Nokea
The school nurse is teaching a health class about recognizing the signs of abusive relationships. The nurse describes the cycle of violence. The nurse would document effective teaching if the students identify the cycle of violence to be which of the following patterns? Select the order in which the events occur.
- A. Tension building
- B. Honeymoon period
- C. Violent behavior
- D. Period of remorse
Correct Answer: A,C,D,B
Rationale: The cycle of violence follows the pattern of tension building, violent behavior, period of remorse, and then a honeymoon period, repeating thereafter.
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Which characteristic of the abuser should the nurse look for when completing the family assessment of a victim of intimate partner violence?
- A. Encourages the partner to have a life outside the intimate relationship
- B. An inflated sense of self-esteem
- C. Needy and possessive of the partner
- D. An ability to feel remorse for the abuse
Correct Answer: C
Rationale: Abusers are typically needy, possessive, and view their partner as property, with low self-esteem rather than inflated self-esteem or genuine remorse.
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.
The community health nurse meets with the family members of an elderly client. The nurse includes which of the following in the plan of care as a preventive measure to guard against elder abuse?
- A. Reassure the primary caregiver that he or she is in the best position to provide care to the elder
- B. Teach the primary caregiver skills to meet all of the elder's needs
- C. Assist in the transfer of legal authority for elder care to the primary caregiver
- D. Provide the primary caregiver with additional resources to meet the elder's needs
Correct Answer: D
Rationale: Providing additional resources reduces caregiver burden, helping to prevent elder abuse due to stress or overwhelm.
A female college student comes to the counseling center and tells the nurse she is afraid of her boyfriend. She states, 'He is so jealous and overprotective; he wants to know where I am and who I'm with every minute.' Which of the following is most likely true of the situation?
- A. The student is overreacting.
- B. This is a situation requiring a restraining order.
- C. The student's boyfriend is simply insecure and needs reassurance.
- D. This is characteristic of the tension-building phase of the violence cycle.
Correct Answer: D
Rationale: The boyfriend's controlling behavior reflects the tension-building phase of the violence cycle, a precursor to potential abuse.
A young woman telephones the emergency department and loudly tells the nurse, 'I've been raped! Please help me!' Which of the following is the priority for the nurse to determine?
- A. If the client was in a safe place, her condition, and if transportation is available
- B. If the client knew her assailant, knew her location, and had notified the police
- C. If the client has insurance, if she could get to the hospital by herself, and if pregnancy is a possibility
- D. If the client had bathed, douched, or changed clothes
Correct Answer: A
Rationale: Ensuring the client's safety, assessing her condition, and confirming transportation are the immediate priorities to provide appropriate care.