NUR 211 Survivors of Abuse or Neglect Testbank

PSYCHIATRIC MENTAL HEALTH NURSING 9TH EDITION TOWNSEND TEST BANK
TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,2017) 284



Chapter35.SurvivorsofAbuseorNeglect
MultipleChoice

1.Akindergartenstudentisfrequentlyviolenttowardotherchildren.Aschoolnursenoticesbruisesandburns
onthechildsfaceandarms.Whatothersymptomshouldindicatetothenursethatthechildmighthavebeen
physicallyabused?

A.Thechildshrinksattheapproachofadults.

B.Thechildbegsorstealsfoodormoney.

C.Thechildisfrequentlyabsentfromschool.

D.Thechildisdelayedinphysicalandemotionaldevelopment.

ANS:A

Thenurseshoulddeterminethatachildwhoshrinksattheapproachofadultsinadditiontohavingbruisesand
burnsmightbeavictimofabuse.Whetherornottheadultintendedtoharmthechild,maltreatmentshouldbe
considered.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
SafeandEffectiveCareEnvironment

2.Awomandescribesahistoryofphysicalandemotionalabuseinintimaterelationships.Whichadditional
factorshouldanursesuspect?

A.Thewomanmaybeexhibitingacontrolledresponsepattern.
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B.Thewomanmayhaveahistoryofchildhoodneglect.

C.Thewomanmaybeexhibitingcodependentcharacteristics.

D.Thewomanmightbeavictimofincest.

ANS:D

Thenurseshouldsuspectthatthisclientmightbeavictimofincest.Womeninabusiverelationshipsoften
grewupinabusivehomes.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity

3.Whichstatementmadebyanemergencydepartmentnurseindicatesaccurateknowledgeofdomestic
violence?

A.Powerandcontrolarecentraltothedynamicofdomesticviolence.

B.Poorcommunicationandsocialisolationarecentralto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:A

Thenurseaccuratelystatesthatpowerandcontrolarecentraltothedynamicofdomesticviolence.Batteringis
definedasapatternofcoercivecontrolfoundedonphysicaland/orsexualviolenceorthreatofviolence.The
typicalabuserisverypossessiveandperceivesthevictimasapossession.




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, PSYCHIATRIC MENTAL HEALTH NURSING 9TH EDITION TOWNSEND TEST BANK
TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,2017) 285


KEY:CognitiveLevel:Application|IntegratedProcesses:Assessment|ClientNeed:Psychosocial
Integrity

4.Aclientisbroughttoanemergencydepartmentafterbeingviolentlyraped.Whichnursingactionis
appropriate?

A.Discouragetheclientfromdiscussingtheevent,asthismayleadtofurtheremotionaltrauma.

B.Remainnonjudgmentalandactivelylistentotheclientsdescriptionoftheevent.

C.Meettheclientsself-careneedsbyassistingwithshoweringandperinealcare.

D.Providecues,basedonpoliceinformation,toencouragefurtherdescriptionoftheevent.

ANS:B

Themostappropriatenursingactionistoremainnonjudgmentalandactivelylistentotheclientsdescriptionof
theevent.Itisimportanttoalsocommunicatetothevictimthatheorsheissafeandthatitisnothisorher
fault.Nonjudgmentallisteningprovidesanavenueforclientcatharsisneededinordertobegintheprocessof
healing.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Implementation|ClientNeed:
PsychosocialIntegrity

5.Intheemergencydepartment,arapedclientappearscalmandexhibitsabluntaffect.Theclientanswersa
nursesquestionsinamonotoneusingsinglewords.Howshouldthenurseinterpretthisclientsresponses?

A.Theclientmaybelyingabouttheincident.

B.Theclientmaybeexperiencingasilentrapereaction.
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C.Theclientmaybedemonstratingacontrolledresponsepattern.

D.Theclientmaybehavingacompoundedrapereaction.

ANS:C

Thisclientismostlikelydemonstratingacontrolledresponsepattern.Inacontrolledresponsepattern,the
clientsfeelingsaremaskedorhidden,andacalm,composed,orsubduedaffectisseen.Intheexpressed
responsepattern,feelingsoffear,anger,andanxietyareexpressedthroughcrying,sobbing,smiling,
restlessness,andtension.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity

6.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doesntshejustleavehim?Whichisthenursingsupervisorsmost
appropriatereply?

A.Theseclientsdontknowlifeanyotherway,andchangeisnotanoptionuntiltheyhaveimprovedinsight.

B.Theseclientshavelimitedskillsandfewvocationalabilitiestobeabletomakeitontheirown.

C.Theseclientsoftenhavealackoffinancialindependencetosupportthemselvesandtheirchildren,andmost
havereligiousbeliefsprohibitingdivorceandseparation.

D.Theseclientsareparalyzedintoinactionbyacombinationofphysicalthreatsandasenseofpowerlessness.

ANS:D

Thenursingsupervisorisaccuratewhenstatingthatclientsinseverelyabusiverelationshipsareparalyzedinto




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