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The nurse at a university health services clinic has been asked to meet with a freshman class of women about warning signs of relationship violence. The nurse points out which of the following danger signs the students should be alert for in a date?
- A. Dislikes your friends
- B. Acts indifferent to your life choices
- C. Is excessively jealous
- D. Views you as superior to himself
Correct Answer: C
Rationale: Excessive jealousy is a key warning sign of potential relationship violence, indicating controlling behavior.
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The nurse is collecting assessment data on a client who is suspected to be a victim of violence. Which assessment data would support the suspicion that the client is a victim of abuse? Select all that apply.
- A. The client has few friends.
- B. The client holds a dominant role in the family.
- C. The client is in charge of the family finances.
- D. There is a moderate amount of alcohol use in the home.
- E. The client reports that the father was abusive during childhood.
Correct Answer: A,D,E
Rationale: Social isolation, alcohol use, and a history of childhood abuse are indicators of potential abuse, as they align with characteristics of violent families.
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.
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.
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.
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.