Exam 35: Survivors of Abuse or Neglect

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

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." The nurse recognizes this client is in which phase of the cycle of battering?

Which of the following medications could be used to reduce aggression by dampening excessive nonadrenergic activity?

In the emergency department,a client who was raped appears calm and exhibits a blunt affect.The client answers the nurse's questions in a monotone using single words.Which indicates the nurse interpretation of this client's responses?

______________ comes only when a victim of intimate partner violence chooses to use support resources for her own benefit.

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

Joe and his wife Mary arrived for one of Joe's follow-up appointment 10 minutes late.Joe appeared to be very frustrated and aggravated.Mary repeatedly asked Joe to keep his voice down and apologized to the receptionist when checking in."I sure hope you figure out what is causing this change in Joe's behavior.He's starting to scare me," said Mary.What are the possible causes of the change in Joe's behavior? Select all that apply.

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

______________ aggression is associated with impulsivity and is more common among people who have a history of being abused.

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

Which of the following nursing diagnoses would be expected for an adult survivor of incest? Select all that apply.

After found in an alley,Theresa was taken to a nearby emergency room.Upon arrival,police notified the nurse that Theresa was a suspected rape victim,which Theresa confirmed.The doctor orders a rape kit to retrieve any DNA that may still be present on or in the victim.What is the most appropriate nursing intervention?

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?

As a domestic violence nurse specialist,you are asked to testify in a court case involving intimate partner abuse.The defense attorney asks,"When Mr.and Mrs.Smith came to the emergency room several people were around,yet Mrs.Smith still did not say that Mr.Smith hit her.With all those people around,why didn't Mrs.Smith accuse her husband then?" What is the most likely and most appropriate rationale?

___________________ refers to a chronic failure by the parent or caretaker to provide the child with the hope,love,and support necessary for the development of a sound,healthy personality.

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

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?

________________ guidance is needed to deal with the crises commonly associated with stages of development in children.

Behavioral indicators of emotional maltreatment may include which? Select all that apply.

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