NUR 219 COMPILATION P2 PSYCHIATRY_ Southwestern College, California QUIZ 13-23 COMPILATION.

NUR 219 COMPILATION P2 PSYCHIATRY_ Southwestern College, California QUIZ 13-23 COMPILATION. QUIZ 13 NUR 219 A client in the emergency department is suspected of having been raped. The patient is withdrawn, confused and at times physically withdrawn. As the nurse on duty, you realize that these behaviors are: * Signs of the patients increased risk of suicide Signs of depression An indication for the client’s need for admission Normal reactions to rape or sexual assault A child was abducted and raped. Which personal reaction by the nurse could interfere with the child’s care? * Concern Empathy Anger Compassion A person was abducted and raped at gunpoint by an unknown assailant. Which among the following best indicates that the person is in the immediate and initial stage of rape trauma? * Fears and phobias Decreased motor activity Confusion and disbelief Flashbacks and dreams Initial intervention for a rape victim should focus on: * STD Prophylaxis Hydration Oxygenation Safety and security The nurse working with a client during a flashback says, “I know you’re scared, but you’re in a safe place. Do you see the bed in your room? Do you feel the chair you’re sitting on?” The nurse is using which of the following techniques? * Distraction Reality Orientation Grounding Relaxation A client is brought to an emergency department after being violently raped. Which nursing action is appropriate? * Discourage the client from discussing the event as this may lead to further emotional trauma. Remain non-judgmental and actively listen to the client's description of the event. Meet the client's self-care needs by assisting with showering and perineal care. Provide cues, based on police information, to encourage further description of the event. A college student was raped 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? * "I know that it was not my fault." "If I don't put myself in a dating situation, I won't be at risk." "My boyfriend has trouble controlling his sexual urges." "Next time I will think twice about wearing a sexy dress."Nathan, a 12-year-old child, complains to the school nurse about nausea and dizziness. While assessing the child, the nurse notices a black eye that looks like an injury. This is the third time in 1 month that the child has visited the nurse. Each time, the child provides vague explanations for various injuries. Which of the following is the school nurse’s priority intervention? * 1 point Encourage the child to be truthful with her. Question the teacher about the parent’s behavior. Report suspicion of abuse to the proper authorities. Contact the child’s parents and ask about the child’s injury. Nurse Jessel is observing 8-year-old Andrea during a community visit. Which of the following findings would lead the nurse to suspect that Andrea is a victim of sexual abuse? * 1 point The child has self-injurious behavior. The child has a lack of peer relationships. The child is fearful of the caregiver and other adults. The child has an interest in things of a sexual nature 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 might have been physically abused? * The child is frequently absent from school. The child is delayed in physical and emotional development The child begs or steals food or money. The child shrinks at the approach of adults. In a home visit to a family of three: a mother, father, and their child, the mother tells the community nurse that the father (who is not present) had hit the child on several occasions when he was drinking. The mother further explains that she has talked her husband into going to alcoholics support group. She asks the nurse not to interfere, so her husband won’t get angry and refuse treatment. Which of the following is the best response of the nurse? * The nurse confronts the mother’s failure to protect the child. The nurse agrees not to interfere if the husband attends an alcoholics support group meeting that evening. The nurse commends the mother’s efforts and agrees to let her handle things. The nurse commends the mother’s efforts and also contacts protective services. Which situation would Nurse Sally identify as placing a client at high risk for caregiver abuse? * Cristina, an elderly adult’s child, quits her job to move in and care for a parent with severe dementia. Mr. Yu, an elderly man with severe heart disease, resides in a personal care home and is frequently visited by his adult child. Rhea cares for her husband who is in early stages of Alzheimer’s disease and has a network of available support Mrs. Rosales, an elderly parent with limited mobility, lives alone and receives help from several adult children. Nurse Trent, a community nurse, is conducting a home visit on Mrs. Meyer, a 75 year old client, who lives with anadult male child. Upon entering the house, Nurse