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Exam 23: Mental Health Care for Survivors of Violence

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Question 1

Multiple Choice

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A client comes to the clinic for an evaluation. Upon assessment, the nurse suspects that the client is a victim of abuse. Which finding would support the nurse's suspicion? Select all that apply.

A) The client is vague about the injuries on the body.
B) The client came to the clinic right after the injuries occurred.
C) The client minimizes the severity of the injuries.
D) The client has a history of frequent visits to the emergency department for injuries.
E) The client voices statements about having control over current status.

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Question 2

Multiple Choice

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A group of nursing students is reviewing information about the types of abuse. The students demonstrate understanding of the information when they identify stalking as a crime of which of the following?

A) Violence
B) Harassment
C) Jealousy
D) Fear

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Question 3

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A nurse is caring for a family in which the elderly parent has been a victim of abuse and neglect by an adult child. Which of the following would be most important for the nurse to keep in mind before interviewing the family?

A school nurse is aware that a student has requested aspirin three times during the past week because of a backache. The nurse has noticed that the student often wears long-sleeved sweaters and sweatshirts even in warm weather. The nurse suspects that the student may be the victim of physical abuse. Which response would the nurse anticipate being reported by the child if abuse was taking place?

An emergency department nurse is assessing a client with traumatic injuries. To assess whether or not the client's injuries have resulted from abuse, which question would be most appropriate for the nurse to ask the client?

A nurse is preparing to gather a health history of a client. Which questions can elicit disclosure if a client has been abused? Select all that apply.

A nurse is presenting to a church group a program about domestic violence. During the presentation, a member of the audience asks the nurse to explain what "intergenerational transmission of violence" means because the person has seen that phrase used in the media. Which response by the nurse would be most appropriate?

The nurse is talking to a female client who is a survivor of intimate partner violence. The woman relates that her husband has the characteristics of an antisocial personality disorder and an extensive criminal record. The nurse interprets this information and suspects that the woman's husband would most likely demonstrate which behavior?

A client has been admitted to an inpatient psychiatric facility with a diagnosis of posttraumatic stress disorder (PDSD) after a history of violence by a partner. During the initial assessment interview, which assessment would be the priority?

A nurse is interviewing a client who is a survivor of abuse. The client is telling the nurse about how the violence occurred. Which statement would the nurse interpret as reflecting phase 3 of the cycle of violence?

A nurse is assessing a survivor of intimate partner violence. During the interview, the nurse determines that the survivor's partner is using power and control over the client through coercion and threats. Which client statement would lead the nurse to suspect this?

A nurse is gathering information about a health history of a person who has experienced violence. Which are important caring behaviors a nurse should implement during the interview? Select all that apply.

A nurse is caring for a young adult in the mental health clinic. The client tells the nurse that the client was physically neglected as a child. The nurse should assess the client for symptoms of what?

A nurse is working on developing a safety plan with a client who is a survivor of violence. Which item would the nurse address first?

A nurse is caring for a child who had experienced sexual abuse. Which are expected behaviors of a child who has experienced sexual abuse? Select all that apply.

A group of nursing students is reviewing information about intimate partner violence (IPV) . The group demonstrates understanding of this topic when they identify which of the following?

A nurse is assessing a client who is a survivor of abuse. Which method would be most appropriate to use when conducting a lethality assessment?

A nurse is working with a client who is anticipating the possibility of leaving an abusive relationship. In helping the client arrive at the decision to leave or to stay in the abusive situation, which would be most important for the nurse to do?