Question 1

The nurse is providing care for a client who experienced several fractures as a result of spousal abuse.Which intervention is the most appropriate to include when planning care for the client?

Accepted Answer

A) A client who has been victimized by a partner should have a safety plan. This has the highest priority as the client's life is in danger. The client has no control over the partner, and suggesting that the couple needs to see a therapist may escalate the situation. Encouraging the client to take charge is too general a statement to be helpful; the client needs specific tools to develop a safety plan. It may not be safe and feasible for the client to leave the situation right away, and resources should not be withheld if a client is unable to promise not to return home.
B) A client who has been victimized by a partner should have a safety plan. This has the highest priority as the client's life is in danger. The client has no control over the partner, and suggesting that the couple needs to see a therapist may escalate the situation. Encouraging the client to take charge is too general a statement to be helpful; the client needs specific tools to develop a safety plan. It may not be safe and feasible for the client to leave the situation right away, and resources should not be withheld if a client is unable to promise not to return home.
C) A client who has been victimized by a partner should have a safety plan. This has the highest priority as the client's life is in danger. The client has no control over the partner, and suggesting that the couple needs to see a therapist may escalate the situation. Encouraging the client to take charge is too general a statement to be helpful; the client needs specific tools to develop a safety plan. It may not be safe and feasible for the client to leave the situation right away, and resources should not be withheld if a client is unable to promise not to return home.
D) A client who has been victimized by a partner should have a safety plan. This has the highest priority as the client's life is in danger. The client has no control over the partner, and suggesting that the couple needs to see a therapist may escalate the situation. Encouraging the client to take charge is too general a statement to be helpful; the client needs specific tools to develop a safety plan. It may not be safe and feasible for the client to leave the situation right away, and resources should not be withheld if a client is unable to promise not to return home.

Question 2

The nurse is providing care to a child who has suffered abuse.Which nursing actions are appropriate? Select all that apply.

Accepted Answer

A) The priority nursing consideration regarding the abused child is to ensure the immediate safety of the child. Beyond that, the abused child needs to be encouraged to talk about the abuse but must also be protected from having to provide multiple reports. The nurse working with the abused child needs to say that he or she believes the child's story; the nurse also must reassure the child that he or she has done nothing wrong. The nurse should avoid making negative comments about the abuser and must follow established protocols for mandatory reporting, documentation, and use of available support services.
B) The priority nursing consideration regarding the abused child is to ensure the immediate safety of the child. Beyond that, the abused child needs to be encouraged to talk about the abuse but must also be protected from having to provide multiple reports. The nurse working with the abused child needs to say that he or she believes the child's story; the nurse also must reassure the child that he or she has done nothing wrong. The nurse should avoid making negative comments about the abuser and must follow established protocols for mandatory reporting, documentation, and use of available support services.
C) The priority nursing consideration regarding the abused child is to ensure the immediate safety of the child. Beyond that, the abused child needs to be encouraged to talk about the abuse but must also be protected from having to provide multiple reports. The nurse working with the abused child needs to say that he or she believes the child's story; the nurse also must reassure the child that he or she has done nothing wrong. The nurse should avoid making negative comments about the abuser and must follow established protocols for mandatory reporting, documentation, and use of available support services.
D) The priority nursing consideration regarding the abused child is to ensure the immediate safety of the child. Beyond that, the abused child needs to be encouraged to talk about the abuse but must also be protected from having to provide multiple reports. The nurse working with the abused child needs to say that he or she believes the child's story; the nurse also must reassure the child that he or she has done nothing wrong. The nurse should avoid making negative comments about the abuser and must follow established protocols for mandatory reporting, documentation, and use of available support services.
E) The priority nursing consideration regarding the abused child is to ensure the immediate safety of the child. Beyond that, the abused child needs to be encouraged to talk about the abuse but must also be protected from having to provide multiple reports. The nurse working with the abused child needs to say that he or she believes the child's story; the nurse also must reassure the child that he or she has done nothing wrong. The nurse should avoid making negative comments about the abuser and must follow established protocols for mandatory reporting, documentation, and use of available support services.

Question 3

The nurse is caring for a client that is the victim of domestic violence and is visited by the spouse in the hospital.Which action by the nurse supports the client?

