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A female college student comes to the counseling center and tells the nurse she is afraid of her boyfriend. She states, 'He is so jealous and overprotective; he wants to know where I am and who I'm with every minute.' Which of the following is most likely true of the situation?
- A. The student is overreacting.
- B. This is a situation requiring a restraining order.
- C. The student's boyfriend is simply insecure and needs reassurance.
- D. This is characteristic of the tension-building phase of the violence cycle.
Correct Answer: D
Rationale: The boyfriend's controlling behavior reflects the tension-building phase of the violence cycle, a precursor to potential abuse.
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The nurse at a university health services clinic has been asked to meet with a freshman class of women about warning signs of relationship violence. The nurse points out which of the following danger signs the students should be alert for in a date?
- A. Dislikes your friends
- B. Acts indifferent to your life choices
- C. Is excessively jealous
- D. Views you as superior to himself
Correct Answer: C
Rationale: Excessive jealousy is a key warning sign of potential relationship violence, indicating controlling behavior.
A nurse is working with a client who has a history of repeated abusive intimate relationships. The nurse has difficulty understanding why a woman would repeatedly enter into relationships with abusive partners. When working with this client, the nurse can best maintain a therapeutic relationship through which of the following approaches?
- A. Keeping focused on the client's feelings about her life situation
- B. Honestly asking the client why she repeats the cycles of victimization
- C. Convincing the client to develop a self-rescue plan
- D. Not prying into the details of the client's private life
Correct Answer: A
Rationale: Focusing on the client's feelings fosters a therapeutic relationship by validating her experiences without judgment or assumptions.
The nurse is assessing an elderly female in the emergency department. There are many bruises present on her body in varying stages of healing. After documenting the bruising in the assessment, what should the nurse do next?
- A. Ask the client when and how the bruises occurred
- B. Call the nursing supervisor immediately
- C. Follow the facility's policy and procedures for reporting abuse
- D. Notify the physician that abuse is suspected
Correct Answer: A
Rationale: Asking the client about the bruises is the next step to assess potential abuse before reporting or involving others.
The pediatric nurse is caring for a 15-month-old child recently admitted to the hospital for a fractured femur. Which of the following data obtained during the assessment would raise the nurse's suspicion that the child has suffered physical abuse?
- A. The parents appearing overprotective of the child
- B. Bruises over the child's bony prominences
- C. The injury occurring several days before the parents sought treatment
- D. Both parents reporting the exact same details pertaining to the injurious event
Correct Answer: C
Rationale: A delay in seeking treatment for a significant injury like a fractured femur is a warning sign of potential physical abuse.
Which of the following is the best explanation for why family violence tends to occur over multiple generations of families?
- A. A tendency toward violence is hereditary.
- B. Family violence may be perpetuated between generations of families by role modeling and social learning.
- C. All persons who have become victims of family violence will grow up to perpetrate family violence.
- D. Family violence does not tend to have an intergenerational transmission process.
Correct Answer: B
Rationale: Family violence is often perpetuated through role modeling and social learning, not heredity, and not all victims become perpetrators.