Nokea
A female client has been admitted to the inpatient psychiatric facility with a diagnosis of posttraumatic stress disorder after a history of violence by her boyfriend. During the initial assessment interview, which assessment would be the priority?
- A. Nutritional status
- B. Hydration status
- C. Sleep patterns
- D. Suicide risk
Correct Answer: D
Rationale: Suicide risk (D) is the priority in a client with PTSD due to intimate partner violence, as the trauma and emotional distress significantly increase suicidality. Nutritional status (A), hydration (B), and sleep patterns (C) are important but secondary to ensuring safety.
You may also like to solve these questions
The emergency department nurse is assessing a female 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?
- A. Is your partner being mean to you?
- B. Why do you think your husband has beaten you?
- C. It looks like someone has hurt you. Tell me about it.
- D. Can you describe the person who did this to you?
Correct Answer: C
Rationale: The open-ended, nonjudgmental question 'It looks like someone has hurt you. Tell me about it.' (C) encourages the client to share details without assuming abuse or blaming her. Option A is vague, option B implies blame, and option D focuses on the perpetrator rather than the client?s experience.
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?
- A. Boys and young men, ages 12 to 21 years
- B. Men, ages 24 to 28 years
- C. Girls and young women, ages 10 to 18 years
- D. Women, ages 18 to 24 years
Correct Answer: D
Rationale: Women ages 18 to 24 (D) have the highest risk of being stalked, particularly due to their vulnerability in dating and social contexts. Other groups (A, B, C) face lower risks, with women in this age range consistently showing higher prevalence in stalking statistics.
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?
- A. He threw me against the wall and started punching my face.
- B. He yells at me for not having dinner waiting for him when he came home.
- C. He calls me stupid and incompetent, asking himself why he ever married me.
- D. He tells me that he is sorry and that he will never hit me again.
Correct Answer: D
Rationale: Phase 3 of the cycle of violence, the honeymoon phase, involves the abuser expressing remorse and promising not to repeat the violence (D). Phase 1 (tension-building) includes yelling or verbal abuse (B, C), and phase 2 (acute battering) involves physical violence (A).
A nurse is conducting a public information seminar on the topic of rape and sexual assault at a local community center. Which of the following would the nurse include when describing power rapists?
- A. Committed by sadistic perpetrators who plan the rape before committing it to experience erotic enjoyment in response to the victim?s suffering
- B. Target very young or elderly victims, may involve extreme force, and often results in victim injury
- C. Are not planned ahead of time and result from the perpetrator being obsessed with uncontrollable sexual urges
- D. Target victims near the age of the perpetrators and involve minimal physical force and intimidation in controlling their victims
Correct Answer: D
Rationale: Power rapists seek control and dominance, targeting victims near their age with minimal physical force and intimidation (D). Sadistic rapists (A) focus on victim suffering, anger rapists (B) use extreme force, and opportunistic rapists (C) act impulsively, none of which align with power rapists? characteristics.
A nurse is working with a female 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 of the following would be most important for the nurse to do?
- A. Ensure that the client can effectively describe the behaviors inherent in each phase of the cycle of domestic violence.
- B. Inform the client that if she leaves the abusive situation, there is a possibility her partner will attempt to murder her.
- C. Assist the client in finding a new apartment and a new job so she will be safe after she leaves her current situation.
- D. Suggest that the client legally change her name and move out of state so she will be safe from future harm.
Correct Answer: C
Rationale: Assisting the client in finding a new apartment and job (C) provides practical support to ensure safety and independence, critical for leaving an abusive relationship. Describing the cycle of violence (A) is educational but less immediate, warning of murder (B) may heighten fear, and changing identity (D) is extreme and less feasible.