Nokea
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.
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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.
The nurse is talking to a female client who is a survivor of intimate partner violence. The woman relates that her husband has been told that he has the characteristics of an antisocial personality disorder. The woman also informs the nurse that her husband has an extensive criminal record. The nurse interprets this information and suspects that the woman?s husband would most likely demonstrate which behavior?
- A. A risk for moderate to severe violence with people both within and outside his family
- B. Intermittent remorse for the violence and abuse that he commits
- C. Symptoms of depression along with harboring feelings of inadequacy
- D. Purposefully remain socially isolated from people other than those in his family
Correct Answer: A
Rationale: Antisocial personality disorder is characterized by a disregard for others' rights, often leading to a risk for moderate to severe violence both within and outside the family (A), especially given the husband's criminal record. Intermittent remorse (B) is unlikely, as lack of remorse is a hallmark of the disorder. Depression and inadequacy (C) are not typical, and social isolation (D) contradicts the manipulative social tendencies of antisocial personality.
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?
- A. Men are more likely to be seriously injured even though more women are typically victims.
- B. Men may not consider behaviors such as slapping or shoving as abuse.
- C. IPV in same-sex couples occurs less frequently as compared with heterosexual relationships.
- D. The reactions to IPV are similar in male and female victims.
Correct Answer: B
Rationale: Men often do not perceive behaviors like slapping or shoving as abuse (B), underreporting IPV due to social stigma. Women are more likely to be seriously injured (A), IPV in same-sex couples occurs at similar rates (C), and reactions differ by gender (D) due to societal and psychological factors.
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?
- A. He always tells me that the abuse never happened.
- B. He tells me who I can and cannot see.
- C. He tells me that he?ll tell child services I?m a bad mother.
- D. He acts like he?s the master of his castle and I?m his servant.
Correct Answer: C
Rationale: Threatening to report to child services (C) is a clear example of coercion and threats, a tactic of power and control in IPV. Denying abuse (A) is gaslighting, controlling social interactions (B) is isolation, and acting superior (D) is emotional abuse, but threats (C) are most indicative of coercion.
A nurse is working with a client who is a survivor of violence on developing a safety plan. Which of the following would the nurse address first?
- A. Devising an escape route
- B. Recognizing the signs of danger
- C. Identifying a safe place to hide
- D. Identifying a signal to indicate it is safe to leave
Correct Answer: B
Rationale: Recognizing the signs of danger (B) is the first step in a safety plan, as it enables the survivor to identify escalating risks and act proactively. Devising an escape route (A), finding a safe place to hide (C), or identifying a signal (D) are subsequent steps that rely on first recognizing danger.