Exam 38: Care of Survivors of Abuse and Violence

Which behavior would the nurse expect in a person who commits psychic rape? The perpetrator:

Which comment by the nurse would be most effective when using an empowerment model of intervention with an individual who has been abused?

A person currently in an abusive relationship tells a nurse,"My partner is really sorry for hitting me and wants to come back and be part of the family again." The nurse should provide which intervention?

An adolescent claims to have been physically abused by a parent.The adolescent's other parent angrily tells the nurse,"It's ridiculous for our child to accuse my spouse,who is a prominent doctor respected by the community." The nurse responds:

Which intervention would be the best initial approach for a nurse to take when a young adult patient is verbally abusive?

An individual whose boyfriend raped her tells the nurse,"It's no use reporting it.Everyone knows I've been sexually intimate with him many times before." The nurse's initial response should be:

A nursing colleague says,"This patient was admitted claiming to have been raped by her boyfriend,but just look at the sexy clothes she's wearing." Which response reflects an understanding of the most likely source of the colleague's comment?

An Arab student new to an elementary school reports,"I don't want to go to gym class.It's never been a good class for me." Which factor would be of primary concern for a school nurse?

Which patient is at greatest risk for physical abuse by a family member?

A young,newly married adult says,"My spouse never lets me out of sight.I'm not allowed to do anything on my own,and I'm constantly accused of cheating." Which nursing comment is most therapeutic for this individual?

A patient with swelling and a laceration above the right eye states,"I don't know what caused me to fall and cut my head on the door frame." The patient's spouse appears nervous but smiles when mentioning that the patient is "so clumsy at times." The nurse should give priority attention to which intervention when addressing this patient's needs?

Which comment by the nurse would be most effective in teaching a patient about abusive behavior?

Which patient statements would be considered a potential risk factor for family-directed violence towards them? (Select all that apply.)

What is the best initial approach for a nurse when managing the care of an individual with two children who works full-time and has been abused by a partner?

An older adult patient exhibits bilateral bruising for the second time on both upper outer arms.When the nurse questions the patient about the bruising,the patient starts to cry and pleads,"Please don't say anything.It's not my daughter's fault.I just bruise easily." Which intervention reflects the best management of this situation?

Which comment best reflects the nurse's use of an empowerment model with an individual who has been abused?

Which is the most appropriate initial action for a nurse when attempting to overcome personal negative attitudes about a patient who has a history of returning to an abusive spouse?

When a nurse overhears the spouse of a patient threaten to "punch you in the face if you don't shut up" while sitting in the unit's dayroom,which action reflects the most immediate,therapeutic nursing intervention?

Which statement best indicates use and abuse of power in a violent family situation?

An individual who has been physically abused says,"When I called the police,I just wanted my spouse to stop shoving me around and kicking me.I didn't want anyone to get in trouble.It's easy to get angry with me because I spend too much money." Which comment by the nurse would be most therapeutic for this individual?