Nokea
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.
You may also like to solve these questions
Which of the following are common behavioral and emotional responses to abuse? Select all that apply.
- A. One third of abusive men are likely to have come from violent homes.
- B. Women who grew up in violent homes are 50% more likely to expect or accept violence in their own relationships.
- C. Dependency on the abuser is a common trait found in victims of domestic violence.
- D. The victim caused the abuse.
- E. It is critical for the nurse to demonstrate acceptance after hearing about the abuse so that the victim may begin to gain self-acceptance.
Correct Answer: A,B,C,E
Rationale: Abusive men often come from violent homes, women from such backgrounds may accept violence, victims are often dependent, and nurse acceptance aids self-acceptance; victims do not cause abuse.
A female college student comes to the counseling center and tells the nurse she is afraid of her boyfriend. She states, 'He is so jealous and overprotective; he wants to know where I am and who I'm with every minute.' Which of the following is most likely true of the situation?
- A. The student is overreacting.
- B. This is a situation requiring a restraining order.
- C. The student's boyfriend is simply insecure and needs reassurance.
- D. This is characteristic of the tension-building phase of the violence cycle.
Correct Answer: D
Rationale: The boyfriend's controlling behavior reflects the tension-building phase of the violence cycle, a precursor to potential abuse.
The pediatric nurse is caring for a 15-month-old child recently admitted to the hospital for a fractured femur. Which of the following data obtained during the assessment would raise the nurse's suspicion that the child has suffered physical abuse?
- A. The parents appearing overprotective of the child
- B. Bruises over the child's bony prominences
- C. The injury occurring several days before the parents sought treatment
- D. Both parents reporting the exact same details pertaining to the injurious event
Correct Answer: C
Rationale: A delay in seeking treatment for a significant injury like a fractured femur is a warning sign of potential physical abuse.
Which of the following are common characteristics of violent families regardless of the type of abuse that exists? Select all that apply.
- A. Abuse of power and control
- B. Alcohol and other drug abuse
- C. Intergenerational transmission
- D. Social isolation
- E. Victim instigates
Correct Answer: A,B,C,D
Rationale: Violent families commonly exhibit social isolation, abuse of power and control, substance abuse, and intergenerational transmission, but the victim does not instigate abuse.
A coherent elderly woman has been financially and emotionally abused by her adult children for the past several years, but has failed to report the abuse to anyone. Which is the most likely reason that the woman neglects to report the abuse?
- A. She cannot claim abuse if there is no evidence of physical harm.
- B. Laws do not provide protection against abuse when the suspect(s) is/are family members.
- C. She has no financial resources to hire legal representation against her children.
- D. She is emotionally close to her children and does not want to bring them harm.
Correct Answer: D
Rationale: Elderly victims often avoid reporting abuse by family members due to emotional ties and a desire to protect them.