Nokea
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.
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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.
Which characteristic of the abuser should the nurse look for when completing the family assessment of a victim of intimate partner violence?
- A. Encourages the partner to have a life outside the intimate relationship
- B. An inflated sense of self-esteem
- C. Needy and possessive of the partner
- D. An ability to feel remorse for the abuse
Correct Answer: C
Rationale: Abusers are typically needy, possessive, and view their partner as property, with low self-esteem rather than inflated self-esteem or genuine remorse.
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.
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.
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.