestion
A 3-month-old with a fractured femurA baby with contrecoup injuries to the brainA 6-year-old is being seen for the 5th time for a urinary tract infection
Nurses at an urban emergency department seek to develop a plan to help women involved in abusive relationships. Which component is critical to the success of the plan? An intimate partner violence (IPV) counselor A quality of life assessment tool Access to community resources for referral Written educational materials
Access to community resources for referral Much of the support and treatment that will be needed for women in abusive relationships is needed in the community. Having access to these resources is the most critical aspect to ensuring effective and sustainable support for women in abusive situations. An IPV counselor in the emergency department will only be available for support when there is an acute situation for which the client has come to hospital. Such a component is effective but not a long-term option to support people in abusive relationships. A quality of life assessment tool is effective for assessment, but this is only the initial part of the plan. Written educational materials are important to enhance knowledge for women in abusive situations; however, community support services are needed to ensure follow through and sustainability.
The nurse is legally obligated to report suspected child abuse to local authorities. Which information is essential? Child's current school, grade, and teacher Proof that the child has been recently abused Therapist's name and client address Child's name, location, age, and suspected perpetrator
Child's name, location, age, and suspected perpetrator Registered nurses are legally mandated to report child abuse. When reporting, the nurse must provide the child's name, location, age, and the suspected perpetrator. The nurse is not required to prove that abuse has occurred.
During an interview, a client reveals to the nurse, "I was sexually abused as a child." Based on this information, which finding would the nurse most likely anticipate being revealed during the assessment? Select all that apply. Client has difficulty establishing interpersonal relationships Client has a history of substance abuse Client engages in self-harming behaviors Client exhibits antisocial tendencies Client has difficulty establishing a mutually satisfying sexual relationship
Client has difficulty establishing interpersonal relationships Client has a history of substance abuse Client has difficulty establishing a mutually satisfying sexual relationship Client engages in self-harming behaviors Losing the ability to trust people is a common characteristic of the adult survivor of childhood sexual abuse. Substance abuse is a common characteristic of the adult survivor of childhood sexual abuse. Other characteristics include having difficulty establishing interpersonal relationships and finding mutually satisfying sexual relationships. Also, survivors may engage in self-harm.
What are some types of behavior that the nurse would recognize as qualifying as psychological abuse? Select all that apply. Asking for time alone when frustrated Using assertive language Ridiculing Criticizing Threatening a victim's dog
Criticizing Ridiculing Threatening a victim's dog Psychological abuse includes behaviors such as criticizing, insulting, humiliating, or ridiculing someone in private or in public. It can also involve actions such as destroying another's property, threatening or harming pets, controlling or monitoring spending and activities, or isolating a person from family and friends. Rape and incest are forms of sexual assault. chi trich, xuc pham or che nheu
When attempting to preserve evidence from a possible rape with no report of oral sex, the female victim should be instructed that which self-care activities are permitted? Changing clothes Drinking a glass of water Douching Showering
Drinking a glass of water To preserve possible evidence, the physical examination should occur before the women has showered, brushed her teeth, douched, changed her clothes, or had anything to drink. If there is no report of oral sex, then rinsing the mouth or drinking fluids can be permitted immediately.
A frightened young woman calls the emergency department and tearfully tells the nurse, "I've been raped! Please help me!" Before telling the client what to do, the nurse would need to know if If the client was injured, was in a safe place, and had transportation available If the client knew her assailant, knew her location, and had notified the police If she had bathed, douched, or changed clothes If she has insurance, if she could get to the hospital by herself, and if pregnancy is a possibility
If the client was injured, was in a safe place, and had transportation available If the client is injured, she may need immediate medical attention; if she is in a safe place, she can talk to the nurse on the phone. All other questions can wait until the client's safety is ensured.
A nurse manager is working with the nursing staff of a busy community-based walk-in clinic that provides care to a large number of survivors of domestic violence. When helping the staff provide care, which information would be most important for the nurse manager to convey to the staff? Encouragement for staff discussion about specific clients to gain support Identification of consequences from changes made by survivors as minimal Expectation that survivors will accept change right away Importance of measuring the clients' progress in small steps
Importance of measuring the clients' progress in small steps Nurses must become accustomed to measuring gains in small steps when working with survivors. Making any changes in significant relationships has serious consequences and can be done only when the adult survivor is ready. It is easy to become angry or discouraged with survivors, so it is important not to communicate such feelings. Discussing such feelings with other staff provides a way of dealing with them appropriately. In such discussions with supervisors or other staff, it is a must to protect the patient's confidentiality by discussing feelings around issues, not particular patients.
