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Which one of the following statements regarding intimate partner violence is true?
- A. Males are never the victim in intimate partner violence.
- B. It is common for abusers to use one type of abuse only.
- C. Intimate partner violence can exist with former partners.
- D. Psychological abuse is not as harmful as physical abuse.
Correct Answer: C
Rationale: Intimate partner violence can occur in estranged relationships and includes various forms of abuse, with 5-10% of victims being male, and all abuse is harmful.
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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 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 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.
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 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.