BSN 266 - HESI Case Study (Intimate
Partner Violence & PTSD) Exam
Questions with Correct Answers
What information is most important in determining a plan of care for post-traumatic
stress syndrome for this client?
Her willingness to go to counseling.
Her access to formal and informal social support.
Her income and education level.
Whether or not she has health insurance. - Answer-Her access to formal and informal
social support.
The client's informal resources (such as a church group or friend) and formal resources
(such as an advocate at the shelter or a reduced cost clinic in her neighborhood) are the
most important factors in determining her plan of care. These resources will determine
the emotional and tangible support that she has to cope with the trauma.
RATIONALE FOR INCORRECT:
Counseling may be an important part of recovery from post-traumatic stress syndrome.
However, her informal resources (such as a church group or friend) and formal
resources (such as an advocate at the shelter or a reduced cost clinic in her
neighborhood) are more important in determining a plan of care.
While income and education level may serve as a barrier for care, it should not be the
most important determinant for your plan of care.
While lack of health insurance may serve as a barrier for care, it should not be the most
important determinant for a plan of care.
How might living in a domestic violence shelter act as an obstacle for recovery from
post-traumatic stress syndrome?
All of these scenarios may serve as an obstacle for recovery.
Being away from familiar people, places, and routines may make coping more difficult.
Living with a large number of strangers may cause overstimulation.
Following house rules in the shelter may feel similar to the controlling nature of the
abusive relationship. - Answer-All of these scenarios may serve as an obstacle for
recovery.
A client with post-traumatic stress syndrome has increased arousal that may include
irritability and exaggerated startle response. The client may be more sensitive to
stressors such as living with strangers or following house rules in a shelter situation. A
client will also likely have developed coping mechanisms that may not be available to
them at the shelter, such as talking to a friend or going to the corner store for a coffee.
RATIONALE FOR INCORRECT:
,A client will also likely have developed coping mechanisms that may not be available to
her at the shelter, such as talking to a friend or going to the corner store for a coffee.
A client with post-traumatic stress syndrome has increased arousal that may include
irritability and exaggerated startle response. The client may be more sensitive to
stressors such as living with strangers.
A client with post-traumatic stress syndrome has increased arousal that may include
irritability and exaggerated startle response. The client may be more sensitive to
stressors such as the feeling of being controlled again by house rules.
The nurse has completed the assessment and has infromation to create a plan of care
for client. Before stepping outside the room, the nurse explains to client that the
healthcare provider will perform an examination but that the nurse will return afterward
to speak with client again. The nurse exits the room and meets with the healthcare
provider. What is the best way for the nurse to communicate client's history of violence
with the healthcare provider?
After asking permission from client to inform the healthcare provider of the abuse, give a
thorough report of the assessment findings.
Allow the healthcare provider to do an independent assessment in order to find possible
inconsistencies in the story.
Keep the information about the abuse private to increase rapport with the client.
Place a note on the chart letting the healthcare provider know that abuse has occurred.
- Answer-After asking permission from client to inform the healthcare provider of the
abuse, give a thorough report of the assessment findings.
The history of abuse may affect the diagnosis and treatment of the client. It is important
that the healthcare provider has all pertinent information. The client, however, should be
in control of whether the information that she tells the nurse is shared as much as
possible without risking the safety of the client or others.
RATIONALE FOR INCORRECT:
It is not the job of the healthcare provider, or the nurse, to determine the truth about the
incident or incidents of violence. For the purpose of a health visit, it is important to
believe the client and act according to the information given.
Just as with any part of a health history, it is important for the healthcare provider to
have all relevant information that has been collected about the client's history of
violence to inform care.
Important information that could affect the care of a client should be communicated
verbally.
Intimate partner violence can cause emotional problems in the child even if the child has
not seen or heard the violence happening.
If there is intimate partner violence in the home, children can have serious and lasting
physical and mental health problems as a result.
RATIONALE FOR INCORRECT:
Intimate partner violence in the home can cause physical and mental health problems in
children.
, While the level of violence may affect the severity of emotional problems, any level of
intimate partner violence in the home can affect the mental health of children.