A nurse is working with a child whose parents have subjected him to neglect and emotional maltreatment, which primarily took the form of unavailability and general disinterest in his welfare. The nurse should expect that a child subjected to this type of maltreatment would experience problems in which of the following? Behavioral and emotional functioning Multiple intellectual, physical, behavioral, and emotional arenas Behavioral and physical functioning Emotional and intellectual functioning
Multiple intellectual, physical, behavioral, and emotional arenas Maltreated children tend to have difficulties in social, behavioral, emotional, and intellectual functioning, as well as physical growth and development.
The nurse provides care to a client who presents for an initial prenatal appointment. When reviewing the client's medical record, intimate partner violence (IPV) is documented. Which client statement made during the health history interview indicates phase 1 of the cycle of violence? "My husband is happy about this pregnancy and even bought me flowers." "My husband monitors my cell phone calls every month when the bill arrives." "My husband has not hit me since he promised to stop drinking several months ago." "My husband begged me not to leave him after the last incident."
My husband monitors my cell phone calls every month when the bill arrives." There are three phases in the cycle of violence: phase 1 is tension building, phase 2 includes the eruption of violence, and phase 3 includes remorse from the abuser. During the tension building phase, it is not uncommon for the abuser to monitor the victim's activities, including phone calls; therefore, the statement "My husband monitors my cell phone calls every month when the bill arrives." exemplifies this stage. The statements indicating that the husband begged the client not to leave after the last abusive incident and a lack of physical violence since the previous incidence both indicate phase 3 of the cycle of violence. Flowers to celebrate a pregnancy could indicate phase 3; however, the nurse should explore this statement further before making this determination.
An 8-month-old infant has been brought to the emergency department by the infant's teenage parent. The infant is unresponsive, and after initial assessment, the care team suspects shaken baby syndrome. When providing care for this infant, the nurse should prioritize which assessment? Cardiac assessment Respiratory assessment Neurological assessment Genitourinary assessment
Neurological assessment The care team has performed sufficient assessment to suspect shaken baby syndrome rather than some other problem. While there may be musculoskeletal damage as a result of shaken baby syndrome, the most serious damage is neurological. It is neurological damage that would result in respiratory dysfunction. Cardiac and genitourinary assessments are not priorities with shaken baby syndrome.
In clients who do not completely recover from the trauma of rape, which mental illness is most likely to develop? Anxiety disorders Borderline personality disorder Post-traumatic stress syndrome Delirium
Post-traumatic stress syndrome Post-traumatic stress syndrome can result at least 1 month after an identifiable traumatic event. Symptoms include generalized anxiety, intrusive thoughts or images of the trauma, flashbacks, nightmares, and other sleep disturbances.
A nurse is working on developing a safety plan with a client who is a survivor of violence. Which aspect of the plan would the nurse address first? Identifying a safe place to hide Devising an escape route Recognizing the signs of danger Identifying a signal to indicate that it is safe to leave
Recognizing the signs of danger One of the most important teaching goals is to help survivors develop a safety plan. The first step in developing such a plan is helping the survivor recognize the signs of danger. Changes in tone of voice, use of alcohol and other drugs, and increased criticism may indicate that the perpetrator is losing control. Detecting early warning signs helps survivors to escape before battering begins. The next step is to devise an escape route. This involves mapping the house and identifying where the battering usually occurs and what exits are available. The survivor needs to have a bag packed and hidden, but readily accessible, containing what is needed to get away. If children are involved, the adult survivor should make arrangements to get them out safely. That might include arranging a signal to indicate when it is safe for them to leave the house and to meet at a prearranged place. A safety plan for a child or dependent older adult might include safe places to hide and important telephone numbers, including 911, police and fire departments, and other family members and friends.
