Nokea
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.
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A guest lecturer from a treatment program for perpetrators of abuse is describing the program to a group of nursing students. The program uses cognitive behavioral techniques. Which of the following would the lecturer include as a focus of the program? Select all that apply.
- A. Identifying what the perpetrator thinks about before the incident
- B. Determining the perpetrator?s emotional and physical responses to the thoughts
- C. Exploring the perpetrator?s actions that eventually lead to violence
- D. Identifying the behaviors in the survivor that led to the violence
- E. Determining the extent of guilt or remorse experienced by the perpetrator
Correct Answer: A,B,C
Rationale: Cognitive behavioral techniques focus on identifying thoughts (A), emotional/physical responses (B), and actions (C) leading to violence to modify behavior. Blaming the survivor (D) is inappropriate, and assessing guilt/remorse (E) is secondary to addressing the cognitive-behavioral cycle.
The nurse is caring for a family in which the elderly mother has been a victim of abuse and neglect by her 48-year-old son. Which of the following would be most important for the nurse to keep in mind before interviewing the family?
- A. A top nursing priority will be to legally remove the son from the home.
- B. The main focus of the nurse?s actions should be on improving the elderly mother?s self-esteem.
- C. The nurse must allow the elderly mother to decide if she wants to leave the situation or not.
- D. Placement for the elderly woman in a nursing home within the community is crucial.
Correct Answer: C
Rationale: Allowing the elderly mother to decide whether to leave (C) respects her autonomy and is critical in abuse cases, ensuring empowerment and safety planning. Legal removal (A) is premature, self-esteem (B) is secondary, and nursing home placement (D) assumes a specific outcome without client input.
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 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.
The school nurse is aware that a student has requested aspirin three times during the past week because his back hurts. The nurse has noticed that he often wears long-sleeved sweaters and sweatshirts even in warm weather. The nurse suspects that the student may be the victim of physical abuse. The nurse is preparing to ask the child about his ongoing backache. Which of the following would the nurse anticipate being reported by the child if he was being abused?
- A. Explain that his father is beating him on a regular basis.
- B. Give a far-fetched explanation not logically connected to his injuries.
- C. Give the same reason his sister would give were she asked to explain his injuries.
- D. Carefully explain that his mother disciplines him because she loves him.
Correct Answer: B
Rationale: Children experiencing abuse often provide far-fetched or illogical explanations (B) to conceal the abuse due to fear or shame. Direct admission (A) is unlikely, matching a sibling?s story (C) is not typical, and justifying discipline as love (D) is less common in children.