Nokea
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.
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The emergency department nurse is assessing a female client with traumatic injuries. To assess whether or not the client?s injuries have resulted from abuse, which question would be most appropriate for the nurse to ask the client?
- A. Is your partner being mean to you?
- B. Why do you think your husband has beaten you?
- C. It looks like someone has hurt you. Tell me about it.
- D. Can you describe the person who did this to you?
Correct Answer: C
Rationale: The open-ended, nonjudgmental question 'It looks like someone has hurt you. Tell me about it.' (C) encourages the client to share details without assuming abuse or blaming her. Option A is vague, option B implies blame, and option D focuses on the perpetrator rather than the client?s experience.
A nurse is interviewing a client who is a survivor of abuse. The client is telling the nurse about how the violence occurred. Which statement would the nurse interpret as reflecting phase 3 of the cycle of violence?
- A. He threw me against the wall and started punching my face.
- B. He yells at me for not having dinner waiting for him when he came home.
- C. He calls me stupid and incompetent, asking himself why he ever married me.
- D. He tells me that he is sorry and that he will never hit me again.
Correct Answer: D
Rationale: Phase 3 of the cycle of violence, the honeymoon phase, involves the abuser expressing remorse and promising not to repeat the violence (D). Phase 1 (tension-building) includes yelling or verbal abuse (B, C), and phase 2 (acute battering) involves physical violence (A).
A nurse is presenting a program to a church group about domestic violence. During the presentation, a member of the audience asks the nurse to explain what intergenerational transmission of violence means because he has seen that phrase used in the media. Which of the following responses by the nurse would be most appropriate?
- A. People who are violent are that way because of the various neurochemical imbalances in their brains.
- B. People who grow up in violent home situations tend to be involved in domestic violence situations as an adult.
- C. Recent research has identified a gene that is responsible for transmission of a risk for violent behavior that is passed on from generation to generation.
- D. Domestic violence seems to skip every other generation when it is traced in families.
Correct Answer: B
Rationale: Intergenerational transmission of violence refers to the tendency for individuals who grow up in violent homes to engage in domestic violence as adults (B), due to learned behaviors. Neurochemical imbalances (A) are not the primary cause, no specific gene (C) is confirmed, and skipping generations (D) is inaccurate.
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.
The school nurse is aware that a student has requested aspirin three times during the past week because his back hurts. The nurse has noticed that he often wears long-sleeved sweaters and sweatshirts even in warm weather. The nurse suspects that the student may be the victim of physical abuse. The nurse is preparing to ask the child about his ongoing backache. Which of the following would the nurse anticipate being reported by the child if he was being abused?
- A. Explain that his father is beating him on a regular basis.
- B. Give a far-fetched explanation not logically connected to his injuries.
- C. Give the same reason his sister would give were she asked to explain his injuries.
- D. Carefully explain that his mother disciplines him because she loves him.
Correct Answer: B
Rationale: Children experiencing abuse often provide far-fetched or illogical explanations (B) to conceal the abuse due to fear or shame. Direct admission (A) is unlikely, matching a sibling?s story (C) is not typical, and justifying discipline as love (D) is less common in children.