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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).
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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.
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.
The nurse is caring for a young adult in the mental health clinic. The client tells the nurse that he was physically neglected as a child. The nurse should assess the client for symptoms of which of the following?
- A. Major depression
- B. Schizophrenia
- C. Narcissistic personality disorder
- D. Panic disorder
Correct Answer: A
Rationale: Physical neglect in childhood is strongly associated with major depression (A) due to its impact on emotional development and self-esteem. Schizophrenia (B) has a stronger genetic basis, narcissistic personality disorder (C) is less directly linked to neglect, and panic disorder (D) is less commonly a primary outcome of neglect.
A nurse is presenting a program to a church group about domestic violence. During the presentation, a member of the audience asks the nurse to explain what intergenerational transmission of violence means because he has seen that phrase used in the media. Which of the following responses by the nurse would be most appropriate?
- A. People who are violent are that way because of the various neurochemical imbalances in their brains.
- B. People who grow up in violent home situations tend to be involved in domestic violence situations as an adult.
- C. Recent research has identified a gene that is responsible for transmission of a risk for violent behavior that is passed on from generation to generation.
- D. Domestic violence seems to skip every other generation when it is traced in families.
Correct Answer: B
Rationale: Intergenerational transmission of violence refers to the tendency for individuals who grow up in violent homes to engage in domestic violence as adults (B), due to learned behaviors. Neurochemical imbalances (A) are not the primary cause, no specific gene (C) is confirmed, and skipping generations (D) is inaccurate.
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.