Trent notes the house is filthy with disarranged furniture, unwashed laundry with rodents present. As a community nurse, Nurse Trent knows that this form of elderly is: * Material Abuse Neglect Abuse Physical Abuse Psychosocial Abuse The interventions common to treatment plans for abuse survivors include which of the following? Select all that apply: * Establish trust and rapport. Support the client in the decisions he/she makes. Identify areas of control. Remove the client from home. Encourage the client to pursue legal action. Mrs. Cruz, 70 years old, was admitted to the emergency department of Vicente Sotto Medical Center with a fractured arm. She explains to the nurse that her injury resulted when she provoked her drunken son, who then pushed her. Which of the following best describes the nurse’s understanding of the mother’s explanation? * Mrs. Cruz’s explanation is a typical response of a victim accepting blame for the abuser. Mrs. Cruz’s explanation is an atypical reaction of an abused woman. Mrs. Cruz’s explanation is evidence that the woman may be an abuser as well as a victim. Mrs. Cruz’s explanation is appropriate acceptance of her responsibility. Nathaniel is studying about abuse for the upcoming exam. For her to fully instill the topic, she should know that the priority nursing intervention for a child or elder victim of abuse is: * Teach appropriate coping skills. Assess the scope of the abuse problem. Implement measures to ensure the victim’s safety. Analyze family dynamics. When speaking with a mother accused of physical child abuse, the nurse should expect her to: * reveal an overwhelming feeling that her child needed corrective discipline. ask how she may get permission to visit her son on the pediatric unit. attempt to rationalize and explain her behavior. offer a detailed explanation of how her son was injured. Before helping a client who has been sexually assaulted, the nurse should recognize that the rapist is motivated by feelings of: * inadequacy hostility passion incompetence During a nurse's interview with a client who has been sexually assaulted, the woman states that she should have fought back. The most therapeutic response by the nurse would be: * "It's over, let's not explore what you could have done." "You may have submitted, but you are alive". "It is hard to know, but it's alright now, you are alive". "You are feeling guilty about submitting". When working with children who have been sexually abused by a family member, it is important for the nurse to understand that these victims usually are overwhelmed with feelings of: *humiliation and anger hatred and revenge confusion and disbelief self-blame and guilt A 13 year old female student tearfully reveals to the school nurse that her brother has been forcing her to have intercourse. The nurse should: * recognize that this revelation is an attention getting method to meet unmeet needs. accept that this revelation may be a way to explain a suspected pregnancy and refer her for a pregnancy test suspect that this revelation is a cry for help related to some other crisis. assume that this revelation is true and follow the school's protocol for investigation. QUIZ 14 NUR 219 A5 When the nurse considers a client's placement on the continuum of anxiety, a key in determining the degree of anxiety being experienced is the client's: * perceptual field creativity level delusional system memory state When working with a client who has the phobia about black cats, the nurse should anticipate that a problem for this client would be: * Distortion of reality when completing daily routines Anxiety when discussing the phobia. Denying that the phobia exists. Anger toward the fear object. A client with generalized anxiety disorder is hospitalized. The nurse realizes that an environment conducive to reducing emotional stress and providing psychological safety is one in which: * Needs are a primary concern. Realistic limits and controls are set. All the client's needs are meet. The physical environment is kept in order. The nurse is aware that nursing intervention for client with anxiety disorder should include: * Limiting the involvement of the clients family during the acute phase. Promoting the suppression of anger/hostility by the client. Supporting the verbalization of feelings by the client. Insisting that the client accept the role of psychologic factors. Some clients repeatedly perform ritualistic behaviors throughout the day to limit anxious feelings. The nurse recognizes that these behaviors are: * Compulsions Related to rebelliousness Under personal control Obsessions A client is pacing the floor and appears extremely anxious. The nurse approaches in an attempt to alleviate the client's anxiety. The most therapeutic question by the nurse would be: "Shall we sit and talk about your feelings"? "Would you like me to walk with you"? "Are you feeling upset right now"?