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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.
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The nurse is assessing an elderly female in the emergency department. There are many bruises present on her body in varying stages of healing. After documenting the bruising in the assessment, what should the nurse do next?
- A. Ask the client when and how the bruises occurred
- B. Call the nursing supervisor immediately
- C. Follow the facility's policy and procedures for reporting abuse
- D. Notify the physician that abuse is suspected
Correct Answer: A
Rationale: Asking the client about the bruises is the next step to assess potential abuse before reporting or involving others.
The nurse is working with a client at the battered women's shelter who is in a violent and abusive relationship. The client is considering a separation and asks the nurse, 'What do you think about that?' Which is the best response by the nurse?
- A. Batterers never change, so it would be best for you to leave.
- B. If you don't leave, he'll think you're going to continue to endure his abuse.
- C. If you leave, maybe he'll see that he has to change his behavior.
- D. You may be in more physical danger after you leave him.
Correct Answer: D
Rationale: Leaving an abusive relationship can increase the risk of violence, so the nurse should inform the client of this danger to support safety planning.
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.
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.
A woman has just presented at the emergency department after being raped. The initial nursing action would be to
- A. provide emotional support.
- B. refer her to a rape crisis hotline.
- C. encourage her to file charges immediately.
- D. perform a nursing history and physical as quickly as possible.
Correct Answer: A
Rationale: Providing emotional support is the initial priority to help the victim feel safe and regain control after a traumatic event.