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The nurse is working with a client at the battered women's shelter who is in a violent and abusive relationship. The client is considering a separation and asks the nurse, 'What do you think about that?' Which is the best response by the nurse?
- A. Batterers never change, so it would be best for you to leave.
- B. If you don't leave, he'll think you're going to continue to endure his abuse.
- C. If you leave, maybe he'll see that he has to change his behavior.
- D. You may be in more physical danger after you leave him.
Correct Answer: D
Rationale: Leaving an abusive relationship can increase the risk of violence, so the nurse should inform the client of this danger to support safety planning.
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A woman has just presented at the emergency department after being raped. The initial nursing action would be to
- A. provide emotional support.
- B. refer her to a rape crisis hotline.
- C. encourage her to file charges immediately.
- D. perform a nursing history and physical as quickly as possible.
Correct Answer: A
Rationale: Providing emotional support is the initial priority to help the victim feel safe and regain control after a traumatic event.
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.
A coherent elderly woman has been financially and emotionally abused by her adult children for the past several years, but has failed to report the abuse to anyone. Which is the most likely reason that the woman neglects to report the abuse?
- A. She cannot claim abuse if there is no evidence of physical harm.
- B. Laws do not provide protection against abuse when the suspect(s) is/are family members.
- C. She has no financial resources to hire legal representation against her children.
- D. She is emotionally close to her children and does not want to bring them harm.
Correct Answer: D
Rationale: Elderly victims often avoid reporting abuse by family members due to emotional ties and a desire to protect them.
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 behavioral and emotional responses to abuse? Select all that apply.
- A. One third of abusive men are likely to have come from violent homes.
- B. Women who grew up in violent homes are 50% more likely to expect or accept violence in their own relationships.
- C. Dependency on the abuser is a common trait found in victims of domestic violence.
- D. The victim caused the abuse.
- E. It is critical for the nurse to demonstrate acceptance after hearing about the abuse so that the victim may begin to gain self-acceptance.
Correct Answer: A,B,C,E
Rationale: Abusive men often come from violent homes, women from such backgrounds may accept violence, victims are often dependent, and nurse acceptance aids self-acceptance; victims do not cause abuse.