Chapter 41: Caring for Survivors of Violence and Abuse - Nurselytic

Questions 17

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Psychiatric Nursing: Contemporary Practice 6th Edition

Chapter 41 : Caring for Survivors of Violence and Abuse Questions

Question 1 of 5

The nurse is caring for a family in which the elderly mother has been a victim of abuse and neglect by her 48-year-old son. Which of the following would be most important for the nurse to keep in mind before interviewing the family?

Correct Answer: C

Rationale: Allowing the elderly mother to decide whether to leave (
C) respects her autonomy and is critical in abuse cases, ensuring empowerment and safety planning. Legal removal (
A) is premature, self-esteem (
B) is secondary, and nursing home placement (
D) assumes a specific outcome without client input.

Question 2 of 5

A nurse is working with a female client who is anticipating the possibility of leaving an abusive relationship. In helping the client make the decision to leave or to stay in the abusive situation, which of the following would be most important for the nurse to do?

Correct Answer: C

Rationale: Assisting the client in finding a new apartment and job (
C) provides practical support to ensure safety and independence, critical for leaving an abusive relationship. Describing the cycle of violence (
A) is educational but less immediate, warning of murder (
B) may heighten fear, and changing identity (
D) is extreme and less feasible.

Question 3 of 5

A nurse is conducting a public information seminar on the topic of rape and sexual assault at a local community center. Which of the following would the nurse include when describing power rapists?

Correct Answer: D

Rationale: Power rapists seek control and dominance, targeting victims near their age with minimal physical force and intimidation (
D). Sadistic rapists (
A) focus on victim suffering, anger rapists (
B) use extreme force, and opportunistic rapists (
C) act impulsively, none of which align with power rapists? characteristics.

Question 4 of 5

The school nurse is aware that a student has requested aspirin three times during the past week because his back hurts. The nurse has noticed that he often wears long-sleeved sweaters and sweatshirts even in warm weather. The nurse suspects that the student may be the victim of physical abuse. The nurse is preparing to ask the child about his ongoing backache. Which of the following would the nurse anticipate being reported by the child if he was being abused?

Correct Answer: B

Rationale: Children experiencing abuse often provide far-fetched or illogical explanations (
B) to conceal the abuse due to fear or shame. Direct admission (
A) is unlikely, matching a sibling?s story (
C) is not typical, and justifying discipline as love (
D) is less common in children.

Question 5 of 5

A nurse is presenting a program to a church group about domestic violence. During the presentation, a member of the audience asks the nurse to explain what intergenerational transmission of violence means because he has seen that phrase used in the media. Which of the following responses by the nurse would be most appropriate?

Correct Answer: B

Rationale: Intergenerational transmission of violence refers to the tendency for individuals who grow up in violent homes to engage in domestic violence as adults (
B), due to learned behaviors. Neurochemical imbalances (
A) are not the primary cause, no specific gene (
C) is confirmed, and skipping generations (
D) is inaccurate.

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