Exam 33: Survivors of Violence and Trauma

A mother and her two children are in the emergency department for treatment of trauma experienced when the woman's husband physically abused her and the children.What is the nurse's priority intervention?

Which assessment findings would prompt a nurse to suspect that a 15-year-old patient may be a victim of serial ritual abuse?

The nurse is preparing a care plan for a client who experienced abuse by a domestic partner.It is most important to include a long-term outcome that addresses what client need?

A patient, who reported being raped 2 hours ago, provides a medical history and assessment coherently, quietly, and calmly in a monotone voice.How should the nurse assess this behavior?

For a victim of spousal abuse, a deterrent to leaving the abusive situation are the events that occur in which stage?

A nurse plans care for a client who in the recoil phase of trauma recovery.What assessment question addresses a common focus of this phase?

Which intervention would be most therapeutic as a nurse provides initial care for a client who was abused by their partner?

A patient comes to the clinic for the fifth time in a month with vague complaints of not feeling well.The nurse notices fresh bruises on the patient's upper body.Which assessment question should take priority?

What assessment data supports the possibility that the sexual abuse is incestual in nature?

The nurse cares for a client who experienced a violent assault and battery attack.When considering the need to communicate with the client, what is the most therapeutic intervention?

A survivor of childhood abuse is hospitalized following an episode of wrist cutting.The patient has a history of binge/purge eating disorder as well as difficulty trusting and relating to others.What is the nurse's priority intervention?

What statement made by a client accused of sexual abuse is characteristic of the primary motivation for most rapes?

The nurse is establishing treatment goals for a person who was a victim of mind control and physical abuse.What is the initially focus goal for this individual?

A male victim of gang rape comes to the emergency department.The victim is severely anxious, but the nurse will not be able to care for the patient for at least 20 minutes based on the current patient load.How can the nurse best meet the client's needs?

A woman demonstrating characteristics of "battered woman syndrome" should be asked which assessment question to identify a comorbid psychological condition?

The emergency department triage nurse should assign to initially care for a female client who has been raped?

A woman accompanied by her domestic partner is being assessed for reports of neck pain.When the nurse notes a bald spot on the client's scalp, the woman explains that she caught her hair in a door, which pulled it out and caused her neck injury.What is the nurse's best action to facilitate the assessment?

Which comment by the nurse would best support relationship building with a client who has experienced partner abuse?

A 15-year-old patient is seen for evaluation by court order.The parents seek to have this teen declared incorrigible because of excessive drinking, habitually running away, and prostitution.The nurse interviewing the patient should recognize that these behaviors often occur in adolescents who have what experience?

During the impact stage of response to a violent crime, which nursing interventions would be appropriate for a victim? (Select all that apply.)