Nokea
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.
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The nurse is caring for a 6-year-old boy with a history of sexual abuse. What might the nurse expect to assess with this client?
- A. The client will experience long-term emotional trauma.
- B. The client will have no ill effects due to his age.
- C. The client will have high self-esteem.
- D. The client will easily share his concerns with the nurse.
Correct Answer: A
Rationale: Childhood sexual abuse often leads to long-term emotional trauma, including nightmares and flashbacks, rather than high self-esteem or ease in sharing concerns.
The nurse is involved in a community education program for new parents and plans to include information on child abuse. The nurse will teach the parents that the most common form of child abuse is which of the following?
- A. Neglect
- B. Physical abuse
- C. Sexual abuse
- D. Emotional abuse
Correct Answer: A
Rationale: Neglect is the most common form of child abuse, accounting for 64% of maltreatment cases.
The community health nurse meets with the family members of an elderly client. The nurse includes which of the following in the plan of care as a preventive measure to guard against elder abuse?
- A. Reassure the primary caregiver that he or she is in the best position to provide care to the elder
- B. Teach the primary caregiver skills to meet all of the elder's needs
- C. Assist in the transfer of legal authority for elder care to the primary caregiver
- D. Provide the primary caregiver with additional resources to meet the elder's needs
Correct Answer: D
Rationale: Providing additional resources reduces caregiver burden, helping to prevent elder abuse due to stress or overwhelm.
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.
A woman has just presented at the emergency department after being raped. The initial nursing action would be to
- A. provide emotional support.
- B. refer her to a rape crisis hotline.
- C. encourage her to file charges immediately.
- D. perform a nursing history and physical as quickly as possible.
Correct Answer: A
Rationale: Providing emotional support is the initial priority to help the victim feel safe and regain control after a traumatic event.