Nokea
The pediatric nurse is caring for a 15-month-old child recently admitted to the hospital for a fractured femur. Which of the following data obtained during the assessment would raise the nurse's suspicion that the child has suffered physical abuse?
- A. The parents appearing overprotective of the child
- B. Bruises over the child's bony prominences
- C. The injury occurring several days before the parents sought treatment
- D. Both parents reporting the exact same details pertaining to the injurious event
Correct Answer: C
Rationale: A delay in seeking treatment for a significant injury like a fractured femur is a warning sign of potential physical abuse.
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A nurse is working with a client who has a history of repeated abusive intimate relationships. The nurse has difficulty understanding why a woman would repeatedly enter into relationships with abusive partners. When working with this client, the nurse can best maintain a therapeutic relationship through which of the following approaches?
- A. Keeping focused on the client's feelings about her life situation
- B. Honestly asking the client why she repeats the cycles of victimization
- C. Convincing the client to develop a self-rescue plan
- D. Not prying into the details of the client's private life
Correct Answer: A
Rationale: Focusing on the client's feelings fosters a therapeutic relationship by validating her experiences without judgment or assumptions.
Which of the following is the best explanation for why family violence tends to occur over multiple generations of families?
- A. A tendency toward violence is hereditary.
- B. Family violence may be perpetuated between generations of families by role modeling and social learning.
- C. All persons who have become victims of family violence will grow up to perpetrate family violence.
- D. Family violence does not tend to have an intergenerational transmission process.
Correct Answer: B
Rationale: Family violence is often perpetuated through role modeling and social learning, not heredity, and not all victims become perpetrators.
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.
Which of the following are typical characteristics of the perpetrator of intimate partner abuse? Select all that apply.
- A. The perpetrator often believes that the partner is his own property.
- B. The perpetrator is often irrationally jealous, even of his own children.
- C. The perpetrator is emotionally immature and needy.
- D. The perpetrator respects his partner.
- E. The perpetrator is intimidated by his partner.
Correct Answer: A,B,C
Rationale: Perpetrators often view partners as property, exhibit irrational jealousy, and are emotionally immature and needy, but they do not respect or feel intimidated by their partner.
Which of the following are common characteristics of violent families regardless of the type of abuse that exists? Select all that apply.
- A. Abuse of power and control
- B. Alcohol and other drug abuse
- C. Intergenerational transmission
- D. Social isolation
- E. Victim instigates
Correct Answer: A,B,C,D
Rationale: Violent families commonly exhibit social isolation, abuse of power and control, substance abuse, and intergenerational transmission, but the victim does not instigate abuse.