Nokea
A young female immigrant presents in the rural health clinic with facial bruising and a fractured nose. The client is reluctant to give details of the nature of her injuries. Which of the following should be a consideration in providing care for this client?
- A. Most views regarding domestic violence are universal across cultures.
- B. She may fear deportation if she seeks public assistance.
- C. Immigrants have expedited access to public legal services.
- D. The nurse should ignore the details and focus on treatment.
Correct Answer: B
Rationale: Battered immigrant women may fear deportation, face cultural barriers, and have limited access to resources, which the nurse must consider to provide holistic care.
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Which one of the following statements regarding intimate partner violence is true?
- A. Males are never the victim in intimate partner violence.
- B. It is common for abusers to use one type of abuse only.
- C. Intimate partner violence can exist with former partners.
- D. Psychological abuse is not as harmful as physical abuse.
Correct Answer: C
Rationale: Intimate partner violence can occur in estranged relationships and includes various forms of abuse, with 5-10% of victims being male, and all abuse is harmful.
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.
A young woman telephones the emergency department and loudly tells the nurse, 'I've been raped! Please help me!' Which of the following is the priority for the nurse to determine?
- A. If the client was in a safe place, her condition, and if transportation is available
- B. If the client knew her assailant, knew her location, and had notified the police
- C. If the client has insurance, if she could get to the hospital by herself, and if pregnancy is a possibility
- D. If the client had bathed, douched, or changed clothes
Correct Answer: A
Rationale: Ensuring the client's safety, assessing her condition, and confirming transportation are the immediate priorities to provide appropriate care.
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 nurse is working with a client at the battered women's shelter who is in a violent and abusive relationship. The client is considering a separation and asks the nurse, 'What do you think about that?' Which is the best response by the nurse?
- A. Batterers never change, so it would be best for you to leave.
- B. If you don't leave, he'll think you're going to continue to endure his abuse.
- C. If you leave, maybe he'll see that he has to change his behavior.
- D. You may be in more physical danger after you leave him.
Correct Answer: D
Rationale: Leaving an abusive relationship can increase the risk of violence, so the nurse should inform the client of this danger to support safety planning.