INTIMATE PARTNER VIOLENCE NCLEX QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION

INTIMATE PARTNER VIOLENCE NCLEX QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION Nurse is working in the emergency department of Nurselabs Medical Center. She is conducting an interview with a victim of spousal abuse. Which step should the nurse take first? a- contact the appropriate legal services b- ensure privacy for interviewing the victim away from the abuser c- establish a rapport with the victim and abuser d- request the presence of a security guard Ans- b During a prenatal assessment, the clinic nurse expects abuse. Which of the following questions would be most appropriate? a- "are you being threatened or hurt by your partner?" b- "are you frightened of your partner?" c- "is something bothering you?" 4- "what happens when you and your partner argue?" Ans- a Mr. Williams was admitted to the ED with a fractured arm. He explains to the nurse that his injury resulted when he provoked his drunken wife. Mrs. Williams who then punished him. Which of the following best describes the nurses understanding of the husbands explanation? a- Mr. Williams explanation is appropriate acceptance of responsibility b- Mr. Williams is an atypical reaction of an abused man c- Mr. Williams explanation is evidence that the man may be an abuser as well as a victim d- Mr. Williams explanation is a typical ..... victim of accepting blame for the abuse Ans- A woman presents with a history of physical and emotional abuse in her intimate relationships. What should this information lead a nurse to suspect? a- the woman may be exhibiting a controlled response pattern b- the woman may have a history of childhood neglect c- the woman may be exhibiting codependent characteristics d- the woman may be a victim of incest Ans- d A client who is in a severely abusive relationship is admitted to a psychiatric inpatient unit. The client fears for her life. A staff nurse asks, "why doesn't she just leave him?" Which is the nursing supervisors most appropriate response? a- These clients do not know life any other way, and change is not an option until they have improved insight b- these clients often lack financial independence to support themselves and their children, and most have religious beliefs prohibiting divorce and separation c- these clients are paralyzed into inaction by a combination of physical threats and a sense of powerlessness d- the clients have limited cognitive skills and few vocational abilities to be able to make it on their own Ans- c A patient in an ED is diagnosed with a concussion. The patient is accompanied by a spouse who insisted on staying in the room and answering all questions. The patient avoids eye contact and has a sad affect and slumped shoulders. Assessment of which additional problem has priority? a- risk of intimate partner violence b- risk of self injury c- major depression d- migraine headaches Ans- a A victim of physical abuse by an intimate partner is treated for a broken wrist. The patient has considered leaving but says, "You stay together no matter what happens." Which outcome should be met before the pt leaves the ED? The patient will: a- limit contact with abuser by obtaining restraining order b- name 2 community resources that can be contacted c- demonstrate insight into the abusive relationship d- facilitate counseling for abuser Ans- b The nurse in the ED cares for a pt with multiple bruises, a possible arm fracture and facial laceration. The spouse is at bedside and appears angry. Which action is priority? a- call social services to assist the pt in community resources for domestic violence b- clean the facial laceration and prepare to assist the HCP with suture placement c- have the spouse leave the room so that the pt can be spoken with in private d- place the arm in a shoulder sling for immobilization Ans- c The nurse reinforces education about IPV for a group of graduate nurses. Which are appropriate for the nurse to include? SATA a- IPV is most common in low income families b- IPV is rare in same sex partnerships c- the abusive partner often demonstrates jealousy and possessiveness d- victims may not leave due to financial concerns or fear of harm e- violence against a female often intensifies during pregnancy Ans- c, d, e An adult tells the nurse, "My partner abuses me when I make mistakes, but I always get an apology and a gift afterward. I've considered leaving but haven't been able to bring myself to actually do it." Which phase in the cycle of violence prevents this adult from leaving? a. Tension-building b. Acute battering c. Honeymoon d. Stabilization Ans- c Which nursing interventions will assist a patient being treated in the ED for extensive soft tissue injuries to disclose an experience of domestic abuse? a- allowing the pt to initiate the topic of violence b- speaking with the pt in the absence of her husband c- providing a safe, non-intimidating and supportive environment d- interviewing her in the presence of another HCP Ans- c A pt has been physically abused by her boyfriend frequently since moving in together. During her last discussion with the nurse, the pt stated, "I probably should not keep going back to him, because he continues to abuse me." The nurse is aware that the final decision to leave a batterer is: a- usually a gradual process that occurs over time b- likely to occur after the victim suffers a serious injury c- more likely if the pt has approval from her family d- made when the batterer gives her permission to do so Ans- a Which statement made by the ER nurse indicates accurate knowledge on domestic violence? a- power and control are central in the dynamic of domestic violence b- poor communication and isolation are central in the dynamic of domestic violence c- erratic relationships and vulnerability are central to the dynamic of domestic violence d- emotional injury and learned helplessness are central to the dynamic of domestic violence Ans- ...............