Exam 21: Child, Partner, and Elder Violence

An older adult with Alzheimer disease lives with family.After observing multiple bruises,the home health nurse talks with the older adult's daughter,who becomes defensive and says,"My mother often wanders at night.Last night she fell down the stairs." Which nursing diagnosis has priority?

What feelings are most commonly experienced by nurses working with abusive families?

A community health nurse visits a family with four children.The father behaves angrily,finds fault with a child,and asks twice,"Why are you such a stupid kid?" The wife says,"I have difficulty disciplining the children.It's so frustrating." Which comments by the nurse will facilitate the interview with these parents? Select all that apply.

Which family scenario presents the greatest risk for family violence?

A married individual has recently been absent from work for 3-day periods on several occasions.Each time,the individual returns to work wearing dark glasses.Facial and body bruises are apparent.What is the occupational health nurse's priority question?

Which referral is most appropriate for a woman who is severely beaten by her husband,has no relatives or friends in the community,is afraid to return home,and has limited financial resources?

A 10-year-old child cares for siblings while the parents work because the family cannot afford a babysitter.This child says,"My father doesn't like me.He calls me stupid all the time." The mother says the father is easily frustrated and has trouble disciplining the children.The community health nurse should consider which resources to stabilize the home situation? Select all that apply.

A clinic nurse interviews a patient who reports fatigue,back pain,headaches,and sleep disturbances.The patient seems tense,then becomes reluctant to provide more information,and is in a hurry to leave.How can the nurse best serve the patient?

An 11-year-old child says,"My parents don't like me.They call me stupid and say I never do anything right,but it doesn't matter.I'm too dumb to learn." Which nursing diagnosis applies to this child?

An older adult with dementia lives with family and attends a day care center.A nurse at the day care center notices the adult has a disheveled appearance,a strong odor of urine,and bruises on the limbs and back.What type of abuse might be occurring?

An adult tells the nurse,"My partner abuses me most often when drinking.The drinking has increased lately,but I always get an apology afterward and a box of candy.I've considered leaving but haven't been able to bring myself to actually do it." Which phase in the cycle of violence prevents the patient from leaving?

Several children are seen in the emergency department for treatment of illnesses and injuries.Which finding would create a high index of suspicion for child abuse? The child who has:

A nurse assists a victim of spousal abuse to create a plan for escape if it becomes necessary.The plan should include which components? Select all that apply.

A patient tells the nurse,"My husband is abusive most often when he drinks too much.His family was like that when he was growing up.He always apologizes and regrets hurting me." What risk factor was most predictive for the husband to become abusive?

What is a nurse's legal responsibility if child abuse or neglect is suspected?

A person at the emergency department is diagnosed with a concussion.The individual is accompanied by a spouse who insists on staying in the room and answering all questions.The patient avoids eye contact and has a sad affect and slumped shoulders.Assessment of which additional problem has priority?

An adult has recently been absent from work for 3-day periods on several occasions.Each time,the individual returns wearing dark glasses.Facial and body bruises are apparent.What is the occupational health nurse's priority assessment?

A patient has a history of physical violence against family members when frustrated and then experiences periods of remorse after each outburst.Which finding indicates success in the plan of care? The patient:

An adult has recently been absent from work on several occasions.Each time,the adult returns wearing dark glasses.Facial and body bruises are apparent.During the occupational health nurse's interview,the adult says,"My partner beat me,but it was because there are problems at work." What should the nurse's next action be?

A nurse visits the home of an 11-year-old child and finds the child caring for three younger siblings.Both parents are at work.The child says,"I want to go to school but we can't afford a babysitter.It doesn't matter though;I'm too dumb to learn." What preliminary assessment is evident?