Accepted Answer

A) The nurse needs to maintain a nonjudgmental attitude when caring for victims of abuse and their family members. The nurse should ask the client if there is anything that is needed at this time. The nurse should not refuse to let the spouse visit unless it is the client's wish to do so. The nurse should not contact security or the police.
B) The nurse needs to maintain a nonjudgmental attitude when caring for victims of abuse and their family members. The nurse should ask the client if there is anything that is needed at this time. The nurse should not refuse to let the spouse visit unless it is the client's wish to do so. The nurse should not contact security or the police.
C) The nurse needs to maintain a nonjudgmental attitude when caring for victims of abuse and their family members. The nurse should ask the client if there is anything that is needed at this time. The nurse should not refuse to let the spouse visit unless it is the client's wish to do so. The nurse should not contact security or the police.
D) The nurse needs to maintain a nonjudgmental attitude when caring for victims of abuse and their family members. The nurse should ask the client if there is anything that is needed at this time. The nurse should not refuse to let the spouse visit unless it is the client's wish to do so. The nurse should not contact security or the police.

Question 4

The nurse is providing care for a 2-year-old client.When assessing the client's risk for abuse,which increase this client's risk? Select all that apply.

Accepted Answer

A) Risk factors for child abuse include poverty, age less than 3 years, and child disability or condition that requires a great deal of care. Marriage of the parents and bruises on the knees and shins are not risk factors for abuse.
B) Risk factors for child abuse include poverty, age less than 3 years, and child disability or condition that requires a great deal of care. Marriage of the parents and bruises on the knees and shins are not risk factors for abuse.
C) Risk factors for child abuse include poverty, age less than 3 years, and child disability or condition that requires a great deal of care. Marriage of the parents and bruises on the knees and shins are not risk factors for abuse.
D) Risk factors for child abuse include poverty, age less than 3 years, and child disability or condition that requires a great deal of care. Marriage of the parents and bruises on the knees and shins are not risk factors for abuse.
E) Risk factors for child abuse include poverty, age less than 3 years, and child disability or condition that requires a great deal of care. Marriage of the parents and bruises on the knees and shins are not risk factors for abuse.

Question 5

A client is brought into the emergency department after being in a motor vehicle accident.The client has suffered traumatic injury that may involve multiple body systems.Which is the priority nursing assessment for this client?

Accepted Answer

A) When caring for the trauma victim the nurse must always prioritize assessments, with the ABCDEs as the highest-priority concerns. It is imperative that the nurse's first concern is airway maintenance with cervical spine protection.
B) When caring for the trauma victim the nurse must always prioritize assessments, with the ABCDEs as the highest-priority concerns. It is imperative that the nurse's first concern is airway maintenance with cervical spine protection.
C) When caring for the trauma victim the nurse must always prioritize assessments, with the ABCDEs as the highest-priority concerns. It is imperative that the nurse's first concern is airway maintenance with cervical spine protection.
D) When caring for the trauma victim the nurse must always prioritize assessments, with the ABCDEs as the highest-priority concerns. It is imperative that the nurse's first concern is airway maintenance with cervical spine protection.

Question 6

An older adult client is brought into the emergency room after experiencing a fall.The nurse suspects elder abuse.Which assessment findings support the nurse's suspicions? Select all that apply.

Accepted Answer

A) The nurse suspecting elder abuse would assess for clinical manifestations associated with elder abuse. Some of those clinical manifestations are: constant hunger or malnutrition, poor hygiene, social isolation, contractures, dehydration, fecal impaction, fractures, sprains, or dislocations. Intracranial trauma is not a typical clinical manifestation of elder abuse; however, it is a clinical manifestation of child abuse.
B) The nurse suspecting elder abuse would assess for clinical manifestations associated with elder abuse. Some of those clinical manifestations are: constant hunger or malnutrition, poor hygiene, social isolation, contractures, dehydration, fecal impaction, fractures, sprains, or dislocations. Intracranial trauma is not a typical clinical manifestation of elder abuse; however, it is a clinical manifestation of child abuse.
C) The nurse suspecting elder abuse would assess for clinical manifestations associated with elder abuse. Some of those clinical manifestations are: constant hunger or malnutrition, poor hygiene, social isolation, contractures, dehydration, fecal impaction, fractures, sprains, or dislocations. Intracranial trauma is not a typical clinical manifestation of elder abuse; however, it is a clinical manifestation of child abuse.
D) The nurse suspecting elder abuse would assess for clinical manifestations associated with elder abuse. Some of those clinical manifestations are: constant hunger or malnutrition, poor hygiene, social isolation, contractures, dehydration, fecal impaction, fractures, sprains, or dislocations. Intracranial trauma is not a typical clinical manifestation of elder abuse; however, it is a clinical manifestation of child abuse.
E) The nurse suspecting elder abuse would assess for clinical manifestations associated with elder abuse. Some of those clinical manifestations are: constant hunger or malnutrition, poor hygiene, social isolation, contractures, dehydration, fecal impaction, fractures, sprains, or dislocations. Intracranial trauma is not a typical clinical manifestation of elder abuse; however, it is a clinical manifestation of child abuse.

