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 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.
A female client has been admitted to the inpatient psychiatric facility with a diagnosis of posttraumatic stress disorder after a history of violence by her boyfriend. During the initial assessment interview, which assessment would be the priority?
- A. Nutritional status
- B. Hydration status
- C. Sleep patterns
- D. Suicide risk
Correct Answer: D
Rationale: Suicide risk (D) is the priority in a client with PTSD due to intimate partner violence, as the trauma and emotional distress significantly increase suicidality. Nutritional status (A), hydration (B), and sleep patterns (C) are important but secondary to ensuring safety.
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 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.
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.