The Point Chapter 12
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? "I don't believe that's true but even if it were it doesn't excuse the real rapes that occur." "If a man is falsely accused, the woman is prosecuted by the law." "Actually, fewer than 2% of all reported rapes are found to be false." "I'm not sure where you heard that but statistically it isn't true."
"Actually, fewer than 2% of all reported rapes are found to be false."
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?" "Does your husband blame you for his abusive behavior?" "Do you have any friends who can provide emotional support?" "Does your husband criticize and belittle you?"
"Do you have any friends who can provide emotional support?"
The nurse can assess potential victims of domestic violence by asking which question? "What is your history of physical injuries?" "Do you need the number of a shelter?" "Has a past or current partner ever caused you to be afraid?" "What did you do right before your partner hit you?"
"Has a past or current partner ever caused you to be afraid?"
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." "He threw me against the wall and started punching my face." "He calls me stupid and incompetent, asking himself why he ever married me." "He yells at me for not having dinner waiting for him when he comes home."
"He tells me that he is sorry and that he will never hit me again."
Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? "He was so much nicer when we started dating." "His father physically abused his mother for years." "I don't know what else I can do to keep him from getting angry at me." "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 nursing instructor teaching about sexual assault identifies a need for further instruction when one of the students makes which statement? "Sexual assault involves nonconsenting sexual activity." "Fondling can be a type of sexual assault." "Sexual assault occurs about once every 2 minutes in the United States." "It is not considered rape if it occurs with same-sex couples."
"It is not considered rape if it occurs with same-sex couples."
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? "No one would believe me if I tell them how terrible life has been." "I do not have a job or anyway to support myself and my kids." "The kids love my partner and my partner has been a good parent to them." "My partner would hunt me down and kill me for sure."
"My partner would hunt me down and kill me for sure."
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. "Some other women I have cared for have described problems like yours. If this is happening to you, can we talk about it." "It looks like someone has hurt you. Tell me about it." "When there are arguments at home, have you ever been hurt or afraid?" "It appears that you are distracted. Let me know when you are ready to discuss the incident." "I don't believe you. Why don't you tell me the truth?"
"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 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? "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." "I am here to help you through every step of this process."
"You have the right to be safe and respected."
What percentage of women can expect to be a victim of an ongoing unwanted pursuit from stalking? 40-48% 50-60% 12-32% 5-10%
12-32%
Approximately what percentage of women rape victims are raped by someone they know? 35% 45% 65% 55%
65%
A nursing student learning about intimate partner violence (IPV) correctly identifies the percentage of deaths attributed to IPV to be what? 90% women and 10% men 50% women and 50% men 70% men and 30% women 70% women and 30% men
70% women and 30% 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 3-month-old with a fractured femur A baby with contrecoup injuries to the brain A 3-year-old with a deep finger laceration A 15-month-old with shortness of breath after peanut ingestion
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
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 currently exploring long-term care options for her elderly father A client who expressed interest in joining a grief support group following the death of her husband 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 is in the third trimester of pregnancy and who is having biweekly prenatal appointments at a clinic
What are some types of behavior that the nurse would recognize as qualifying as psychological abuse? Select all that apply. Ridiculing Criticizing Threatening a victim's dog Using assertive language Asking for time alone when frustrated
Criticizing Ridiculing Threatening a victim's dog
What assessment data, related to a 77 year old client, would be considered the highest risk for possible elder abuse? Widowed, female Requires assistance with food preparation Diagnosed with mild dementia Lives with adult daughter
Diagnosed with mild dementia
A mental health nurse is interviewing a child for suspected abuse. The parent states that the child is having disciplinary problems at school and stutters when approached. From the listed behavioral indicators, the nurse would suspect which type of abuse? Physical Sexual Financial Emotional
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. Secure open communication. Maintain a nonjudgmental attitude. Discuss the nurse's personal feelings on victims of violence. Ask questions regarding religious background and preference. Establish trustworthiness.
Establish trustworthiness. Maintain a nonjudgmental attitude. Secure open communication.
In violent families, which environment may be the most dangerous place for victims? Work Home School Church
Home
The mental health nurse should discuss an emergency plan for leaving an abusive situation when the client is able to do which of the following? Select all that apply. Identify safe places to go Keep emergency money available Compile a list of important phone numbers Have access to a car key or other transportation Compose a note to explain departure
Identify safe places to go Keep emergency money available Have access to a car key or other transportation 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 knew her assailant, knew her location, and had notified the police 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 she had bathed, douched, or changed clothes
If the client was injured, was in a safe place, and had transportation available
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 Importance of measuring the clients' progress in small steps 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
Which are forms of psychological abuse? Select all that apply. Insulting Humiliating Incest Rape isolating a person from family
Insulting Humiliating isolating a person from family
Which statement about intimate partner violence (IPV) is accurate? Knowledge deficits and biases of health care professionals limit its detection. Screening tools to help the practitioner identify IPV are quite lengthy. Failure of victims to seek medical treatment is the primary reason for the underdetection of IPV. Victims do not often have physical injuries.