The nursing student learning about intimate partner violence correctly identifies its prevalence in same-sex couples as what? Three times more frequent as in heterosexual couples Twice as often as in heterosexual couples Same frequency as in heterosexual couples Half as frequent as in heterosexual couples
Same frequency as in heterosexual couples Intimate partner violence in same-sex couples occurs with at least the same frequency as in heterosexual relationships, but people with same-sex partners may not be afforded the same support.
A 3-year-old who has been seen in the emergency department for various fall-related injuries is being treated for apparent blindness in the left eye as a result of retinal hemorrhage. The nurse should suspect that which form of child abuse is part of the cause of the child's condition? Shaken baby syndrome Child neglect Ineffective supervision Munchausen's syndrome by proxy
Shaken baby syndrome Despite its name, shaken baby syndrome has been documented in children up to 5 years of age. The physical findings usually include bruising from being grabbed firmly along with major head injury, such as subdural hematoma or cerebral edema. Nonfatal consequences include blindness due to retinal hemorrhage.
The majority of perpetrators of elder abuse include which population? Siblings Grandchildren Spouses Adult children
Spouses Most cases of elder abuse occur when one older spouse is taking care of another.
The nurse's suspicion that a child has been sexually abused is supported by what assessment data? Select all that apply. The vulva appears edematous There are frequent ear infections The urinalysis reports a bacterial infection The child reports "itching down there" The anal area is bruised
The anal area is bruised The child reports "itching down there" The vulva appears edematous The urinalysis reports a bacterial infection The nurse's suspicion that a child has been sexually abused is supported when the assessment data includes a bruised anal area, itching reported by the child, an edematous vulva, and a urinary infection. Ear infections are common among children.
Which is not a risk factor for child sexual abuse? The child lives in a home where substance abuse occurs. The child has primary caretaker who is mentally ill. The child suffers from developmental delays. The child is aged 10 years or younger.
The child is aged 10 years or younger. Children at high risk for sexual abuse include those who• - Are aged 3 years or younger• - Suffer from a developmental delay• - Live in a home where substance abuse occurs -• Have adolescent parents or a single parent• - Are in foster care• - Have primary caretakers who were sexually abused themselves• - Have primary caretakers who are mentally ill or have a developmental delay
The nurse conducts a wellness visit for a pediatric client. Which findings could indicate an increased risk for child abuse and the potential need for an additional assessment? Select all that apply. The child is diagnosed with a developmental delay. The parent states, "We use time-out as a form of punishment." The child is average height and weight for chronological age. The parent states, "Our child was conceived using in vitro fertilization (IVF)." The child has bruises in various degrees of healing on the buttock and upper legs.
The child is diagnosed with a developmental delay.The child has bruises in various degrees of healing on the buttock and upper legs. Child abuse includes acts of commission and acts of omission. Acts of commission are intentional harmful behaviors directed toward a child and include physical, sexual, and psychological abuse. hanhvi thieu sot Child neglect is an act of omission, which occurs when a child's basic physical, emotional, educational, and health care needs are not met. Children who are younger than 4 years of age, who are products of unwanted pregnancies, or who have developmental or physical disabilities are at highest risk of abuse. Based on this information, the finding that indicates a need for additional assessment for child abuse is a diagnosis of developmental delay in addition to the bruises in various degrees of healing on the buttock and upper legs because this finding is indicative of chronic abuse. A child who is underweight for height and chronological age could be experiencing child neglect; however, this child is of average height and weight for age. Time-out is an acceptable form of discipline for children. A child who is conceived via IVF is wanted; therefore, this finding does not indicate a need for additional assessment for child abuse.
After a series of admissions to the emergency department over the past several months, an 80-year-old client's malnutrition, vague history, and pattern of physical injuries lead the nurse to suspect elder abuse. Which aspect of the client's situation may contribute to elder abuse? Select all that apply. The client is physically dependent on the client's son since losing mobility. The client's son describes the client as "needy, helpless, and pathetic." The client has no income or savings of the client's own. The client self-describes and describes the client's child as "not well-off, but not terribly poor either." The client and client's child are recent immigrants to the United States. thieu thong,bat luc, dang thuong
The client is physically dependent on the client's son since losing mobility. The client's son describes the client as "needy, helpless, and pathetic." The client has no income or savings of the client's own. Physical and financial dependence and personality conflicts with caregivers and children are known to contribute to elder abuse. Low socioeconomic status and recent immigration are not identified as causative factors.
