Mental health townsend Victims of abuse

A kindergarten student is frequently violent toward other children. A school nurse notices bruises and burns on the child's face and arms. What other symptom should indicate to the nurse that the child might have been physically abused?

The child shrinks at the approach of adults.

A woman describes a history of physical and emotional abuse in intimate relationships. Which additional factor should a nurse suspect?

The woman might be a victim of incest.

Which statement made by an emergency department nurse indicates accurate knowledge of domestic violence?

Power and control are central to the dynamic of domestic violence.

A client is brought to an emergency department after being violently raped. Which nursing action is appropriate?

Remain nonjudgmental and actively listen to the client's description of the event.

In the emergency department, a raped client appears calm and exhibits a blunt affect. The client answers a nurse's questions in a monotone using single words. How should the nurse interpret this client's responses?

The client may be demonstrating a controlled response pattern.

A client who is in a severely abusive relationship is admitted to a psychiatric inpatient unit. The client fears for her life. A staff nurse asks, "Why doesn't she just leave him?" Which is the nursing supervisor's most appropriate reply?

These clients are paralyzed into inaction by a combination of physical threats and a sense of powerlessness."

A woman comes to an emergency department with a broken nose and multiple bruises after being beaten by her husband. She states, "The beatings have been getting worse, and I'm afraid that next time he might kill me." Which is the appropriate nursing reply?

"Let's talk about your options so that you don't have to go home."

A college student was sexually assaulted when out on a date. After several weeks of crisis intervention therapy, which client statement should indicate to a nurse that the student is handling this situation in a healthy manner?

"I know that it was not my fault."

A nursing student asks an emergency department nurse, "Why does a rapist use a weapon during the act of rape?" Which nursing reply is most accurate?

A weapon is used to terrorize and subdue the victim."

When questioned about bruises, a woman states, "It was an accident. My husband just had a bad day at work. He's being so gentle now and even brought me flowers. He's going to get a new job, so it won't happen again." This client is in which phase of the cycle of battering?

The honeymoon phase

Which teaching should the nurse in an employee assistance program provide to an employee who exhibits symptoms of domestic physical abuse?

Have ready access to the number of a safe house for battered women

A client who has been raped is crying, pacing, and cursing her attacker in an emergency department. Which behavioral defense should a nurse recognize?

Expressed response pattern

Which assessment data should a school nurse recognize as signs of physical neglect?

The child is often absent from school and seems apathetic and tired.

An anorexic client states to a nurse, "My father has recently moved back to town." Since that time the client has experienced insomnia, nightmares, and panic attacks that occur nightly. She has never married or dated and lives alone. What should the nurse suspect?

Possible history of childhood incest

When planning care for women in abusive relationships, which of the following information is important for the nurse to consider? (Select all that apply.)

A. It often takes several attempts before a woman leaves an abusive situation.
B. Substance abuse is a common factor in abusive relationships.
D. Women in abusive relationships usually feel isolated and unsupported.

Which of the following nursing diagnoses could be appropriate for an adult survivor of incest? (Select all that apply.)

A. Low self-esteem
B. Powerlessness

A nursing instructor is teaching about intimate partner violence. Which of the following student statements indicate that learning has occurred? (Select all that apply.)

1. "Intimate partner violence is a pattern of abusive behavior that is used by an intimate partner."
2. "Intimate partner violence is used to gain power and control over the other intimate partner."
4. "Women ages 25 to 34 experience the highest per capita rates of intimate violence."