PrepU 12

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."

What percentage of women can expect to be a victim of an ongoing unwanted pursuit from stalking?

12-32%

Which type of rapist derives erotic gratification from the victim's suffering?

Sadistic rapist

The nurse is teaching a victim of intimate violence how to create a safety plan. Which should be included when the nurse is assiting the client in devising an escape? Select all that apply.

prepare and hide an escape bag map the house for an escape route identify a prearranged place for children to meet configure a list telephone numbers needed in case of emergency

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?

Intimidation

A nurse is working on developing a safety plan with a client who is a survivor of violence. Which would the nurse address first?

Recognizing the signs of danger

The majority of perpetrators of elder abuse include which population?

Spouses

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

A client is brought to the Emergency Department by a family member that reports being sexually assaulted while leaving work. What action by the nurse would best promote placing control back to the client?

Allow the client to make decisions regarding care whenever possible

The nurse completes screening a client and determines that abuse is occurring in the home. Which should the nurse do before completing a physical assessment?

offer the client the use of the telephone

A nursing student learning about intimate partner violence (IPV) correctly identifies the percentage of deaths attributed to IPV to be what?

70% women and 30% men

Which characteristics are found in violent families? Select all that apply.

Abuse of power and control; Social isolation; Alcohol use disorder

An 8-month-old infant has been brought to the emergency department unresponsive by the infant's teenage parent and the care team suspects shaken baby syndrome. When providing care for this infant, the nurse should prioritize which assessment?

Neurological assessment

In a toddler, which injury is most likely the result of child abuse?

Several small, circular burns on the child's back

Which would not increase the likelihood that an older adult will incur physical abuse?

The older adult is independent with activities of daily living.

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.

Avoidance of sexually related content Secretiveness of behaviors Distorted view of sex

The nurse prepares a community program for survivors of intimate partner violence. Which of the folowing statements made by a participant indicates the need for further teaching? Select all that apply.

"Survivors of intimate partner violence may experience loss of apetite." "Difficulty in the work place may occur related to distractability and confusion ." Urticaria is sometimes a result of the anxiety experienced by survivors of intimate partner violence."

A nurse is preparing to gather a health history of a client. Which questions can elicit disclosure if a client has been abused? Select all that apply.

"When there are arguments at home, have you ever been hurt or afraid?"; "It looks like someone has hurt you. Tell me about it."; "Some other women I have cared for have described problems like yours. If this is happening to you, can we talk about it."

A nurse is caring for clients who are psychologically abused. Which clients should the nurse screen for psychological abuse? Select all that apply.

A partner of a client who has destroyed the front door of their home. A client whose partner is monitoring the amount of money spent on food and clothing. A partner of client who does not want the client to spend any time with family or friends. A parent of a client who is threatening to injury the family's pet.

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?

Access to community resources for referral

When noted in an assessment of a child, the nurse should suspect child abuse if which common physical findings signaling abuse are present?

Bruises, burns, lacerations, missing teeth, and skeletal injuries

A 27-year-old has been brought to the emergency department by emergency medical services following a violent sexual assault that took place in the parking garage of the client's building. Which task would fall most clearly within the scope of practice of a forensic nurse?

Collecting specimens from the client for use as evidence

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.

Emotional

A nurse is gathering information about a health history of a person who has experienced violence. Which are important caring behaviors a nurse should implement during the interview? Select all that apply.

Establish trustworthiness. Maintain a nonjudgmental attitude. Secure open communication.

During the nurse's assessment of a new client on a medical unit, the client confides in the nurse that the client's spouse often "slaps me around" after the client has been drinking. What action should the nurse take in response to this statement?

Report the client's statement promptly to the appropriate authorities.

Which feature would most likely predispose an adult to engage in family violence?

The adult was physically abused as a child

The nurse's suspicion that a child has been sexually abused is supported by what assessment data? Select all that apply.

The anal area is bruised; The child reports "itching down there"; The vulva appears edematous; The urinalysis reports a bacterial infection

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?

