Nokea
A woman is in treatment for an anxiety disorder. Her history reveals that she was sexually abused repeatedly by her husband. Which of the following interventions would be appropriate in relation to this piece of data?
- A. Avoid discussing the abuse so as not to upset her.
- B. Encourage her to talk about feelings related to the abuse.
- C. Request an anxiolytic to reduce her anxiety levels.
- D. Help her explore her role in perpetuating the abuse.
Correct Answer: B
Rationale: Encouraging the client to discuss feelings about the abuse helps process the trauma and fosters healing, without implying victim responsibility.
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Which of the following are typical characteristics of the perpetrator of intimate partner abuse? Select all that apply.
- A. The perpetrator often believes that the partner is his own property.
- B. The perpetrator is often irrationally jealous, even of his own children.
- C. The perpetrator is emotionally immature and needy.
- D. The perpetrator respects his partner.
- E. The perpetrator is intimidated by his partner.
Correct Answer: A,B,C
Rationale: Perpetrators often view partners as property, exhibit irrational jealousy, and are emotionally immature and needy, but they do not respect or feel intimidated by their partner.
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 nurse is discussing expectations of raising a child with a pregnant teenager expecting her first baby. The father will not be a participant in the parenting. Which of the following statements made by the expectant mother would be of greatest concern to the nurse?
- A. I am going to rely on my sisters for a lot of help raising my baby.
- B. I was raised with very strict discipline.
- C. My child will love me unlike my parents ever did.
- D. I am not sure how I am going to pay for all the things my child will need.
Correct Answer: C
Rationale: Expecting a child to fulfill unmet emotional needs from childhood indicates unrealistic expectations, increasing the risk of potential 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.
Which of the following behaviors would first alert the school nurse or teacher to suspect sexual abuse in a 7-year-old child?
- A. The child has a preference for associating with peers, rather than adults.
- B. The child has learning problems and shyness.
- C. The child tells sexually explicit stories to peers.
- D. The child wears dirty and threadbare clothing.
Correct Answer: C
Rationale: Sexually explicit knowledge inappropriate for a child's age is a strong indicator of potential sexual abuse.