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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.
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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.
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 emergency department nurse is assessing a female client with traumatic injuries. To assess whether or not the client?s injuries have resulted from abuse, which question would be most appropriate for the nurse to ask the client?
- A. Is your partner being mean to you?
- B. Why do you think your husband has beaten you?
- C. It looks like someone has hurt you. Tell me about it.
- D. Can you describe the person who did this to you?
Correct Answer: C
Rationale: The open-ended, nonjudgmental question 'It looks like someone has hurt you. Tell me about it.' (C) encourages the client to share details without assuming abuse or blaming her. Option A is vague, option B implies blame, and option D focuses on the perpetrator rather than the client?s experience.
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 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.