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Which of the following behaviors would first alert the school nurse or teacher to suspect sexual abuse in a 7-year-old child?
- A. The child has a preference for associating with peers, rather than adults.
- B. The child has learning problems and shyness.
- C. The child tells sexually explicit stories to peers.
- D. The child wears dirty and threadbare clothing.
Correct Answer: C
Rationale: Sexually explicit knowledge inappropriate for a child's age is a strong indicator of potential sexual abuse.
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The nurse is caring for a 6-year-old boy with a history of sexual abuse. What might the nurse expect to assess with this client?
- A. The client will experience long-term emotional trauma.
- B. The client will have no ill effects due to his age.
- C. The client will have high self-esteem.
- D. The client will easily share his concerns with the nurse.
Correct Answer: A
Rationale: Childhood sexual abuse often leads to long-term emotional trauma, including nightmares and flashbacks, rather than high self-esteem or ease in sharing concerns.
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.
Which of the following are common behavioral and emotional responses to abuse? Select all that apply.
- A. One third of abusive men are likely to have come from violent homes.
- B. Women who grew up in violent homes are 50% more likely to expect or accept violence in their own relationships.
- C. Dependency on the abuser is a common trait found in victims of domestic violence.
- D. The victim caused the abuse.
- E. It is critical for the nurse to demonstrate acceptance after hearing about the abuse so that the victim may begin to gain self-acceptance.
Correct Answer: A,B,C,E
Rationale: Abusive men often come from violent homes, women from such backgrounds may accept violence, victims are often dependent, and nurse acceptance aids self-acceptance; victims do not cause abuse.
The pediatric nurse is caring for a 15-month-old child recently admitted to the hospital for a fractured femur. Which of the following data obtained during the assessment would raise the nurse's suspicion that the child has suffered physical abuse?
- A. The parents appearing overprotective of the child
- B. Bruises over the child's bony prominences
- C. The injury occurring several days before the parents sought treatment
- D. Both parents reporting the exact same details pertaining to the injurious event
Correct Answer: C
Rationale: A delay in seeking treatment for a significant injury like a fractured femur is a warning sign of potential physical abuse.
Which of the following is the best explanation for why family violence tends to occur over multiple generations of families?
- A. A tendency toward violence is hereditary.
- B. Family violence may be perpetuated between generations of families by role modeling and social learning.
- C. All persons who have become victims of family violence will grow up to perpetrate family violence.
- D. Family violence does not tend to have an intergenerational transmission process.
Correct Answer: B
Rationale: Family violence is often perpetuated through role modeling and social learning, not heredity, and not all victims become perpetrators.