A child does not have to see or hear intimate partner violence to be affected by it. If
there is violence in the home, the child can have serious and lasting physical and
mental health problems. - Answer-While the healthcare provider is in the room, the
nurse goes to the desk to write down a plan of care. While working, the nurse notices
client's two children in the waiting area. The 6-year-old is sitting quietly next to the
advocate. The child is rocking slightly in the chair and seems preoccupied. The 4-year-
old is playing with another young child who is accompanied by a parent. The nurse
hears the advocate tell the 4-year-old several times, "No hitting! We don't hit!" As the
nurse develops a plan of care for client the nurse also begins to think about client's
children and how they might be included in the plan of care. Which of the following is
true about the affects of intimate partner violence on children?
Intimate partner violence can cause emotional problems in the child even if the child has
not seen or heard the violence happening.
Intimate partner violence alone does not directly affect children, but children in violent
homes are often abused emotionally and/or physically abused.
Intimate partner violence can cause emotional problems in the child if the violence is
fatal or near-fatal, such as the strangulation attempt on the client.
Intimate partner violence usually only causes emotional problems if the child sees the
violence happen.
What else can the nurse determine about these children's risk for emotional and
behavioral problems from the assessment of the family so far?
The children would probably have better mental health outcomes if their mother
returned to the abuser even if her mental health would suffer.
Any mental health problems that the children have are not likely to affect their
development if they are otherwise healthy.
They are more likely to suffer from emotional problems because their mother has a
history of depression.
Because of the history of violence in the home, they will definitely develop mental and
behavioral health problems. - Answer-They are more likely to suffer from emotional
problems because their mother has a history of depression.
Children are at greater risk for emotional problems if a parent has mental health
problems.
RATIONALE FOR INCORRECT:
Being in a home where intimate partner violence occurs increases risk for the children
to have mental health problems. Therefore, returning to the home would increase the
likelihood of further problems.
Mental health problems in children can affect their ability to reach developmental
milestones.
While intimate partner violence in the home increases risk for mental and behavioral
health problems, it is not certain that all children will be affected.
How should the nurse assess the children for post-traumatic stress syndrome?
Partner Violence & PTSD) Exam
Questions with Correct Answers
What information is most important in determining a plan of care for post-traumatic
stress syndrome for this client?
Her willingness to go to counseling.
Her access to formal and informal social support.
Her income and education level.
Whether or not she has health insurance. - Answer-Her access to formal and informal
social support.
The client's informal resources (such as a church group or friend) and formal resources
(such as an advocate at the shelter or a reduced cost clinic in her neighborhood) are the
most important factors in determining her plan of care. These resources will determine
the emotional and tangible support that she has to cope with the trauma.
RATIONALE FOR INCORRECT:
Counseling may be an important part of recovery from post-traumatic stress syndrome.
However, her informal resources (such as a church group or friend) and formal
resources (such as an advocate at the shelter or a reduced cost clinic in her
neighborhood) are more important in determining a plan of care.
While income and education level may serve as a barrier for care, it should not be the
most important determinant for your plan of care.
While lack of health insurance may serve as a barrier for care, it should not be the most
important determinant for a plan of care.
How might living in a domestic violence shelter act as an obstacle for recovery from
post-traumatic stress syndrome?
All of these scenarios may serve as an obstacle for recovery.
Being away from familiar people, places, and routines may make coping more difficult.
Living with a large number of strangers may cause overstimulation.
Following house rules in the shelter may feel similar to the controlling nature of the
abusive relationship. - Answer-All of these scenarios may serve as an obstacle for
recovery.
A client with post-traumatic stress syndrome has increased arousal that may include
irritability and exaggerated startle response. The client may be more sensitive to
stressors such as living with strangers or following house rules in a shelter situation. A
client will also likely have developed coping mechanisms that may not be available to
them at the shelter, such as talking to a friend or going to the corner store for a coffee.
RATIONALE FOR INCORRECT:
,A client will also likely have developed coping mechanisms that may not be available to
her at the shelter, such as talking to a friend or going to the corner store for a coffee.
A client with post-traumatic stress syndrome has increased arousal that may include
irritability and exaggerated startle response. The client may be more sensitive to
stressors such as living with strangers.
