The nurse is involved in a community education program for new parents and plans to include information on child abuse. The nurse will teach the parents that the most common form of child abuse is which of the following?
- A. Neglect
- B. Physical abuse
- C. Sexual abuse
- D. Emotional abuse
Correct Answer: A
Rationale: Neglect is the most common form of child abuse, accounting for 64% of maltreatment cases.
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The school nurse is teaching a health class about recognizing the signs of abusive relationships. The nurse describes the cycle of violence. The nurse would document effective teaching if the students identify the cycle of violence to be which of the following patterns? Select the order in which the events occur.
- A. Tension building
- B. Honeymoon period
- C. Violent behavior
- D. Period of remorse
Correct Answer: A,C,D,B
Rationale: The cycle of violence follows the pattern of tension building, violent behavior, period of remorse, and then a honeymoon period, repeating thereafter.
A female college student comes to the counseling center and tells the nurse she is afraid of her boyfriend. She states, 'He is so jealous and overprotective; he wants to know where I am and who I'm with every minute.' Which of the following is most likely true of the situation?
- A. The student is overreacting.
- B. This is a situation requiring a restraining order.
- C. The student's boyfriend is simply insecure and needs reassurance.
- D. This is characteristic of the tension-building phase of the violence cycle.
Correct Answer: D
Rationale: The boyfriend's controlling behavior reflects the tension-building phase of the violence cycle, a precursor to potential abuse.
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.
The nurse is working in the emergency department with a woman who was raped 1 hour ago. Which of the following is most important for the nurse to remember when planning care?
- A. The client should set aside any angry feelings until physical care is completed.
- B. Evidence collection according to procedures is not as important as treating the client's injuries.
- C. The nurse will need to make decisions for this client.
- D. The woman may feel threatened by some of the procedures.
Correct Answer: D
Rationale: Procedures like pelvic exams may feel invasive, so the nurse must be sensitive to the victim's potential feelings of re-traumatization.
The nurse is discussing expectations of raising a child with a pregnant teenager expecting her first baby. The father will not be a participant in the parenting. Which of the following statements made by the expectant mother would be of greatest concern to the nurse?
- A. I am going to rely on my sisters for a lot of help raising my baby.
- B. I was raised with very strict discipline.
- C. My child will love me unlike my parents ever did.
- D. I am not sure how I am going to pay for all the things my child will need.
Correct Answer: C
Rationale: Expecting a child to fulfill unmet emotional needs from childhood indicates unrealistic expectations, increasing the risk of potential abuse.
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