Question 7

The nurse is discharging a client,who was admitted for surgery for a compound ulnar fracture that occurred during a conflict with the client's spouse.When the client states,"I hope this cast comes off before summer.Last night my husband promised me he is going to take me to Hawaii this summer.After he broke my jaw we went to Rome." Based on this data,which phase of violence is the client experiencing?

Accepted Answer

A) The tension phase of the cycle of violence occurs when communication fails and tension builds. The abusive phase occurs when there is a violent incident. The honeymoon phase occurs when the aggressor shows love and affection. The cycle of violence will continue unless intervention occurs, and there is no reason for Mrs. Snell to expect it will stop or anticipate reconciliation and healing.
B) The tension phase of the cycle of violence occurs when communication fails and tension builds. The abusive phase occurs when there is a violent incident. The honeymoon phase occurs when the aggressor shows love and affection. The cycle of violence will continue unless intervention occurs, and there is no reason for Mrs. Snell to expect it will stop or anticipate reconciliation and healing.
C) The tension phase of the cycle of violence occurs when communication fails and tension builds. The abusive phase occurs when there is a violent incident. The honeymoon phase occurs when the aggressor shows love and affection. The cycle of violence will continue unless intervention occurs, and there is no reason for Mrs. Snell to expect it will stop or anticipate reconciliation and healing.
D) The tension phase of the cycle of violence occurs when communication fails and tension builds. The abusive phase occurs when there is a violent incident. The honeymoon phase occurs when the aggressor shows love and affection. The cycle of violence will continue unless intervention occurs, and there is no reason for Mrs. Snell to expect it will stop or anticipate reconciliation and healing.

Question 8

A child is admitted to the hospital with physical injuries.Which assessment findings would indicate that the child is a victim of abuse? Select all that apply.

Accepted Answer

A) Clinical manifestations of child abuse include abrasions to the mouth, lips, and genitalia; missing teeth; and inappropriate responses to pain. Dehydration and confusion are manifestations of elder abuse.
B) Clinical manifestations of child abuse include abrasions to the mouth, lips, and genitalia; missing teeth; and inappropriate responses to pain. Dehydration and confusion are manifestations of elder abuse.
C) Clinical manifestations of child abuse include abrasions to the mouth, lips, and genitalia; missing teeth; and inappropriate responses to pain. Dehydration and confusion are manifestations of elder abuse.
D) Clinical manifestations of child abuse include abrasions to the mouth, lips, and genitalia; missing teeth; and inappropriate responses to pain. Dehydration and confusion are manifestations of elder abuse.
E) Clinical manifestations of child abuse include abrasions to the mouth, lips, and genitalia; missing teeth; and inappropriate responses to pain. Dehydration and confusion are manifestations of elder abuse.

Question 9

A young client is brought into the emergency department by a friend who says the client was "beat up" at school.The client is reluctant to provide the names of parents or a home address.Which should the nurse suspect has occurred with this client?