Knowledge deficits and biases of health care professionals limit its detection.
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 physical functioning Emotional and intellectual functioning Multiple intellectual, physical, behavioral, and emotional arenas Behavioral and emotional functioning
Multiple intellectual, physical, behavioral, and emotional arenas
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 Genitourinary assessment Neurological assessment Respiratory assessment
Neurological assessment
A nurse who provides care in a large, urban emergency department has worked with numerous victims of various forms of abuse as well as those who are abusers. The nurse recognizes that persons who commit abuse are most likely what? Over 50 years of age Of low socioeconomic means Delusional and/or psychotic Past victims of abuse themselves
Past victims of abuse themselves
n clients who do not completely recover from the trauma of rape, which mental illness is mostlikely to develop? Post-traumatic stress syndrome Delirium Borderline personality disorder Anxiety disorders
Post-traumatic stress syndrome
Which type of rapist derives erotic gratification from the victim's suffering? Sadistic rapist Power rapist Anger rapist Premeditated rapist
Sadistic rapist
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 Half as frequent as in heterosexual couples Same frequency as in heterosexual couples
Same frequency as in heterosexual couples
In a toddler, which injury is most likely the result of child abuse? A hematoma on the occipital region of the head A small, isolated bruise on the right lower extremity A 1-inch forehead laceration Several small, circular burns on the child's back
Several small, circular burns on the child's back
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? Ineffective supervision Shaken baby syndrome Munchausen's syndrome by proxy Child neglect
Shaken baby syndrome
Which is a pattern of repeated unwanted contact, attention, and harassment that often increases in frequency? Rape Physical abuse Incest Stalking
Stalking
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 The anal area is bruised There are frequent ear infections The urinalysis reports a bacterial infection The child reports "itching down there"
The anal area is bruised The child reports "itching down there" The vulva appears edematous The urinalysis reports a bacterial infection
The psychiatric nurse recognizes that a male rape victim is less likely to report the crime due to which reason? 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 social ramifications of possibly contracting AIDS The belief that his masculinity will be in question
The belief that his masculinity will be in question
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 person is concerned about the financial issues associated with the hospitalization. They have a fear of being blamed for the incident. The client is embarrassed of the assault. The perpetrator may use coercion or threats to control the victim. The victim is responsible for the attack.
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.
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 client immigrated less than 5 years ago. The client has four children. The client has no extended family in the area.
The client's family lives on less than $1,000 per month.
Which would not increase the likelihood that an older adult will incur physical abuse? 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 has difficulty with mobility and can become confused. The older adult lives with a son who receives financial aid.
The older adult is independent with activities of daily living.
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 Too trustful Overly self-confident Overly social
Unusually aggressive
Which is an inaccurate picture of the cycle of abuse that occurs over time? Violent episodes are less frequent The period of remorse disappears Violent episodes are more frequent Severity of the injuries worsen
Violent episodes are more 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? Men, ages 24 to 28 years Boys and young men, ages 12 to 21 years Girls and young women, ages 10 to 18 years Women, ages 18 to 24 years
Women, ages 18 to 24 years
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 emotional neglect physical
abandonment
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 power assertive anger excitement power reassurance
anger retaliation
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? assess the client for injuries contact the police call a family member to pick up the children 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 dry mucous membranes sunken fontanelle ecchymosis to the arms
ecchymosis to the arms
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? teaching about sleep hygiene techniques educating about perpetrator about behaviors indicative of losing control initiating the paperwork required for a guardianship providing the client with supplies to treat physical injuries
educating about perpetrator about behaviors indicative of losing control
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? physical neglect sexual psychological
neglect
When assessing a 6-year-old child believed to be a victim of emotional abuse, the possibility is supported when the child is ... showing signs of developmental delays. attending day care 5 days a week. observed to be anxious and rejecting adult attention. parented by a single parent.
observed to be anxious and rejecting adult attention.
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. calling the client names making all the decisions limiting contact with others making the client feel guilty putting the client down
putting the client down calling the client names making the client feel guilty
Which child has the greatest risk for being the target of bullying at school? the child who is short for his or her age the child who wears hearing aids the child who just transferred to the school the child who recently immigrated to America
the child who wears hearing aids