Which would not increase the likelihood that an older adult will incur physical abuse? The older adult has difficulty with mobility and can become confused. The older adult lives with a son who receives financial aid. An older adult reports frequent multiple bruises that are related to falls. The older adult is independent with activities of daily living.
The older adult is independent with activities of daily living. The correct option indicates that the older adult enjoys independence, an attribute that is not commonly seen in those older adults who experience physical abuse. Common factors that predispose older adult clients to physical abuse include having chronic medical or mental health conditions, living with a familial caregiver who is a male and has financial problems, and the reluctance to report abuse despite the presence of signs such as multiple bruises.
A nurse is giving a talk about child abuse to a local community group. When discussing risk factors for child abusers, which would the nurse identify as the most likely profile of the perpetrator of fatal child abuse? Young college graduate who recently gave birth to her first child Middle-aged woman with a college degree Unemployed young woman who dropped out of high school Middle-aged, wealthy businessman
Unemployed young woman who dropped out of high school Perpetrators of fatal child abuse are most likely to be caregivers who are young, poorly educated, and living at or below poverty level.
A nurse provides care to individuals who have been sexually assaulted during their childhood and is formulating data for a presentation to the staff. Which characteristic is most commonly noted on assessment of such clients and should be included in the presentation? Too trustful Overly social Unusually aggressive Overly self-confident
Unusually aggressive A child who is a survivor of prolonged sexual abuse will develop low self-esteem, as well as developing feelings of worthlessness, and become socially withdrawn, distrustful, or suicidal. Other characteristics of children who have been sexually abused include becoming unusually aggressive.
Which is an inaccurate picture of the cycle of abuse that occurs over time? Violent episodes are more frequent The period of remorse disappears Violent episodes are less frequent Severity of the injuries worsen
Violent episodes are less frequent Over time, the violent episodes are more frequent, the period of remorse disappears altogether, and the level of violence and severity of injuries worsen.
The nurse in the emergency room is assessing a client who was brought in by the police for evaluation after receiving a call from a neighbor. The client reports to the nurse that the person who has been cooking and helping around the house has not been home for days. Which type of abuse does the nurse suspect based on the client's statement? physical neglect abandonment emotional
abandonment bỏ rơi Although abandonment can cause neglect and lead to physical and emotional abuse, abandonment is the primary type of abuse that this person is experiencing. The older person is calling for help because the caregiver has not been present for days. Neglect is the failure to meet basic needs of shelter and food. Physical abuse is causing injury by hitting, kicking, or pushing. Emotional abuse is injuring the person's self-worth and emotional well-being.
A young adult client female is assessed after being raped. The client reports being tied up and beaten while the perpetrator forced sexual intercourse. She recalls the perpetrator saying, "I will make you pay." What most accurately describes this category of rapist? anger excitement power assertive power reassurance anger retaliation /pơ'r pơ trây tờ/ thủ phạm
anger retaliation In this case, the most accurate description of this rapist is anger retaliation. In this category, the perpetrator wants to punish the victim and often causes substantial injury. The power assertive rapist desires to dominate and control the victim and may repeat with the same victim. The power reassurance rapist commits rape when the opportunity presents itself, such as when another crime is being committed. An anger excitement rapist acts out fantasies and can be strategic in carrying out the crime, for example, carries a rape kit.
A client runs to the urgent care center because the spouse is at home drinking and waving a gun around while yelling at the children. Which action should the nurse take first? call a family member to pick up the children assess the client for injuries contact the police call for an ambulance for transport to the hospital
contact the police
The nurse provides care to a 4-month-old infant who presents to the emergency department (ED) with the parents at the advice of the pediatrician due to poor feeding and potential dehydration. Which finding noted by the nurse during the physical examination indicates the need to assess for child abuse? mild diaper rash ecchymosis to the arms bầm dry mucous membranes sunken fontanelle
ecchymosis to the arms Explanation: Assessment is essential to determine the cause for the infant's poor feeding because infants are at a high risk for dehydration. Infants do not begin to move or ambulate on their own prior to the age of 6 months, when they begin to crawl; therefore, any bruises on an infant before the age of 6 months is cause for suspicion. Based on this information, the finding that indicates a need to assess for child abuse is ecchymosis to the arms. Although a diaper rash could be indicative of neglect, this infant's rash is mild and is not a finding that supports the need to assess for child abuse. The sunken fontanelle and dry mucous membranes support a diagnosis of dehydration, which is why the pediatrician advised the parents to report to the ED.