Accepted Answer

A) Although the nurse may initially believe that the client is telling the truth about being beaten up at school, the client's reluctance to provide parents' names or address could suggest the client is a victim of interpersonal violence. Reluctance to provide personal information could mean fear of further abuse. It is unlikely that the client does not know his parents. It is also unlikely that the client does not want to get the school or the individual who did the beating in trouble.
B) Although the nurse may initially believe that the client is telling the truth about being beaten up at school, the client's reluctance to provide parents' names or address could suggest the client is a victim of interpersonal violence. Reluctance to provide personal information could mean fear of further abuse. It is unlikely that the client does not know his parents. It is also unlikely that the client does not want to get the school or the individual who did the beating in trouble.
C) Although the nurse may initially believe that the client is telling the truth about being beaten up at school, the client's reluctance to provide parents' names or address could suggest the client is a victim of interpersonal violence. Reluctance to provide personal information could mean fear of further abuse. It is unlikely that the client does not know his parents. It is also unlikely that the client does not want to get the school or the individual who did the beating in trouble.
D) Although the nurse may initially believe that the client is telling the truth about being beaten up at school, the client's reluctance to provide parents' names or address could suggest the client is a victim of interpersonal violence. Reluctance to provide personal information could mean fear of further abuse. It is unlikely that the client does not know his parents. It is also unlikely that the client does not want to get the school or the individual who did the beating in trouble.

Question 10

A client who has experienced domestic violence in the past has decided to stop participating in counseling.Which client statement would indicate that therapy has been effective?

Accepted Answer

A) The client acknowledging that future problems will come up indicates that the client has gained insight into problems. The client's willingness to ask for help shows that the client is prepared to continue with counseling when new problems arise. Stating that the process is draining and painful suggests that little progress has been made and that the client is looking to avoid the pain. Stating that there is nothing than can be done is fatalistic. Basing termination of treatment on the statements of others places emphasis on others and not on self-evaluation.
B) The client acknowledging that future problems will come up indicates that the client has gained insight into problems. The client's willingness to ask for help shows that the client is prepared to continue with counseling when new problems arise. Stating that the process is draining and painful suggests that little progress has been made and that the client is looking to avoid the pain. Stating that there is nothing than can be done is fatalistic. Basing termination of treatment on the statements of others places emphasis on others and not on self-evaluation.
C) The client acknowledging that future problems will come up indicates that the client has gained insight into problems. The client's willingness to ask for help shows that the client is prepared to continue with counseling when new problems arise. Stating that the process is draining and painful suggests that little progress has been made and that the client is looking to avoid the pain. Stating that there is nothing than can be done is fatalistic. Basing termination of treatment on the statements of others places emphasis on others and not on self-evaluation.
D) The client acknowledging that future problems will come up indicates that the client has gained insight into problems. The client's willingness to ask for help shows that the client is prepared to continue with counseling when new problems arise. Stating that the process is draining and painful suggests that little progress has been made and that the client is looking to avoid the pain. Stating that there is nothing than can be done is fatalistic. Basing termination of treatment on the statements of others places emphasis on others and not on self-evaluation.

Question 11

The emergency department nurse is caring for a client with multiple injuries.The client has had a diagnostic peritoneal lavage to determine the presence of blood in the peritoneal cavity.Which result would indicate to the nurse that the diagnostic test is considered positive?

Accepted Answer

A) If the solution returns pink and is found to have a red blood cell count of 100,000 mm³, a white blood cell count of > 500, or bile, food, or feces, the test is considered positive and the client is taken to the operating room for exploratory surgery.
B) If the solution returns pink and is found to have a red blood cell count of 100,000 mm³, a white blood cell count of > 500, or bile, food, or feces, the test is considered positive and the client is taken to the operating room for exploratory surgery.
C) If the solution returns pink and is found to have a red blood cell count of 100,000 mm³, a white blood cell count of > 500, or bile, food, or feces, the test is considered positive and the client is taken to the operating room for exploratory surgery.
D) If the solution returns pink and is found to have a red blood cell count of 100,000 mm³, a white blood cell count of > 500, or bile, food, or feces, the test is considered positive and the client is taken to the operating room for exploratory surgery.

Question 12

The nurse is providing care to a client who is a victim of interpersonal violence.Which interventions are appropriate for this client? Select all that apply.

