HESI Case Study: Intimate Partner
Violence and PTSD
What is the best reason for the nurse to screen this client for intimate partner violence? - ANSAll
women of childbearing age should be screened for intimate partner violence.
Which is the best way for the nurse to screen for intimate partner violence? - ANSUse an
evidence-based tool such as the Abuse Assessment Screen.
Which behaviour should the nurse avoid because it could make a client less likely to disclose
violence to you? - ANSUsing probing language to press for a response.
What risk factors for depression and anxiety are evident in the client's health history? -
ANSFemale gender and history of physical abuse.
What is the nurse most concerned about for this client knowing her history of depression and
intimate partner violence? - ANSPossibility of suicide or self-harm.
Based on the history of violence, which physical health conditions would the nurse expect the
healthcare provider to screen for? - ANSSexually transmitted disease due to forced sex.
Now that the nurse knows that a specific violent event has occurred, what is the nurse's
responsibility to report the incident? - ANSThe nurse is not required to report the incident
because it may put the client at greater risk.
How should the nurse document the assault such as the one the client just described in the
record? - ANSWrite down verbatim the statements that the client makes related to who
assaulted her and when.
What does the nurse know about client's level of danger, based on the strangulation incident? -
ANSStrangulation is an indication that her risk of being murdered by her husband is high.
What other factors may affect the client's risk for being murdered by her husband? - ANSShe
will have a higher risk of being murdered if she believes he is capable of killing her.
Which is the most important piece of information that the nurse needs at this point to address for
post-traumatic stress syndrome. - ANSPrevious history of abuse in childhood and adulthood.
Which is not a symptom that the nurse would expect to see in a client with post-traumatic stress
syndrome? - ANSFeeling things more deeply than usual.
Violence and PTSD
What is the best reason for the nurse to screen this client for intimate partner violence? - ANSAll
women of childbearing age should be screened for intimate partner violence.
Which is the best way for the nurse to screen for intimate partner violence? - ANSUse an
evidence-based tool such as the Abuse Assessment Screen.
Which behaviour should the nurse avoid because it could make a client less likely to disclose
violence to you? - ANSUsing probing language to press for a response.
What risk factors for depression and anxiety are evident in the client's health history? -
ANSFemale gender and history of physical abuse.
What is the nurse most concerned about for this client knowing her history of depression and
intimate partner violence? - ANSPossibility of suicide or self-harm.
Based on the history of violence, which physical health conditions would the nurse expect the
healthcare provider to screen for? - ANSSexually transmitted disease due to forced sex.
Now that the nurse knows that a specific violent event has occurred, what is the nurse's
responsibility to report the incident? - ANSThe nurse is not required to report the incident
because it may put the client at greater risk.
How should the nurse document the assault such as the one the client just described in the
record? - ANSWrite down verbatim the statements that the client makes related to who
assaulted her and when.
What does the nurse know about client's level of danger, based on the strangulation incident? -
ANSStrangulation is an indication that her risk of being murdered by her husband is high.
What other factors may affect the client's risk for being murdered by her husband? - ANSShe
will have a higher risk of being murdered if she believes he is capable of killing her.
Which is the most important piece of information that the nurse needs at this point to address for
post-traumatic stress syndrome. - ANSPrevious history of abuse in childhood and adulthood.
Which is not a symptom that the nurse would expect to see in a client with post-traumatic stress
syndrome? - ANSFeeling things more deeply than usual.
