Nokea
The nurse is caring for a family in which the elderly mother has been a victim of abuse and neglect by her 48-year-old son. Which of the following would be most important for the nurse to keep in mind before interviewing the family?
- A. A top nursing priority will be to legally remove the son from the home.
- B. The main focus of the nurse?s actions should be on improving the elderly mother?s self-esteem.
- C. The nurse must allow the elderly mother to decide if she wants to leave the situation or not.
- D. Placement for the elderly woman in a nursing home within the community is crucial.
Correct Answer: C
Rationale: Allowing the elderly mother to decide whether to leave (C) respects her autonomy and is critical in abuse cases, ensuring empowerment and safety planning. Legal removal (A) is premature, self-esteem (B) is secondary, and nursing home placement (D) assumes a specific outcome without client input.
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A nurse is preparing a presentation for an adolescent and young adult community group about stalking. Which group would the nurse identify as having the highest risk of being stalked?
- A. Boys and young men, ages 12 to 21 years
- B. Men, ages 24 to 28 years
- C. Girls and young women, ages 10 to 18 years
- D. Women, ages 18 to 24 years
Correct Answer: D
Rationale: Women ages 18 to 24 (D) have the highest risk of being stalked, particularly due to their vulnerability in dating and social contexts. Other groups (A, B, C) face lower risks, with women in this age range consistently showing higher prevalence in stalking statistics.
The nurse is talking to a female client who is a survivor of intimate partner violence. The woman relates that her husband has been told that he has the characteristics of an antisocial personality disorder. The woman also informs the nurse that her husband has an extensive criminal record. The nurse interprets this information and suspects that the woman?s husband would most likely demonstrate which behavior?
- A. A risk for moderate to severe violence with people both within and outside his family
- B. Intermittent remorse for the violence and abuse that he commits
- C. Symptoms of depression along with harboring feelings of inadequacy
- D. Purposefully remain socially isolated from people other than those in his family
Correct Answer: A
Rationale: Antisocial personality disorder is characterized by a disregard for others' rights, often leading to a risk for moderate to severe violence both within and outside the family (A), especially given the husband's criminal record. Intermittent remorse (B) is unlikely, as lack of remorse is a hallmark of the disorder. Depression and inadequacy (C) are not typical, and social isolation (D) contradicts the manipulative social tendencies of antisocial personality.
A nurse is assessing a client who is a survivor of abuse. Which of the following would be most appropriate to use when conducting a lethality assessment?
- A. Danger Assessment Screen
- B. Abuse Assessment Screen
- C. Burgess-Partner Abuse Scale
- D. Beck Depression Inventory
Correct Answer: A
Rationale: The Danger Assessment Screen (A) is specifically designed to assess the risk of lethal violence in abuse survivors, focusing on factors like threats or weapon use. The Abuse Assessment Screen (B) identifies abuse but not lethality, the Burgess scale (C) is less specific, and the Beck Depression Inventory (D) assesses depression, not lethality.
A nurse is conducting a public information seminar on the topic of rape and sexual assault at a local community center. Which of the following would the nurse include when describing power rapists?
- A. Committed by sadistic perpetrators who plan the rape before committing it to experience erotic enjoyment in response to the victim?s suffering
- B. Target very young or elderly victims, may involve extreme force, and often results in victim injury
- C. Are not planned ahead of time and result from the perpetrator being obsessed with uncontrollable sexual urges
- D. Target victims near the age of the perpetrators and involve minimal physical force and intimidation in controlling their victims
Correct Answer: D
Rationale: Power rapists seek control and dominance, targeting victims near their age with minimal physical force and intimidation (D). Sadistic rapists (A) focus on victim suffering, anger rapists (B) use extreme force, and opportunistic rapists (C) act impulsively, none of which align with power rapists? characteristics.
A nurse is working with a client who is a survivor of violence on developing a safety plan. Which of the following would the nurse address first?
- A. Devising an escape route
- B. Recognizing the signs of danger
- C. Identifying a safe place to hide
- D. Identifying a signal to indicate it is safe to leave
Correct Answer: B
Rationale: Recognizing the signs of danger (B) is the first step in a safety plan, as it enables the survivor to identify escalating risks and act proactively. Devising an escape route (A), finding a safe place to hide (C), or identifying a signal (D) are subsequent steps that rely on first recognizing danger.