Accepted Answer

A) The nurse should use a supportive, nurturing approach because it is important for victims of interpersonal violence to feel supported and cared for in order to develop trust and work through their issues. The nurse should also help the client identify intra- and interpersonal strengths because recognition of strengths will decrease feelings of helplessness. Educating the client on how to avoid future incidents of violence is not therapeutic and implies that the incident might have been the client's fault. Distracting the client will prolong the grieving process, and the client will be left with unresolved conflicted feelings. Maintaining objectivity and providing short responses discourages communication and does not offer the client the empathy and support that are needed.
B) The nurse should use a supportive, nurturing approach because it is important for victims of interpersonal violence to feel supported and cared for in order to develop trust and work through their issues. The nurse should also help the client identify intra- and interpersonal strengths because recognition of strengths will decrease feelings of helplessness. Educating the client on how to avoid future incidents of violence is not therapeutic and implies that the incident might have been the client's fault. Distracting the client will prolong the grieving process, and the client will be left with unresolved conflicted feelings. Maintaining objectivity and providing short responses discourages communication and does not offer the client the empathy and support that are needed.
C) The nurse should use a supportive, nurturing approach because it is important for victims of interpersonal violence to feel supported and cared for in order to develop trust and work through their issues. The nurse should also help the client identify intra- and interpersonal strengths because recognition of strengths will decrease feelings of helplessness. Educating the client on how to avoid future incidents of violence is not therapeutic and implies that the incident might have been the client's fault. Distracting the client will prolong the grieving process, and the client will be left with unresolved conflicted feelings. Maintaining objectivity and providing short responses discourages communication and does not offer the client the empathy and support that are needed.
D) The nurse should use a supportive, nurturing approach because it is important for victims of interpersonal violence to feel supported and cared for in order to develop trust and work through their issues. The nurse should also help the client identify intra- and interpersonal strengths because recognition of strengths will decrease feelings of helplessness. Educating the client on how to avoid future incidents of violence is not therapeutic and implies that the incident might have been the client's fault. Distracting the client will prolong the grieving process, and the client will be left with unresolved conflicted feelings. Maintaining objectivity and providing short responses discourages communication and does not offer the client the empathy and support that are needed.
E) The nurse should use a supportive, nurturing approach because it is important for victims of interpersonal violence to feel supported and cared for in order to develop trust and work through their issues. The nurse should also help the client identify intra- and interpersonal strengths because recognition of strengths will decrease feelings of helplessness. Educating the client on how to avoid future incidents of violence is not therapeutic and implies that the incident might have been the client's fault. Distracting the client will prolong the grieving process, and the client will be left with unresolved conflicted feelings. Maintaining objectivity and providing short responses discourages communication and does not offer the client the empathy and support that are needed.

Question 13

A client with a long history of experiencing domestic violence tells the nurse,"There is no way out for me; this situation will never change." What nursing diagnosis would be most appropriate?

Accepted Answer

A) Powerlessness is indicated when the client feels an inability to change the pattern or to leave the situation. The victim may experience health maintenance problems as a result of experiencing domestic violence; however, this is not the primary diagnosis. Some victims will experience self-esteem issues, which are secondary to their feeling of having little or no control over their lives. The client is not at high risk for other-directed violence but is rather at high risk to experience it.
B) Powerlessness is indicated when the client feels an inability to change the pattern or to leave the situation. The victim may experience health maintenance problems as a result of experiencing domestic violence; however, this is not the primary diagnosis. Some victims will experience self-esteem issues, which are secondary to their feeling of having little or no control over their lives. The client is not at high risk for other-directed violence but is rather at high risk to experience it.
C) Powerlessness is indicated when the client feels an inability to change the pattern or to leave the situation. The victim may experience health maintenance problems as a result of experiencing domestic violence; however, this is not the primary diagnosis. Some victims will experience self-esteem issues, which are secondary to their feeling of having little or no control over their lives. The client is not at high risk for other-directed violence but is rather at high risk to experience it.
D) Powerlessness is indicated when the client feels an inability to change the pattern or to leave the situation. The victim may experience health maintenance problems as a result of experiencing domestic violence; however, this is not the primary diagnosis. Some victims will experience self-esteem issues, which are secondary to their feeling of having little or no control over their lives. The client is not at high risk for other-directed violence but is rather at high risk to experience it.

Question 14

A young adult female student is brought into the emergency department by her roommate.The roommate says,"She came home from a party at her boyfriend's house and said that he raped her." Which techniques are appropriate when assessing this client? Select all that apply.

