GIDDENS CH 38 INTERPERSONAL VIOLENCE EAQ QUESTIONS AND ANSWERS 2022

GIDDENS CH 38 INTERPERSONAL VIOLENCE EAQ QUESTIONS AND ANSWERS 2022 A married woman is brought to the emergency department of a local hospital. Her eyes are swollen shut, and she has a bruise on her neck. She reports that she is being beaten by her husband. How does the nurse expect the husband to behave when he arrives at the emergency department? A. Fearful B. Confused C. Charming D. Indifferent - ANS-C. Abusers are often extremely charming to mask their abusive tendencies and convince the abused mate and others that change is possible. After an abusive episode there is often a "honeymoon" period because the tensions of the abuser have been released. Abusers mask their fears by becoming angry and aggressive. Abusers are not confused; they are manipulative of others. Abusers are rarely indifferent; they tend to be opinionated and demanding. During a home visit, a nurse discovers that a child in the household has a disability and has been experiencing seizures. In addition, the child's parent is indifferent to the child's physical, emotional, or medical needs and seems to provoke seizure episodes by harsh verbal exchanges with the child. The nurse believes that an intervention by an appropriate community resource is indicated. Where should the nurse direct the referral? A. Outpatient clinic B. Hospital pediatric unit C. Child Protective Services D. Bureau of the handicapped - ANS-C All states have laws about obligatory reporting of child abuse to local authorities. This responsibility is delegated by the state to an appropriate local agency such as Child Protective Services. A staff member of the agency investigates allegations of child abuse, and recommendations are made to protect the child's welfare. The clinic treats the client medically, but other agencies handle child abuse and other social problems. The hospital probably will not admit the child unless an immediate medical incident requires it. The bureau of the handicapped is concerned with equipment and supplies required for the individual with a disability. A nurse is working with a child who was physically abused by a parent. What is the most important goal for this family? A. The child will live in a safe environment. B. The parents will use verbal discipline effectively. C. The family will feel comfortable in its relationship with the counselor. D. The parents will gain an understanding of their abusive behavior patterns. - ANSA. The most important goal and top priority is to ensure the safety of the child. Once this is ensured, other goals can be identified and fulfilled, including the parents using verbal discipline effectively, the family feeling comfortable in its relationship with the counselor, and the parents gaining an understanding of their abusive behavior patterns. The emergency department nurse is conducting an interview and assisting with the physical examination of a female sexual assault victim. What is most important for the nurse to document on this client's record? A. Observations about the client's reaction to male staff members B. Statements by the client about the sexual assault and the rapist C. Information about the client's previous knowledge of the rapist D. Summary statement about the client's description of the assault and the rapist - ANS-B Statements by the client about the sexual assault and the rapist eliminate the nurse's subjectivity from the report. Observations about the client's reaction to male staff members is unrelated to the sexual assault itself and are subjective. Eliciting information about the client's previous knowledge of the rapist is not the responsibility of the nurse. A summary statement about the client's description of the sexual assault and the rapist may invite subjectivity. The school nurse is conducting a teacher's in-service on signs that may indicate that a child is a victim of bullying. Which sign should the nurse include in the teaching session? A. The child wants to try out for the basketball team. B. The child asks for extra work to make better grades. C. The child is participating in several extracurricular activities after school. D. The child asks to go to the nurse's office frequently with vague complaints. - ANSD Signs that may indicate a child is being bullied are similar to signs of other types of stress, including nonspecific ailments or complaints. Spending inordinate amounts of time in the school nurse's office with vague complaints is a sign that should be included in the teaching session. Withdrawal and deteriorating school performance are often signs of bullying. The child's wanting to participate on the basketball team, asking for extra work, and participating in extracurricular activities are not signs of withdrawal or deterioration in school performance...