Exam 26: Survivors of Abuse or Neglect

A woman comes to an emergency department with a broken nose and multiple bruises after being beaten by her husband. She states, "The beatings have been getting worse, and I'm afraid next time he will kill me." Which is the appropriate nursing response?

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." This client is in which phase of the cycle of battering?

A nursing instructor is developing a lesson plan to teach about domestic violence. Which information should be included?

Which information should the nurse in an employee assistance program provide to an employee who exhibits symptoms of domestic physical abuse?

A pattern of coercive control founded on and supported by physical and/or sexual violence or threat of violence of an intimate partner is termed ______________________.

A survivor of rape presents in an emergency department crying, pacing, and cursing her attacker. A nurse should recognize these client actions as which behavioral defense?

Which assessment data should a school nurse recognize as a sign of physical neglect?

In planning care for a woman who presents as a survivor of domestic abuse, a nurse should be aware of which of the following data?

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 response?

A woman presents with a history of physical and emotional abuse in her intimate relationships. What should this information lead a nurse to suspect?

A nursing instructor is teaching about intimate partner violence. Which of the following student statements indicate that learning has occurred?

A client asks, "Why does a rapist use a weapon during the act of rape?" Which is the most appropriate nursing response?

Order the description of the progressive phases of Walker's model of the "cycle of battering." ________ This phase is the most violent and the shortest, usually lasting up to 24 hours. ________ In this phase, the man's tolerance for frustration is declining. ________ In this phase, the batterer becomes extremely loving, kind, and contrite.

Physical ________________ of a child includes refusal of or delay in seeking health care, abandonment, expulsion from the home or refusal to allow a runaway to return home, and inadequate supervision.

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

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

A raped client answers a nurse's questions in a monotone voice with single words, appears calm, and exhibits a blunt affect. How should the nurse interpret this client's responses?

Which of the following nursing diagnoses are typically appropriate for an adult survivor of incest?

A client diagnosed with an eating disorder experiences insomnia, nightmares, and panic attacks that occur before bedtime. She has never married or dated, and she lives alone. She states to a nurse, "My father has recently moved back to town." What should the nurse suspect?

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