Unemployed young woman who dropped out of high school

The nurse is assessing a client and suspects that the client is a victim of intimate partner violence. The client is experiencing palpatations. What additional findings should the nurse assess the client for related to intimate partner violence? Select all that apply.

missing teeth inability to fully extend the right leg wearing clothing inappropriate for the weather variety of wounds in different stages of healing

The nurse is concerned that a client may be experiencing emotional abuse. The nurse observes an interaction between the client and a family member. Which assessment findings related to the actions of the family member toward the client led the nurse to make this clinical determination? Select all that apply.

putting the client down calling the client names making the client feel guilty

Which type of elder abuse involves leaving an older adult and no longer providing care for the individual?

Abandonment

A school nurse is aware that a student has requested aspirin three times during the past week because his "back hurts." The nurse has noticed that he often wears long-sleeved sweaters and sweatshirts even in warm weather. The nurse suspects that the student may be the victim of physical abuse. The nurse is preparing to ask the child about his ongoing backache. Which of the following would the nurse anticipate being reported by the child if he was being abused?

Be reluctant to report abuse because of shame or fear of retaliation

A psychiatric-mental health nurse is conducting a program for a women's group. When describing psychological abuse, which information would the nurse address? Select all that apply.

Criticism Insults Public ridicule Isolating a person from family

What are some types of behavior that the nurse would recognize as qualifying as psychological abuse? Select all that apply.

Criticizing, Ridiculing, Threatening a victim's dog

The nurse is planning care for a client who is a victim of violence. Which of the following should the nurse identify as goals for this client's plan of care? Select all that apply.

ensure safety prevent injury restore health stop the violence

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

While assessing for intimate partner violence, the nurse learns that a client has not seen immediate family members for several years because the visits would upset the client's spouse. On which potential issue should the nurse focus with this client?

social isolation

Which statement requires additional education regarding the truth about rape?

Rape is a crime of passion.

A mental health nurse presenting an educational program on rape for high school students responds to the statement, "Women cry rape often times just to get even with the guy," by offering which answer?

"Actually, fewer than 2% of all reported rapes are found to be false."

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 he or she will tell child services I'm a bad parent."

A nurse is caring for a young adult in the mental health clinic. The client tells the nurse that the client was physically neglected as a child. The nurse should assess the client for symptoms of what?

Major depression

A group of nursing students is reviewing information about intimate partner violence (IPV). The group demonstrates understanding of this topic when they identify which of the following?

Men may not consider behaviors such as slapping or shoving as abuse.

A nurse is interviewing a client who is a survivor of abuse. The client is telling the nurse about how the violence occurred. Which statement would the nurse interpret as reflecting phase 3 of the cycle of violence?

"He tells me that he is sorry and that he will never hit me again."

The nurse is preparing a teaching plan for a client who experiences intimate partner violence. Which topics should the nurse include? Select all that apply.

HIV testing sleep hygiene access to shelters nutritional support

Which provides the most acceptable example of neglect according to the definition of the term?

Rejecting a 3-year-old who is crying and seeking affection after the child stumbles and falls

A nurse is screening a new client for intimate partner violence (IPV). What aspect of this woman's current circumstances is the most significant risk factor?

The client's family lives on less than $1,000 per month.

The nurse is aware that fewer than half of rapes and sexual assaults are reported. Which are some of the reasons people do not report being sexually assaulted? Select all that apply.

The client is embarrassed of the assault.; They have a fear of being; blamed for the incident; The perpetrator may use coercion or threats to control the victim.

An emergency department nurse is assessing a client with traumatic injuries. To assess whether or not the client's injuries have resulted from abuse, which question would be most appropriate for the nurse to ask the client?

"It looks like someone has hurt you. Tell me about it."

The nurse is concerned that a victim of intimate violence is experiencing revictimization. Which client statement leads the nurse to this assessment? Select all that apply.

"My parents used marijuana and cocaine."; "My uncle sexually abused me when I was 8 years old."; "I smoke marijuana and have several cocktails in the evening."

A client has been in a physically abusive relationship for more than a decade. Which statement best demonstrates that the client understands of how fear can influence a reluctance to leave such a relationship?

"My partner would hunt me down and kill me for sure."

A nurse is presenting to a church group a program about domestic violence. During the presentation, a member of the audience asks the nurse to explain what "intergenerational transmission of violence" means because the person has seen that phrase used in the media. Which response by the nurse would be most appropriate?

"People who grow up in violent home situations tend to be involved in domestic violence situations as an adult."