The nurse provides care for a client who reports intimate partner violence (IPV). Which intervention does the nurse include in the client's plan of care to address safety planning? providing the client with supplies to treat physical injuries initiating the paperwork required for a guardianship teaching about sleep hygiene techniques educating about perpetrator about behaviors indicative of losing control
educating about perpetrator about behaviors indicative of losing control Safety planning includes providing education to the client regarding manifestations that are indicative that the perpetrator is losing control. Teaching about sleep hygiene is an intervention that promotes healthy daily activity. Guardianship paperwork may be necessary for older adult or children who are survivors of abuse; however, this is not appropriate based on the current client data. Providing the client with supplies needed to treat injuries addresses the client's physical health.
The nurse provides care for a client who reports intimate partner violence (IPV). Which intervention does the nurse include in the client's plan of care to address safety planning? educating about perpetrator about behaviors indicative of losing control providing the client with supplies to treat physical injuries teaching about sleep hygiene techniques initiating the paperwork required for a guardianship
educating about perpetrator about behaviors indicative of losing control Safety planning includes providing education to the client regarding manifestations that are indicative that the perpetrator is losing control. Teaching about sleep hygiene is an intervention that promotes healthy daily activity. Guardianship paperwork may be necessary for older adult or children who are survivors of abuse; however, this is not appropriate based on the current client data. Providing the client with supplies needed to treat injuries addresses the client's physical health.
A frightened young woman calls the emergency department and tearfully tells the nurse, "I've been raped! Please help me!" Before telling the client what to do, the nurse would need to know if If she had bathed, douched, or changed clothes If the client was injured, was in a safe place, and had transportation available If she has insurance, if she could get to the hospital by herself, and if pregnancy is a possibility If the client knew her assailant, knew her location, and had notified the police
if the client was injured, was in a safe place, and had transportation available If the client is injured, she may need immediate medical attention; if she is in a safe place, she can talk to the nurse on the phone. All other questions can wait until the client's safety is ensured.
The school health nurse is asked to see a child who has been coming to school with no lunch for the past week. The child tells the nurse, "I don't get a lunch this week, I have been wetting the bed." The nurse identifies that this child is experiencing which type of abuse? neglect psychological physical sexual
neglect sao nhãng Neglect, in this case, is the malicious withholding of a physical necessity for this child's well-being. For this child, the neglect is intended to be punitive for bed wetting. The nurse would need to investigate further and take the necessary action in reporting this as abuse. Sexual abuse refers to sexual acts performed by an adult on a child under the age of 18. Physical abuse refers to a deliberate physical assault by an adult on the child such as burning, biting, poking, or twisting a limb. Psychological abuse refers to verbal assaults such as blaming, screaming, name-calling, and using sarcasm. Although any of these could be contributing factors to the bedwetting, there is at present no evidence that sexual, physical, or psychological abuse is occurring. Therefore, the nurse will identify that the child is being neglected. Reference:
When assessing a 6-year-old child believed to be a victim of emotional abuse, the possibility is supported when the child is ... attending day care 5 days a week. showing signs of developmental delays. parented by a single parent. observed to be anxious and rejecting adult attention.
observed to be anxious and rejecting adult attention. While anxiety can be a sign of many different problems, an anxious child who rejects the attention of an adult may raise a red flag encouraging the nurse to assess further and possibly making a report. Developmental delays are not necessarily an indicator of emotional abuse, nor is attending day care on a regular basis. Being raised by a single parent is also not necessarily an indicator of emotional abuse.
When the school nurse is assessing an adolescent who reports trouble sleeping, which characteristics of the client indicate there may be violence in the home? (Select all that apply.) feeling left out of peer group has a family history of alcohol abuse must go straight home after school each day feeling social pressure to use alcohol the client's father monitors contact with friends
the client's father monitors contact with friends has a family history of alcohol abuse must go straight home after school each day Having contact with friends monitored by the father indicates there is an abuse of power and control in the home. Having to go straight home after school indicates the client is being forced into social isolation. In addition, there is a family history of alcohol abuse. These are all characteristics of violent families. Adolescents commonly report feelings of being left out and experiencing social pressures to experiment with drugs and alcohol. These are not characteristics of violent families.
