A nurse is caring for a client on an inpatient mental health unit. The client reports hearing voices
that are telling her to “kill her roommate.” Which of the following actions should the nurse take?
A. Tell the client that she is imagining the voices.
B. Initiate one-to-one observation of the client.
C. Place the client in a restraint.
D. Ask another client to sit with the client.
B. Initiate one-to-one observation of the client.
100
What is the most powerful predictor of potential violence?
a. Family income and educational level
b. Illiteracy
c. Exposure to physical violence
d. Unemployment and level of income
c. Exposure to physical violence
100
Which type of abuse includes name calling and belittling?
a. physcial abuse
b. psychological abuse
c. sexual abuse
b. psychological abuse
100
To preserve evidence from a possible rape, the female victim should avoid all of the following except
a. showering
b. brushing her teeth
c. douching
d. the victim should avoid all of these activities prior to physical examination
d. the victim should avoid all of these activities prior to physical examination
100
Which of the following is the most common trait found in abused wives who stay with their husbands?
a. dependency
b. jealousy
c. emotional immaturity
d. possessiveness
a. dependency
200
How can nurses create safer communities and reduce the threats of violence?
a. Provide inservice training to other health care professionals.
b. Become a political advocate and help create social policies.
c. Provide community educational programs on violence prevention.
d. All of the above
d. All of the above
200
Which of the following is not considered a characteristic of potential violence in families?
a. adequate support systems
b. alcohol abuse
c. social isolation
d. abuse of power and control
a. adequate support systems
200
Exploitation of children is considered which type of abuse?
a. sexual abuse
b. neglect
c. physical abuse
d. emotional abuse
a. sexual abuse
200
Which of the following nursing interventions would be the most appropriate to prevent a client from becoming violent?
a. leave the client alone until the client can talk about his feelings
b. place the client in seclusion
c. help the client identify and express feelings of anxiety and anger
c. help the client identify and express feelings of anxiety and anger
200
The rate or PTSD- post traumatic stress disorder occurs in rape victims at a rate of
a. 80%
b. 70%
c. 50%
d. 60%
b. 70%
300
Because severely battered women are at risk for homicide, what responsibility does the nurse have in providing appropriate care?
a. Encourage the client to leave the unsafe situation and not to return to the abusive relationship.
b. Inform the client about associated risk factors and determine the immediacy of danger
c. Ask the client's permission to inform the police and assess the need for protection from the abuser.
d. Ask the client's permission to inform the police and assess the need for protection from the abuser.
b. Inform the client about associated risk factors and determine the immediacy of danger
300
What leads certain individuals to cause violence or become violence prone?
a. A personality disorder
b. No internal sense of self-control
c. The experience of shame and humiliation without the ability to feel guilty
d. Persistent isolation, fear, and depression
c.The experience of shame and humiliation without the ability to feel guilty
300
Which type of abuse is described as the failure to meet the basic needs of children by those persons responsible for their health and well-being?
a. Physical abuse
b. Physical neglect
c. Emotional abuse and neglect
d. Nonassaultive abuse
b. Physical neglect
300
A client in the day room of an inpatient mental health setting gets up from a chair and throws it
across the room. Which of the following is the priority nursing action?
A. Encourage the client to express her feelings.
B. Maintain eye contact with the client.
C. Move the client away from others.
D. Tell the client that the behavior is not acceptable.
C. Move the client away from others.
300
Which of the following is an inaccurate picture of the cycle of abuse that occurs over time?
a. severity of the injuries worsen
b. violent episodes are less frequent
c. violent episodes are more frequent
d. the period of remorse disappears
b. violent episodes are less frequent
400
When approaching a client who is speaking in a loud voice with clenched fists, a nurse should
A. insist that the client stop yelling.
B. request other staff members to remain close by.
C. move as close to the client as possible.
D. walk away from the client.
B. request other staff members to remain close by.
400
***DOUBLE JEOPARDY***
What percentage of victims of intimate violence report that alcohol was involved in the violent incident?
a. 75%
b. 25%
c. 65%
d. 50%
c. 65%
400
Infants less than 1 year of age who present with apnea, seizures, lethargy, respiratory difficulty, coma, or death should be suspected of:
a. Maltreatment
b. Physical abuse
c. Shaken baby syndrome
d. Child neglect
c. Shaken baby syndrome
400
A nurse is collecting data for a preschool-age child who was brought to the provider’s office with
reports of tenderness and bruising along the clavicle. Which of the following findings should the
nurse consider suspicions of child abuse? (Select all that apply.)
a. Scabs on knees
b. Pinpoint burn marks on forearms
c. Appears passive
d. Mismatched clothing
e. Bruises on torso
b. Pinpoint burn marks on forearms
c. Appears passive
e. Bruises on torso
400
What are the goals of treating abuse? (Select all that apply)
a. Maximize client's safety
b. Support the client
c. Empower the client to take control
d. Pay for a hotel for them to stay for the night
a. Maximize client's safety
b. Support the client
c. Empower the client to take control
500
The best way to treat violent families is to offer families:
a. A crisis intervention program.
b. A multidisciplinary approach to treatment
c. A safe haven from the abuser.
d. Legal counseling and court assistance.
b. A multidisciplinary approach to treatment
500
What are some of the reasons for elder abuse in the United States? (select all that apply)
a. Personal problems of abusers
b. Caregiver stress
c. Impairment of the dependent elder
d. Having a terminal illness
a. Personal problems of abusers
b. Caregiver stress
c. Impairment of the dependent elder
500
Which form of abuse is least reported to authorities?
a. Elder abuse
b. Sexual abuse
c. Child neglect
d. Child maltreatment
b. Sexual abuse
500
A nurse is assessing a client in an inpatient mental health unit. Which of the following findings
should the nurse expect if the client is in the pre-assaultive stage of violence? (Select all that apply)
a. Lethargy
b. Defensive responses to questions
c. Disorientation
d. Rapid breathing
e. Facial grimacing
f. Agitation
b. Defensive responses to questions
d. Rapid breathing
f. Agitation
500
A nurse is caring for a client who has paranoid personality disorder. Which of the following
statements made by the client is an example of aggressive communication? (Select all that apply.)
a. “I wish you would not make me angry.”
b. “I feel angry when you leave me.”
c. “It makes me angry when you interrupt me.”
d. “You’d better listen to me.”
e. “You are going to be punished for this.”
d. “You’d better listen to me.”
e. “You are going to be punished for this.”