Exam 26: Child, Older Adult, and Intimate Partner Abuse

A victim of partner abuse,parent of one child,describes the partner as someone who is easily frustrated and more likely to be abusive after a experiencing an event in which self-esteem is challenged.The most recent episodes of violence were related to feeling "upset" over a job loss.What type of therapy would provide the greatest help to the victim?

An 11-year-old child stays home from school to care for his siblings while his mother works,is demeaned by his father,and has negative self-perceptions.Which indicator would suggest that nursing interventions are succeeding?

A patient,aged 77 years,has Alzheimer's disease and lives wither daughter.While checking her blood pressure at the clinic,the nurse noticed fresh bruises on the patient's palms and buttocks.The patient could not explain these bruises.The nurse discussed her observations with the daughter,who became defensive and said that her mother was very difficult to manage.She stated,"My mother is getting worse every week.She is not my mother anymore.She can't recognize me,and she wanders all night.We take turns because she has to be watched constantly.Last night I fell asleep,and she fell down the stairs while wandering." Which statement is most accurate?

A community mental health nurse is assigned to investigate the frequent school absences of an 11-year-old child.The nurse finds the child home alone,caring for his 1- and 3-year-old siblings.The house is cluttered and dirty,and both parents are at work.The child tells the nurse that whenever his mother is called to work at her part-time job,he must watch the kids because the family cannot afford a babysitter.Based on the information obtained thus far,what preliminary assessment can be made?

A patient,aged 82 years,has Alzheimer's disease.She lives with her daughter's family and goes to a day care facility on weekdays.The nurse at the day care center noticed the patient was unkempt and had multiple bruises.When the daughter arrived to pick her up,the nurse discussed her observations.The daughter became defensive and said that her mother was very difficult to manage.She stated,"My mother is not my mother anymore.She is confused,and she wanders all night.We have to watch her constantly.Last night I fell asleep,and she fell down the stairs.Sometimes I just cannot bear to care for her." Which nursing diagnosis would be most important to address for this patient?

A 45-year-old married woman who works full time in a factory has recently been absent for 3-day periods on several occasions.Each time,she returned to work wearing dark glasses.Facial and body bruises were apparent.Her supervisor became suspicious that she was a victim of battering and referred her to the occupational health nurse.Which initial inquiry would be most important for the nurse to make?