Galen NSG 3450 Exam 4 | Abuse, Violence, and Psychiatric
Nursing | Questions and Correct Answers with Rationales |
New 2026-2027 Update
Abuse and Violence
Question 1. What is the primary prevention for abuse?
a. Decrease stress, improve coping skills, and decrease risk factors
b. Early intervention in abusive situations to minimize long-term effects
c. Counseling individuals and families for optimal safety
d. Reporting suspected abuse to authorities
Correct Answer: a. Decrease stress, improve coping skills, and decrease risk
factors
Rationale: Primary prevention aims to prevent abuse before it occurs by
addressing underlying risk factors such as stress, poor coping skills, and other
vulnerabilities.
Question 2. With assault victims, what should you always work to do?
a. Establish trust and build rapport to encourage them to open up about feelings
b. Immediately collect forensic evidence
c. Confront the alleged perpetrator
d. Encourage the victim to forget about the incident
Correct Answer: a. Establish trust and build rapport to encourage them to open
up about feelings
Rationale: Building trust and rapport is essential for assault victims to feel safe
and supported, which facilitates their willingness to share their experiences and
engage in the healing process.
,Question 3. What are the steps that should be followed if a chemical restraint is
used?
a. Assessing the client and documenting the event
b. Restraining the client physically first
c. Obtaining consent from family members
d. Administering the medication without documentation
Correct Answer: a. Assessing the client and documenting the event
Rationale: When chemical restraints are used, the nurse must assess the client's
response to the medication and document the event thoroughly, including the
rationale, medication given, and client's response.
Question 4. What is the most common form of family violence?
a. Neglect
b. Physical abuse
c. Sexual abuse
d. Emotional abuse
Correct Answer: a. Neglect
Rationale: Neglect is the most common form of family violence, particularly
affecting children and older adults who are dependent on caregivers.
Question 5. What to assess for with potential victims of abuse? Select all that
apply.
a. Violence indicators
b. Level of anxiety and coping response
c. Family coping patterns
d. Support system
e. Suicidal/homicidal potential
f. Drug/alcohol use
g. Ask directly if they are being hurt
Correct Answer: a, b, c, d, e, f, g
,Rationale: Comprehensive assessment of abuse victims includes evaluating
violence indicators, emotional responses, family dynamics, support systems,
safety risks, substance use, and directly asking about abuse.
Question 6. How do abusers think?
a. Current relationship is the closest they have had, their needs are priority, lack of
supportive relationships, and need others to fulfill their needs
b. They are always victims themselves
c. They have healthy relationships with everyone
d. They never feel guilt or remorse
Correct Answer: a. Current relationship is the closest they have had, their needs
are priority, lack of supportive relationships, and need others to fulfill their needs
Rationale: Abusers often have distorted thinking patterns, including believing
their needs take priority, lacking supportive relationships, and expecting others to
meet their needs.
Question 7. Why is group therapy effective for abuse victims?
a. Provides supportive environments
b. Allows victims to confront their abusers
c. Replaces individual therapy
d. Provides legal advice
Correct Answer: a. Provides supportive environments
Rationale: Group therapy offers a safe, supportive environment where abuse
victims can share experiences, gain validation, and learn from others who have
had similar experiences.
Question 8. What do you do when doing a rape kit on a victim? Select all that
apply.
, a. Every step told in detail
b. NEVER LEAVE THEM ALONE
c. Informed consent first
d. Skip parts if they wish to skip
Correct Answer: a, b, c, d
Rationale: When performing a rape kit, the nurse must explain each step, never
leave the victim alone, obtain informed consent, and respect the victim's right to
skip any part of the examination.
Question 9. What is the procedure to deal with agitated, yelling, or aggressive
patients? Select all that apply.
a. Remove others from area
b. Have staff on standby for de-escalation
c. Stay out of their personal space
d. Immediately restrain the patient
Correct Answer: a, b, c
Rationale: De-escalation techniques include removing others from the area,
having staff available, and respecting personal space. Restraints should be a last
resort.
Question 10. When does a patient become a threat?
a. When they make verbal and physical threats
b. When they refuse medication
c. When they request to leave
d. When they express dissatisfaction
Correct Answer: a. When they make verbal and physical threats
Rationale: A patient becomes a threat when they make verbal threats
(threatening harm) and physical threats (attempting or gesturing toward harm).