A client with post-traumatic stress syndrome has increased arousal that may include
irritability and exaggerated startle response. The client may be more sensitive to
stressors such as the feeling of being controlled again by house rules.
The nurse has completed the assessment and has infromation to create a plan of care
for client. Before stepping outside the room, the nurse explains to client that the
healthcare provider will perform an examination but that the nurse will return afterward
to speak with client again. The nurse exits the room and meets with the healthcare
provider. What is the best way for the nurse to communicate client's history of violence
with the healthcare provider?
After asking permission from client to inform the healthcare provider of the abuse, give a
thorough report of the assessment findings.
Allow the healthcare provider to do an independent assessment in order to find possible
inconsistencies in the story.
Keep the information about the abuse private to increase rapport with the client.
Place a note on the chart letting the healthcare provider know that abuse has occurred.
- Answer-After asking permission from client to inform the healthcare provider of the
abuse, give a thorough report of the assessment findings.
The history of abuse may affect the diagnosis and treatment of the client. It is important
that the healthcare provider has all pertinent information. The client, however, should be
in control of whether the information that she tells the nurse is shared as much as
possible without risking the safety of the client or others.
RATIONALE FOR INCORRECT:
It is not the job of the healthcare provider, or the nurse, to determine the truth about the
incident or incidents of violence. For the purpose of a health visit, it is important to
believe the client and act according to the information given.
Just as with any part of a health history, it is important for the healthcare provider to
have all relevant information that has been collected about the client's history of
violence to inform care.
Important information that could affect the care of a client should be communicated
verbally.
Intimate partner violence can cause emotional problems in the child even if the child has
not seen or heard the violence happening.
If there is intimate partner violence in the home, children can have serious and lasting
physical and mental health problems as a result.
RATIONALE FOR INCORRECT:
Intimate partner violence in the home can cause physical and mental health problems in
children.
, While the level of violence may affect the severity of emotional problems, any level of
intimate partner violence in the home can affect the mental health of children.
A child does not have to see or hear intimate partner violence to be affected by it. If
there is violence in the home, the child can have serious and lasting physical and
mental health problems. - Answer-While the healthcare provider is in the room, the
nurse goes to the desk to write down a plan of care. While working, the nurse notices
client's two children in the waiting area. The 6-year-old is sitting quietly next to the
advocate. The child is rocking slightly in the chair and seems preoccupied. The 4-year-
old is playing with another young child who is accompanied by a parent. The nurse
hears the advocate tell the 4-year-old several times, "No hitting! We don't hit!" As the
nurse develops a plan of care for client the nurse also begins to think about client's
children and how they might be included in the plan of care. Which of the following is
true about the affects of intimate partner violence on children?
Intimate partner violence can cause emotional problems in the child even if the child has
not seen or heard the violence happening.
Intimate partner violence alone does not directly affect children, but children in violent
homes are often abused emotionally and/or physically abused.
Intimate partner violence can cause emotional problems in the child if the violence is
fatal or near-fatal, such as the strangulation attempt on the client.
Intimate partner violence usually only causes emotional problems if the child sees the
violence happen.
What else can the nurse determine about these children's risk for emotional and
behavioral problems from the assessment of the family so far?
The children would probably have better mental health outcomes if their mother
returned to the abuser even if her mental health would suffer.
Any mental health problems that the children have are not likely to affect their
development if they are otherwise healthy.
They are more likely to suffer from emotional problems because their mother has a
history of depression.
Because of the history of violence in the home, they will definitely develop mental and
behavioral health problems. - Answer-They are more likely to suffer from emotional
problems because their mother has a history of depression.
Children are at greater risk for emotional problems if a parent has mental health
problems.
RATIONALE FOR INCORRECT:
Being in a home where intimate partner violence occurs increases risk for the children
to have mental health problems. Therefore, returning to the home would increase the
likelihood of further problems.
Mental health problems in children can affect their ability to reach developmental
milestones.
While intimate partner violence in the home increases risk for mental and behavioral
health problems, it is not certain that all children will be affected.
How should the nurse assess the children for post-traumatic stress syndrome?