The nurse is providing care to client who is currently in a sexually abusive relationship. To best manage the development of additional comorbid disorders, what question(s) should the nurse ask this client? Select all that apply.

"What community resources related to HIV and pregnancy are you aware of?" "What are the early symptoms of posttraumatic stress disorder (PTSD)?" "Are you aware of self-defense strategies to physically protect oneself?" "Do you have a safety and escape plan in place?"

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?

"You have the right to be safe and respected."

A nurse is preparing a presentation for a senior center about elder abuse. When describing individuals associated with abusing older adults, which group would the nurse most likely identify? Select all that apply.

Family member Adults Children Spouses

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?

Importance of measuring the clients' progress in small steps

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?

Multiple intellectual, physical, behavioral, and emotional arenas

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 has no income or savings of the client's own.; The client's son describes the client as "needy, helpless, and pathetic."

A client comes to the clinic for an evaluation. The nurse assesses the client and suspects that the client is a victim of abuse. Which finding would support the nurse's suspicion? Select all that apply.

The client is vague about the injuries on the body. The client minimizes the severity of the injuries. The client has a history of frequent visits to the emergency department for injuries.

The nurse asks the parent of a school-age child about intimate partner violence in the home. Which assessment finding caused the nurse to complete this assessment?

child crying and appearing sad

The nurse is approached by a teacher who suspects a student is being neglected after observing changes in the student's behavior. The teacher asks the nurse what other behaviors to watch for. Which symptoms of neglect should the nurse include in the discussion ? Select all that apply.

fighting with other students deteriorating grades in school smoking a cigarette after school refusing to answer when called on in class

While talking with a client who is suspected of being a victim of intimate partner violence, the nurse observes that the client receives repeated text messages. The client states that the messages from the spouse, who is demanding to know where the client is, with whom, and when the client plans to return home. Which phase within the cycle of violence does the nurse assess that the client is experiencing?

tension building

When assessing a 6-year-old child believed to be a victim of emotional abuse, the possibility is supported when the child is ...

observed to be anxious and rejecting adult attention.

The nurse is caring for a client who is a victim of intimate violence. The client has pressed charges and the perpetrator is involuntarily remanded to a treatment center for 5 years. The client asks the nurse about the requirements of the treatment center that will help prevent ongoing substance abuse. Which of the following required actions does the nurse include in the correct response?

submit to random drug testing

The nurse is legally obligated to report suspected child abuse to local authorities. Which information is essential?

Child's name, location, age, and suspected perpetrator

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-month-old with a fractured femur

The mental health nurse should discuss an emergency plan for leaving abusive situations will when the woman is able to do which of the following? Select all that apply.

Identifies safe places to go Keep emergency money available Makes a spare car key Compile a list of important phone numbers

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

A nurse is working with a client who is anticipating the possibility of leaving an abusive relationship. In helping the client make the decision to leave or to stay in the abusive situation, which would be most important for the nurse to do?

Inform the client that if leaving the abusive situation, there is a possibility the partner will attempt to fatally injure the client

A client comes to the mental health clinic and reports feeling depressed for the last 3 months. The client also admits to having thoughts of suicide. When the nurse inquires about the client's relationships, the client tells the nurse that the client's spouse constantly belittles the client, telling the client often that the client is "stupid and fat." Which problem should the nurse assess for further?

Intimate partner violence

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?

Brushing her teeth

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 has difficulty establishing a mutually satisfying sexual relationship Client engages in self-harming behaviors

Which statement is true regarding children being raised in a home where they have witnessed intimate partner violence?

They are at increased risk for being abused.

The nurse provides care to individuals who have been sexually assaulted during their childhood. Which characteristic is most commonly noted by the nurse during an assessment of such clients?

Unusually aggressive

Which is an inaccurate picture of the cycle of abuse that occurs over time?

Violent episodes are less frequent

A nurse is preparing a presentation for an adolescent and young adult community group about stalking. Which group would the nurse identify as having the highest risk of being stalked?

Women, ages 18 to 24 years

The nurse plans to assess a pregnant client for intimate partner violence. Which finding caused the nurse to complete this additional assessment? Select all that apply.

chronic anemia smoking cigarettes ingestion of alcohol low maternal weight gain

Which assessment question should the nurse ask of a client suspected of being ostracized by a school bully?