Nursing | Questions and Correct Answers with Rationales |
New 2026-2027 Update
Abuse and Violence
Question 1. What is the primary prevention for abuse?
a. Decrease stress, improve coping skills, and decrease risk factors
b. Early intervention in abusive situations to minimize long-term effects
c. Counseling individuals and families for optimal safety
d. Reporting suspected abuse to authorities
Correct Answer: a. Decrease stress, improve coping skills, and decrease risk
factors
Rationale: Primary prevention aims to prevent abuse before it occurs by
addressing underlying risk factors such as stress, poor coping skills, and other
vulnerabilities.
Question 2. With assault victims, what should you always work to do?
a. Establish trust and build rapport to encourage them to open up about feelings
b. Immediately collect forensic evidence
c. Confront the alleged perpetrator
d. Encourage the victim to forget about the incident
Correct Answer: a. Establish trust and build rapport to encourage them to open
up about feelings
Rationale: Building trust and rapport is essential for assault victims to feel safe
and supported, which facilitates their willingness to share their experiences and
engage in the healing process.
,Question 3. What are the steps that should be followed if a chemical restraint is
used?
a. Assessing the client and documenting the event
b. Restraining the client physically first
c. Obtaining consent from family members
d. Administering the medication without documentation
Correct Answer: a. Assessing the client and documenting the event
Rationale: When chemical restraints are used, the nurse must assess the client's
response to the medication and document the event thoroughly, including the
rationale, medication given, and client's response.
Question 4. What is the most common form of family violence?
a. Neglect
b. Physical abuse
c. Sexual abuse
d. Emotional abuse
Correct Answer: a. Neglect
Rationale: Neglect is the most common form of family violence, particularly
affecting children and older adults who are dependent on caregivers.
Question 5. What to assess for with potential victims of abuse? Select all that
apply.
a. Violence indicators
b. Level of anxiety and coping response
c. Family coping patterns
d. Support system
e. Suicidal/homicidal potential
f. Drug/alcohol use
g. Ask directly if they are being hurt
Correct Answer: a, b, c, d, e, f, g
,Rationale: Comprehensive assessment of abuse victims includes evaluating
violence indicators, emotional responses, family dynamics, support systems,
safety risks, substance use, and directly asking about abuse.
Question 6. How do abusers think?
a. Current relationship is the closest they have had, their needs are priority, lack of
supportive relationships, and need others to fulfill their needs
b. They are always victims themselves
c. They have healthy relationships with everyone
d. They never feel guilt or remorse
Correct Answer: a. Current relationship is the closest they have had, their needs
are priority, lack of supportive relationships, and need others to fulfill their needs
Rationale: Abusers often have distorted thinking patterns, including believing
their needs take priority, lacking supportive relationships, and expecting others to
meet their needs.
Question 7. Why is group therapy effective for abuse victims?
a. Provides supportive environments
b. Allows victims to confront their abusers
c. Replaces individual therapy
d. Provides legal advice
Correct Answer: a. Provides supportive environments
Rationale: Group therapy offers a safe, supportive environment where abuse
victims can share experiences, gain validation, and learn from others who have
had similar experiences.
Question 8. What do you do when doing a rape kit on a victim? Select all that
apply.
, a. Every step told in detail
b. NEVER LEAVE THEM ALONE
c. Informed consent first
d. Skip parts if they wish to skip
Correct Answer: a, b, c, d
Rationale: When performing a rape kit, the nurse must explain each step, never
leave the victim alone, obtain informed consent, and respect the victim's right to
skip any part of the examination.
Question 9. What is the procedure to deal with agitated, yelling, or aggressive
patients? Select all that apply.
a. Remove others from area
b. Have staff on standby for de-escalation
c. Stay out of their personal space
d. Immediately restrain the patient
Correct Answer: a, b, c
Rationale: De-escalation techniques include removing others from the area,
having staff available, and respecting personal space. Restraints should be a last
resort.
Question 10. When does a patient become a threat?
a. When they make verbal and physical threats
b. When they refuse medication
c. When they request to leave
d. When they express dissatisfaction
Correct Answer: a. When they make verbal and physical threats
Rationale: A patient becomes a threat when they make verbal threats
(threatening harm) and physical threats (attempting or gesturing toward harm).
