Nokea
The nurse is caring for a young adult in the mental health clinic. The client tells the nurse that he was physically neglected as a child. The nurse should assess the client for symptoms of which of the following?
- A. Major depression
- B. Schizophrenia
- C. Narcissistic personality disorder
- D. Panic disorder
Correct Answer: A
Rationale: Physical neglect in childhood is strongly associated with major depression (A) due to its impact on emotional development and self-esteem. Schizophrenia (B) has a stronger genetic basis, narcissistic personality disorder (C) is less directly linked to neglect, and panic disorder (D) is less commonly a primary outcome of neglect.
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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 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 female client has been admitted to the inpatient psychiatric facility with a diagnosis of posttraumatic stress disorder after a history of violence by her boyfriend. During the initial assessment interview, which assessment would be the priority?
- A. Nutritional status
- B. Hydration status
- C. Sleep patterns
- D. Suicide risk
Correct Answer: D
Rationale: Suicide risk (D) is the priority in a client with PTSD due to intimate partner violence, as the trauma and emotional distress significantly increase suicidality. Nutritional status (A), hydration (B), and sleep patterns (C) are important but secondary to ensuring safety.
A nurse is working with a female client who is anticipating the possibility of leaving an abusive relationship. In helping the client make the decision to leave or to stay in the abusive situation, which of the following would be most important for the nurse to do?
- A. Ensure that the client can effectively describe the behaviors inherent in each phase of the cycle of domestic violence.
- B. Inform the client that if she leaves the abusive situation, there is a possibility her partner will attempt to murder her.
- C. Assist the client in finding a new apartment and a new job so she will be safe after she leaves her current situation.
- D. Suggest that the client legally change her name and move out of state so she will be safe from future harm.
Correct Answer: C
Rationale: Assisting the client in finding a new apartment and job (C) provides practical support to ensure safety and independence, critical for leaving an abusive relationship. Describing the cycle of violence (A) is educational but less immediate, warning of murder (B) may heighten fear, and changing identity (D) is extreme and less feasible.
A guest lecturer from a treatment program for perpetrators of abuse is describing the program to a group of nursing students. The program uses cognitive behavioral techniques. Which of the following would the lecturer include as a focus of the program? Select all that apply.
- A. Identifying what the perpetrator thinks about before the incident
- B. Determining the perpetrator?s emotional and physical responses to the thoughts
- C. Exploring the perpetrator?s actions that eventually lead to violence
- D. Identifying the behaviors in the survivor that led to the violence
- E. Determining the extent of guilt or remorse experienced by the perpetrator
Correct Answer: A,B,C
Rationale: Cognitive behavioral techniques focus on identifying thoughts (A), emotional/physical responses (B), and actions (C) leading to violence to modify behavior. Blaming the survivor (D) is inappropriate, and assessing guilt/remorse (E) is secondary to addressing the cognitive-behavioral cycle.