Nokea
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.
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A group of nursing students is reviewing information about the types of abuse. The students demonstrate understanding of the information when they identify stalking as a crime of which of the following?
- A. Violence
- B. Intimidation
- C. Jealousy
- D. Fear
Correct Answer: B
Rationale: Stalking is a crime of intimidation (B), involving behaviors intended to control or frighten the victim. It is not always violent (A), jealousy (C) is a motive not a crime, and fear (D) is an outcome, not the defining characteristic.
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.
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 group of nursing students is reviewing information about intimate partner violence (IPV). The group demonstrates understanding of this topic when they identify which of the following?
- A. Men are more likely to be seriously injured even though more women are typically victims.
- B. Men may not consider behaviors such as slapping or shoving as abuse.
- C. IPV in same-sex couples occurs less frequently as compared with heterosexual relationships.
- D. The reactions to IPV are similar in male and female victims.
Correct Answer: B
Rationale: Men often do not perceive behaviors like slapping or shoving as abuse (B), underreporting IPV due to social stigma. Women are more likely to be seriously injured (A), IPV in same-sex couples occurs at similar rates (C), and reactions differ by gender (D) due to societal and psychological factors.