Question 1

An experienced nurse correctly notes that an important factor in assessing survivors of childhood sexual abuse is to be aware that they often experience long-term symptoms most closely resembling DSM-IV-TR criteria for:

Accepted Answer

Although childhood sexual abuse produces a wide variety of long-term sequelae,the most common psychosocial problems are PTSD,self-damaging behavior,mood disturbances,interpersonal problems,and sexual difficulties.The other options are rarely noted.

Question 2

The nurse is interviewing a patient who presents with a dislocated shoulder and demonstrates signs of anxiety although relying on her partner for answers.Although the partner is out of the room,which question is most important to ask?

Accepted Answer

When the victim is alone,the nurse must seek information about abuse.Phrasing the question to avoid use of such terms as "abuse" or "battered" is essential.These terms are too emotionally charged,and patients often respond in the negative.The length of the relationship is not a priority.Asking to call the police is premature.

Question 3

A patient in her early teens who is being treated for irritable bowel syndrome has just disclosed that she has been the victim of child abuse for 8 years.For what other condition should the nurse assess this patient?

Accepted Answer

The state of chronic hyperarousal caused by the abuse is the basis for three common outcomes of childhood abuse: PTSD,depression,and irritable bowel syndrome.The conditions mentioned in the other options are not related to child abuse.

Question 4

After being raped,a woman was told by her aunt,"I'm not surprised that happened to you.You always dress to show off your figure." The victim states,"I can't believe that people can think that way." The rape crisis nurse correctly hypothesizes that the patient is:

Accepted Answer

Victim blaming is common following a rape.Instead of blaming the rapist,many individuals lack knowledge and empathy and revictimize the woman.Rape education programs can be helpful in changing attitudes.The other options are hypotheses that continue to place blame on the victim.

Question 5

The care plan for a battered woman will be most successful if the nurse:

Accepted Answer

The nurse's attitudes,values,and choices cannot be imposed upon the patient.The nurse must empower the patient to make her own decisions.Empowerment will help the patient develop strength to make growth-producing decisions independently.The remaining options would be counterproductive or have no bearing on the success of the care plan.

Question 6

A patient who has been battered by her partner sobs,"It was my own fault." Which of the following would be the priority response by the nurse?

Accepted Answer

The patient must understand that as a human being she has the right not to be abused.Victims of abuse should be given this information in a respectful way to counteract their feelings of guilt and shame.Asking about behaviors suggests that the patient had a role in provoking the battery.Asking why sidesteps the real issue.Enquiring about her childhood continues to look at factors within the patient.

Question 7

An elderly patient who lives with her daughter,son-in-law,and their three children reveals that her daughter sometimes slaps her when she does not move fast enough or spills things.The daughter states,"I have so much to do that I become frustrated when my mother can't move fast enough or causes me extra work." The nurse caring for the mother could appropriately suggest:

Accepted Answer

The daughter has many stressors and has few external supports.Enrolling in a stress management group would provide support as well as teach new adaptive coping strategies.Being required to read the law is threatening.The remaining options are premature.

Question 8

The nurse is planning care for a battered woman who has mentioned,"Someday I'll have to leave him." Which outcome should the nurse include in the plan of care for this patient?

Accepted Answer

This is a realistic outcome for a patient who is beginning to consider leaving the abusive situation.Setting a timeline is premature.Feeling relaxed is more related to a problem of anxiety than to abuse.Returning is not an outcome that is in the patient's best interest.

Question 9

A teenage boy has been periodically beaten by his father.The boy tells the nurse,"He'll pay for this one way or another." The nurse treating his contusions should assess for behaviors suggesting:

Accepted Answer

Research suggests that children who are abused are at high risk for antisocial behavior and associated aggressive behaviors for a period of at least 2 years after the battering incident.The boy's remark is not consistent with any of the other options.

Question 10

Which statement regarding the various types of child offender is correct?

Accepted Answer

The child physical offender often is assessed as having poor self-esteem,poor impulse control,unrealistic expectations of children,immaturity,and minimal external supports.The child sexual offender has diverse characteristics,with no profile becoming apparent.The child sexual offender often does not show remorse for the acts.

Question 11

The experienced nurse assessing a battered woman patient uses many open-ended questions during the interview.The rationale for this is that:

Accepted Answer

Open-ended questions reflecting what the woman is disclosing give the patient the sense of being in control of the interview,and she is likely to reveal more than when direct questions are used exclusively.Open-ended questions are not easily answered "yes" or "no." Open-ended questions are indirect.Patients can refuse to answer any question,so this is not an acceptable rationale.

Question 12

A toddler was brought to the hospital with a broken humerus and upper arm bruising.The child's father states that he shook the child while disciplining him to teach him to be quiet.An appropriate family-related nursing diagnosis is:

Accepted Answer

This diagnosis is supported by data in the scenario.Violence has occurred,so a risk diagnosis is not appropriate.The remaining diagnoses are not supported by data.

Question 13

A woman whose husband physically abuses her mentions to the nurse,"Someday I'll have to leave him." Which of the following would be the nurse's best response?

Accepted Answer

It is well known that the woman is at high risk for being killed or seriously injured when she leaves the abuser.Having a safety plan lowers the risk and makes leaving a less nebulous idea.The patient must make up her own mind.Asking about the family's response sidesteps the issue of safety.The patient needs empowerment,not criticism.

Question 14

Which of the following would be an appropriate outcome for a patient diagnosed with rape-trauma syndrome?

Accepted Answer

Rape trauma victims require time to process what has happened to them and to reorganize their lives,just as an individual who is grieving must do.The remaining options are not realistic nor therapeutic.

Quiz 23: Violence: Anger, Abuse, and Aggression