Nokea
Which of the following are common reasons why abused women remain with the abusive partner? Select all that apply.
- A. The abused person is personally and financially dependent on the abuser.
- B. The abused person has low self-esteem and defines her success as a person by the ability to make the relationship work.
- C. The abused person is convinced that she has been abusive toward the abuser at some point and that the abuse is her fault.
- D. The abused person believes that she is unable to function without her husband.
- E. The abused person is afraid that the abuser will kill her if she tries to leave.
Correct Answer: A,B,D,E
Rationale: Dependency, low self-esteem, belief in inability to function independently, and fear of lethal retaliation are common reasons abused women stay in abusive relationships.
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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.
A young female immigrant presents in the rural health clinic with facial bruising and a fractured nose. The client is reluctant to give details of the nature of her injuries. Which of the following should be a consideration in providing care for this client?
- A. Most views regarding domestic violence are universal across cultures.
- B. She may fear deportation if she seeks public assistance.
- C. Immigrants have expedited access to public legal services.
- D. The nurse should ignore the details and focus on treatment.
Correct Answer: B
Rationale: Battered immigrant women may fear deportation, face cultural barriers, and have limited access to resources, which the nurse must consider to provide holistic care.
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.
The nurse is discussing expectations of raising a child with a pregnant teenager expecting her first baby. The father will not be a participant in the parenting. Which of the following statements made by the expectant mother would be of greatest concern to the nurse?
- A. I am going to rely on my sisters for a lot of help raising my baby.
- B. I was raised with very strict discipline.
- C. My child will love me unlike my parents ever did.
- D. I am not sure how I am going to pay for all the things my child will need.
Correct Answer: C
Rationale: Expecting a child to fulfill unmet emotional needs from childhood indicates unrealistic expectations, increasing the risk of potential abuse.
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.