ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 41 : Caring for Survivors of Violence and Abuse Questions
Question 1 of 5
A nurse is interviewing a client who is a survivor of abuse. The client is telling the nurse about how the violence occurred. Which statement would the nurse interpret as reflecting phase 3 of the cycle of violence?
Correct Answer: D
Rationale: Phase 3 of the cycle of violence, the honeymoon phase, involves the abuser expressing remorse and promising not to repeat the violence (
D). Phase 1 (tension-building) includes yelling or verbal abuse (B,
C), and phase 2 (acute battering) involves physical violence (
A).
Question 2 of 5
A nurse is working with a client who is a survivor of violence on developing a safety plan. Which of the following would the nurse address first?
Correct Answer: B
Rationale: Recognizing the signs of danger (
B) is the first step in a safety plan, as it enables the survivor to identify escalating risks and act proactively. Devising an escape route (
A), finding a safe place to hide (
C), or identifying a signal (
D) are subsequent steps that rely on first recognizing danger.
Question 3 of 5
A guest lecturer from a treatment program for perpetrators of abuse is describing the program to a group of nursing students. The program uses cognitive behavioral techniques. Which of the following would the lecturer include as a focus of the program? Select all that apply.
Correct Answer: A,B,C
Rationale: Cognitive behavioral techniques focus on identifying thoughts (
A), emotional/physical responses (
B), and actions (
C) leading to violence to modify behavior. Blaming the survivor (
D) is inappropriate, and assessing guilt/remorse (E) is secondary to addressing the cognitive-behavioral cycle.
Question 4 of 5
The nurse is talking to a female client who is a survivor of intimate partner violence. The woman relates that her husband has been told that he has the characteristics of an antisocial personality disorder. The woman also informs the nurse that her husband has an extensive criminal record. The nurse interprets this information and suspects that the woman?s husband would most likely demonstrate which behavior?
Correct Answer: A
Rationale: Antisocial personality disorder is characterized by a disregard for others' rights, often leading to a risk for moderate to severe violence both within and outside the family (
A), especially given the husband's criminal record. Intermittent remorse (
B) is unlikely, as lack of remorse is a hallmark of the disorder. Depression and inadequacy (
C) are not typical, and social isolation (
D) contradicts the manipulative social tendencies of antisocial personality.
Question 5 of 5
The nurse is caring for a young adult in the mental health clinic. The client tells the nurse that he was physically neglected as a child. The nurse should assess the client for symptoms of which of the following?
Correct Answer: A
Rationale: Physical neglect in childhood is strongly associated with major depression (
A) due to its impact on emotional development and self-esteem. Schizophrenia (
B) has a stronger genetic basis, narcissistic personality disorder (
C) is less directly linked to neglect, and panic disorder (
D) is less commonly a primary outcome of neglect.