211 exam 4 violence & sensory

In planning care for a woman who presents as a survivor of domestic abuse, a nurse should be aware of which of the following data? (Select all that apply.)

It often takes several attempts before a woman leaves an abusive situation.,  

Women in abusive relationships usually feel isolated and unsupported.  

Economic factors often play a role in the decision to stay.

A student is studying about abuse for the upcoming exam. To fully instill the topic, the student should know that the priority nursing intervention for a child or elder victim of abuse is:

Implement measures to ensure the victim’s safety.

Joseph, a 12-year-old child, complains to the school nurse about nausea and dizziness. While assessing the child, the nurse notices a black eye that looks like an injury. This is the third time in 1 month that the child has visited the nurse. Each time, the child provides vague explanations for various injuries. Which of the following is the school nurse’s priority intervention?

 

Report suspicion of abuse to the proper authorities.

The incidence/Prevalence of Cataracts is:

About 20-22 million people in North America have cataracts. The age related cataract is most common. Some degree of cataract formation is expected in all people older than 70 years.

Causes of toxic cataracts?

-Corticosteroids

-Phenothiazine derivatives

-Miotic agents

Primary glaucoma is:

Primary glaucoma is the most common form of glaucoma. The structure involved in circulation and reabsorption of the aqueous humor undergo direct pathologic change. -Aging -Heredity -Central retinal vein occlusion

Symptoms of glaucoma:

Tissue damage usually starts in the periphery and moves inward toward the fovea centralis. The patient often is not aware of the gradual reduction in vision. Glaucoma is painless, but can lead to blindness.

1. Which statement made by a new mother should be explored further by the nurse?

b. “I think the baby cries just to make me angry.”

Which problem is observed in children who regularly witness acts of violence in their family? Select all that apply.

a. Phobias

b. Low self-esteem

c. Major depressive disorder

PTSD

3. What situation associated with a caregiver presents the greatest risk that an older adult will experience abuse by that caregiver?

b. The caregiver was neglected as a child.

4. What safety-related responsibility does the nurse have in any situation of suspected abuse?

d. Report suspected abuse to the proper authorities.

5. The nurse is assisting a patient to identify safety issues that may occur now that she has left an abusive partner. What telephone numbers should be available to the patient? Select all that apply.

a. The police department

b. An abuse hotline

c. A responsible friend or family member

d. A domestic violence shelter

6. Secondary effects of abuse often manifest as arrested development in children due to the fact that:

b. Energy for development is diverted to coping

7. The use of a patient-centered interview technique works well for gathering information about abusive situations. It is a good use of clinical time to sit near the patient and:

establish trust and rapport

8. The abused person is often in a dependent position, relying on the abuser for basic needs. At particular risk are children and older adults due to:

limited options

9. An appropriate expected outcome in individual therapy regarding the perpetrator of abuse would be:

The perpetrator will recognize destructive patterns of behavior and learn alternate responses.

Perpetrators of domestic violence tend to: Select all that apply.

a. Have relatively poor social skills and have grown up with poor role models.

b. Believe they, if male, should be dominant and in charge in relationships.

d. Be controlling and willing to use force to maintain their power in relationships.

e. Prevent their mates from having relationships and activities outside the family.

Which of the following client statements about instillation of multiple different eyedrops would require the nurse to provide further teaching? Select all that apply.

“I can instill all of the prescribed eyedrops at one time.”

The telehealth nurse receives a call from a client who had surgery this morning to repair a retinal detachment. When the client reports pain in the affected eye with diminished visual acuity, which nursing response is appropriate?

Contact your ophthalmologist right away.”

A client comes to the emergency department reporting the new sensation of something in the eye. Which of the following assessment data would the nurse anticipate that is consistent with a foreign body? Select all that apply.

pain, tearing, photophobia, blurred vision

Which condition would the nurse anticipate when a client explains having slow, progressive visual disturbance over the past 2 years?

cataract.