Accepted Answer

A) It is inappropriate to ask her how many sexual partners she has had, if she has ever had a sexually transmitted infection, or if she led her boyfriend on. You should offer to use a rape evidence collection kit. It is also inappropriate to assess for the presence of an intact hymen.
B) It is inappropriate to ask her how many sexual partners she has had, if she has ever had a sexually transmitted infection, or if she led her boyfriend on. You should offer to use a rape evidence collection kit. It is also inappropriate to assess for the presence of an intact hymen.
C) It is inappropriate to ask her how many sexual partners she has had, if she has ever had a sexually transmitted infection, or if she led her boyfriend on. You should offer to use a rape evidence collection kit. It is also inappropriate to assess for the presence of an intact hymen.
D) It is inappropriate to ask her how many sexual partners she has had, if she has ever had a sexually transmitted infection, or if she led her boyfriend on. You should offer to use a rape evidence collection kit. It is also inappropriate to assess for the presence of an intact hymen.
E) It is inappropriate to ask her how many sexual partners she has had, if she has ever had a sexually transmitted infection, or if she led her boyfriend on. You should offer to use a rape evidence collection kit. It is also inappropriate to assess for the presence of an intact hymen.

Question 15

A client with a walking disability tells the nurse that going out alone at night is not an option for fear of being a target for a crime.Which has the client identified based on this data?

Accepted Answer

A) Vulnerability factors increase one's risk of being a victim of violence. The client with a walking disability avoids the possibility of a crime by not going out alone at night. Predisposing factors are those that increase one's risk of violent victimization or perpetration of violence. Risk factors increase the potential that one will perpetrate violence on others. Precipitating factors are those that give rise to a specific incident of violence.
B) Vulnerability factors increase one's risk of being a victim of violence. The client with a walking disability avoids the possibility of a crime by not going out alone at night. Predisposing factors are those that increase one's risk of violent victimization or perpetration of violence. Risk factors increase the potential that one will perpetrate violence on others. Precipitating factors are those that give rise to a specific incident of violence.
C) Vulnerability factors increase one's risk of being a victim of violence. The client with a walking disability avoids the possibility of a crime by not going out alone at night. Predisposing factors are those that increase one's risk of violent victimization or perpetration of violence. Risk factors increase the potential that one will perpetrate violence on others. Precipitating factors are those that give rise to a specific incident of violence.
D) Vulnerability factors increase one's risk of being a victim of violence. The client with a walking disability avoids the possibility of a crime by not going out alone at night. Predisposing factors are those that increase one's risk of violent victimization or perpetration of violence. Risk factors increase the potential that one will perpetrate violence on others. Precipitating factors are those that give rise to a specific incident of violence.

Question 16

A young female client presents to the emergency department with vague physical symptoms and does not make eye contact with the nurse during the interview.Which assessment question from the nurse is the most appropriate to gain understanding of the cause of the client's symptoms?

Accepted Answer

A) A nurse who works with women should explicitly ask if the young adult is frightened or hurt by someone she knows. It is essential that nurses make assessment for domestic violence part of their routine. Generalized questions about family life, life problems, or events in the individual's life only allow for the topic of domestic abuse to be skirted and perhaps avoided altogether. The nurse needs to address it pointedly and directly.
B) A nurse who works with women should explicitly ask if the young adult is frightened or hurt by someone she knows. It is essential that nurses make assessment for domestic violence part of their routine. Generalized questions about family life, life problems, or events in the individual's life only allow for the topic of domestic abuse to be skirted and perhaps avoided altogether. The nurse needs to address it pointedly and directly.
C) A nurse who works with women should explicitly ask if the young adult is frightened or hurt by someone she knows. It is essential that nurses make assessment for domestic violence part of their routine. Generalized questions about family life, life problems, or events in the individual's life only allow for the topic of domestic abuse to be skirted and perhaps avoided altogether. The nurse needs to address it pointedly and directly.
D) A nurse who works with women should explicitly ask if the young adult is frightened or hurt by someone she knows. It is essential that nurses make assessment for domestic violence part of their routine. Generalized questions about family life, life problems, or events in the individual's life only allow for the topic of domestic abuse to be skirted and perhaps avoided altogether. The nurse needs to address it pointedly and directly.

Question 17

The school nurse is leading a discussion on violence with a group of adolescents.Which factors could the school nurse indicate as protective factors that may decrease the risk of violence? Select all that apply.