A nurse is caring for a child who had experienced sexual abuse. Which are expected behaviors of a child who has experienced sexual abuse? Select all that apply. High self-esteem Open and honest discussion about history Secretiveness of behaviors Distorted view of sex Avoidance of sexually related content
voidance of sexually related content Secretiveness of behaviors Distorted view of sex A victim of prolonged sexual abuse will develop low self-esteem, a feeling of worthlessness, and a distorted view of sex. The child may become withdrawn, distrustful, or suicidal. Other characteristics of children who have been sexually abused include an unusual interest or avoidance of sexually related content, seductiveness, refusal to go to school, delinquency, secretiveness, and unusual aggressiveness
A client present to the emergency department (ED) with a rib fracture and states, "I am so clumsy! My spouse always tells me that I need to be more careful." The client's spouse is asked to leave the exam room for the assessment. When the spouse is gone the client states, "My spouse doesn't mean to hurt me. I usually push too hard, and they just loses control!" Which response by the nurse is appropriate? Select all that apply. "I am required to report this abuse." "I am really sorry this happened to you." "It is not your fault." "You should really leave your spouse." "I am glad that you told me."
"I am really sorry this happened to you." "It is not your fault." "You should really leave your spouse." "I am glad that you told me." When survivors are disclosing abuse, they need privacy and time to tell their story. The nurse should listen attentively without offering unsolicited advice or making judgmental remarks about the possible abuse or the perpetrator. Use validating messages to convey that the survivor is believed and that the nurse is concerned for their safety and well-being. Examples of such messages include "It is not your fault." and "I am glad you told me." and "I am really sorry this happened to you." Although the nurse may be required to report the incident, this response is not therapeutic. Additionally, adult clients must be allowed an appropriate degree of autonomy in deciding how to manage the problem, even if the choice is to remain in the abusive situation. Telling the client that they should leave their spouse is judgmental and will likely affect the therapeutic nurse-client relationship.
A nurse is aware of the high incidence of intimate partner violence (IPV) and actively seeks opportunities to screen women for IPV. Which female client represents the best opportunity for assessing for IPV? A client who is in the third trimester of pregnancy and who is having biweekly prenatal appointments at a clinic A client who has brought her young son to the emergency department because he fell at the playground and may have an arm fracture A client who expressed interest in joining a grief support group following the death of her husband A client who is currently exploring long-term care options for her elderly father
A client who is in the third trimester of pregnancy and who is having biweekly prenatal appointments at a clinic Women who are pregnant have frequent contact with the health care system, creating a useful opportunity for IPV screening. None of the other listed situations precludes screening, but none are as ideal as frequent appointments at a consistent setting.
Which type of elder abuse involves leaving an older adult and no longer providing care for the individual? Emotional Abandonment Physical Neglect
Abandonment The six types of elder abuse are physical (injury by hitting, kicking, pushing, slapping, burning, and so on); sexual (unconsented sexual act); emotional (harm of self-worth or emotional well-being); neglect (failure to meet the older adult's basic needs of shelter, food, and so on); abandonment (leaving an older adult alone and no longer providing care); and financial (illegally misusing money, property, or assets).
Which characteristics are found in violent families? Select all that apply. Social isolation Abuse of power and control Adequate support systems Alcohol use disorder
Abuse of power and control Alcohol use disorder Social isolation Abuse of power and control, alcohol use disorder, and social isolation are characteristics of violent families, as is an intergenerational transmission process. Adequate support systems are not a characteristic of a violent family.
The psychiatric nurse recognizes that a male rape victim is less likely to report the crime due to which reason? The belief that his masculinity will be in question The social ramifications of possibly contracting AIDS Fear of being accused of engaging in socially inappropriate or illegal activities leading to the rape The impact it will have on his family
The belief that his masculinity will be in question nam tính It is a common misconception that males cannot be sexually abused, that only "sissies and weaklings allow abuse," leading to the possibility that his masculinity is at stake if he is identified as a victim.
