Nokea
The nurse is caring for a 6-year-old boy with a history of sexual abuse. What might the nurse expect to assess with this client?
- A. The client will experience long-term emotional trauma.
- B. The client will have no ill effects due to his age.
- C. The client will have high self-esteem.
- D. The client will easily share his concerns with the nurse.
Correct Answer: A
Rationale: Childhood sexual abuse often leads to long-term emotional trauma, including nightmares and flashbacks, rather than high self-esteem or ease in sharing concerns.
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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.
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.
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 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 common reasons why abused women remain with the abusive partner? Select all that apply.
- A. The abused person is personally and financially dependent on the abuser.
- B. The abused person has low self-esteem and defines her success as a person by the ability to make the relationship work.
- C. The abused person is convinced that she has been abusive toward the abuser at some point and that the abuse is her fault.
- D. The abused person believes that she is unable to function without her husband.
- E. The abused person is afraid that the abuser will kill her if she tries to leave.
Correct Answer: A,B,D,E
Rationale: Dependency, low self-esteem, belief in inability to function independently, and fear of lethal retaliation are common reasons abused women stay in abusive relationships.