Accepted Answer

A) Involvement in the community, participation in family activities, and success in school are all examples of protective factors. Protective factors decrease the risk of violence perpetration and victimization. Residing in an impoverished community is a predisposing factor. Academic failure at a young age is an influential factor.
B) Involvement in the community, participation in family activities, and success in school are all examples of protective factors. Protective factors decrease the risk of violence perpetration and victimization. Residing in an impoverished community is a predisposing factor. Academic failure at a young age is an influential factor.
C) Involvement in the community, participation in family activities, and success in school are all examples of protective factors. Protective factors decrease the risk of violence perpetration and victimization. Residing in an impoverished community is a predisposing factor. Academic failure at a young age is an influential factor.
D) Involvement in the community, participation in family activities, and success in school are all examples of protective factors. Protective factors decrease the risk of violence perpetration and victimization. Residing in an impoverished community is a predisposing factor. Academic failure at a young age is an influential factor.
E) Involvement in the community, participation in family activities, and success in school are all examples of protective factors. Protective factors decrease the risk of violence perpetration and victimization. Residing in an impoverished community is a predisposing factor. Academic failure at a young age is an influential factor.

Question 18

A client is admitted with injuries sustained from a domestic dispute.When planning care,the nurse will include which short-term interventions? Select all that apply.

Accepted Answer

A) Short-term interventions for abuse include determining the immediacy of danger, conveying that the client has the right to be safe, and exploring options for help. Exploring options for self-development and improving the quality of life by increasing self-esteem are long-term interventions for abused adults.
B) Short-term interventions for abuse include determining the immediacy of danger, conveying that the client has the right to be safe, and exploring options for help. Exploring options for self-development and improving the quality of life by increasing self-esteem are long-term interventions for abused adults.
C) Short-term interventions for abuse include determining the immediacy of danger, conveying that the client has the right to be safe, and exploring options for help. Exploring options for self-development and improving the quality of life by increasing self-esteem are long-term interventions for abused adults.
D) Short-term interventions for abuse include determining the immediacy of danger, conveying that the client has the right to be safe, and exploring options for help. Exploring options for self-development and improving the quality of life by increasing self-esteem are long-term interventions for abused adults.
E) Short-term interventions for abuse include determining the immediacy of danger, conveying that the client has the right to be safe, and exploring options for help. Exploring options for self-development and improving the quality of life by increasing self-esteem are long-term interventions for abused adults.

Question 19

After an assessment,the nurse suspects a client with multiple injuries is a victim of domestic violence.Which action should occur next?

Accepted Answer

A) If the nursing assessment reveals possible domestic violence, a team assessment needs to take place. The police may need to be notified later. The extent of injuries will dictate when they should be treated. The degree of anxiety will also determine whether the client needs medication.
B) If the nursing assessment reveals possible domestic violence, a team assessment needs to take place. The police may need to be notified later. The extent of injuries will dictate when they should be treated. The degree of anxiety will also determine whether the client needs medication.
C) If the nursing assessment reveals possible domestic violence, a team assessment needs to take place. The police may need to be notified later. The extent of injuries will dictate when they should be treated. The degree of anxiety will also determine whether the client needs medication.
D) If the nursing assessment reveals possible domestic violence, a team assessment needs to take place. The police may need to be notified later. The extent of injuries will dictate when they should be treated. The degree of anxiety will also determine whether the client needs medication.

Question 20

A client recovering from injuries obtained from a domestic dispute asks to attend Mass at the hospital chapel.Which is the reason why this is important for the client?

Accepted Answer

A) The nurse understands the importance of spiritual support in the recovery process. The client may be struggling with questions or experiencing feelings of rage and grief. This is an important component of the process that will help the client move closer to the healing phase. The client may wish to attend Mass for the other reasons given, but the nurse knows that these are not as significant to the recovery process.
B) The nurse understands the importance of spiritual support in the recovery process. The client may be struggling with questions or experiencing feelings of rage and grief. This is an important component of the process that will help the client move closer to the healing phase. The client may wish to attend Mass for the other reasons given, but the nurse knows that these are not as significant to the recovery process.
C) The nurse understands the importance of spiritual support in the recovery process. The client may be struggling with questions or experiencing feelings of rage and grief. This is an important component of the process that will help the client move closer to the healing phase. The client may wish to attend Mass for the other reasons given, but the nurse knows that these are not as significant to the recovery process.
D) The nurse understands the importance of spiritual support in the recovery process. The client may be struggling with questions or experiencing feelings of rage and grief. This is an important component of the process that will help the client move closer to the healing phase. The client may wish to attend Mass for the other reasons given, but the nurse knows that these are not as significant to the recovery process.

Quiz 32: Violence