"Do you feel like a part of a group in school?"

Which statement, made by a nurse who experienced sexual abuse as as a child, demonstrates being best prepared to work with sexual abuse and trauma survivors?

"I've been supported by health care professionals and now I want to support other survivors."

A nurse is working with a client who is a survivor of rape. The client asks the nurse, "It's been 6 months since it happened. Why can't I get back into doing the things I did before?" What is the nurse's best response?

"It can take at least a year or more to get back to where you were before.

A female client states that she has been receiving numerous text and phone messages from a co-worker. Which type of harrassment should be documented in the nurse's notes?

Cyberstalking

Approximately what percentage of women rape victims are raped by someone they know?

65%

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

Which statement about intimate partner violence (IPV) is accurate?

Knowledge deficits and biases of health care professionals limit its detection.

A middle-aged client with young children has been the victim of intimate partner violence (IPV). When providing initial care to this family, the nurse should:

carefully assess the children for signs of trauma.

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

A school health nurse is seeing an 11-year-old child who is refusing to attend school for the past 3 weeks. On assessment, the child describes a recent school experience where the child has been deliberately isolated from social groups. The child tells the nurse this began after an argument with their "best friend." The child is describing:

ostracism

The nurse is teaching a victim of intimate violence how to create a safety plan. Which should be included when the nurse is assisting the client in devising an escape? Select all that apply.

prepare and hide an escape bag; map the house for an escape route; identify a prearranged place for children to meet; configure a list telephone numbers needed in case of emergency

Which child has the greatest risk for being the target of bullying at school?

the child who wears hearing aids

Which assessment finding can help the nurse differentiate a child experiencing child neglect rather than child abuse?

A young child is admitted to the hospital with hypothermia because the child is inadequately dressed.

What assessment data, related to a 77 year old client, would be considered the highest risk for possible elder abuse?

Diagnosed with mild dementia

Which are forms of psychological abuse? Select all that apply.

Insulting, Humiliating, isolating a person from family

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?

abandonment

A nurse is caring for a client who arrived at the emergency room with injuries following a physical assault with a baseball bat. The client tells you that their significant other is responsible for the injuries. Place the following nursing actions in order from the highest importance to the lowest importance. All options must be used.

Remove the significant other from the room with the client. Conduct an assessment of the client. Notify the physician of the client's injuries and situation. Notify the police of the assault. Call a meeting of the interdisciplinary team

The nursing student learning about intimate partner violence correctly identifies its prevalence in same-sex couples as what?

Same frequency as in heterosexual couples

An older adult client has been attending a local day program for the elderly. The nurse who facilitates the program notices the client has multiple bruises on the arms, has scrapes to the hands and face, and is socially withdrawn. A referral to the client's family physician confirms the client has genital herpes. Which type of elder abuse should the nurse suspect?

Sexual abuse

A client comes to the clinic for a prenatal visit. While the client is in the examining room, her estranged husband appears and insists on seeing the client. The client tells the nurse that they are in the process of getting a divorce and she does not want to be around him. "He's been following me to work and at my home everyday." What should the nurse suspect?

Stalking

Which is a pattern of repeated unwanted contact, attention, and harassment that often increases in frequency?

Stalking

Which is not a risk factor for child sexual abuse?

The child is aged 10 years or younger.

A nurse is caring for a family in which the elderly mother has been a victim of abuse and neglect by her son 48 years of age. Which of the following would be most important for the nurse to keep in mind before interviewing the family?

The nurse must allow the older adult mother to decide whether she wants to leave the situation.

The nurse is planning a community education session on elder abuse awareness. Which points should the nurse be sure to include? (Select all that apply.)

Withholding money for necessities is a form of abuse Not helping you get medical attention you need is a form of abuse It is abuse if you feel forced to have sex It is abuse if your caregiver holds your arm too tight

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 retaliation

The nurse suspects that a client is a victim of intimate partner violence. What should the nurse consider when caring for this client? Select all that apply.

availability of support; support can be accessed safely

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.)

the client's father monitors contact with friends; has a family history of alcohol abuse; must go straight home after school each day

A client who has been victimized repeatedly by a spouse is angry and verbally lashing out on the nurse. Based on the client's behavior, which technique would the nurse use with this client?

use "I feel" statements