N322 Mental Health Nursing Final Exam Practice Questions & Answers(100% VERIFIED

An ED nurse assesses a woman suspected of being abused by an intimate partner. Which assessment finding most clearly confirms the suspicion? A. Leathery facial tone B. Injuries in a bikini pattern C. Reluctance to be examined D. Lack of eye contact with the nurse -ANSWER B. Injuries in a bikini pattern An ED nurse assesses a child with a fractured ulna. The nurse also observes yellow and purple bruises across the child's back and shoulders. Which comment by the parents should prompt the nurse to consider making a report to Child Protective Services? A. "We do not believe in the immunization of our children." B. "This child is always creating problems for the family." C. "Our child would rather play alone than with other children." D. "We homeschool our children in order to include religious education." -ANSWER B. "This child is always creating problems for the family." A woman in a relationship characterized by a long history of battering and abuse tells the nurse, "We've had a rough time lately. I admit it: He beat me last night but then said he was sorry. Which event would the nurse expect to occur next in this relationship? A. Another beating by the abusive partner B. Love, gifts, and praise from the abusive partner C. A brief period during which the partners ignore each other D. The abusive partner leaves the relationship for a short time -ANSWER B. Love, gifts, and praise from the abusive partner The nurse assessed an elderly person who was abused by the caregiver. Afterward, which internal dialogue should prompt the nurse to seek guidance? A. "Sometimes I get so discouraged and frustrated with my job." B. "It's incredible that anyone could hurt a child or elderly person." C. "The abuser was probably a victim of abuse at some point in life." D. "I hope the abuser gets victimized so they know what it feels like." -ANSWER D. "I hope the abuser gets victimized so they know what it feels like." Note: Although as is noted on page 240 of the text, not all victims of IPV experience a "honeymoon phase". A university football coach invites the campus nurse to talk to the team about healthy relationships in the community. Which topics have priority for the nurse to include? (Select all that apply.) A. Appropriate behavior with intimate partners B. University resources for counseling and support C. The importance of role modeling for children and teens D. Public recognition of children with life-threatening illnesses -ANSWER A. Appropriate behavior with intimate partners B. University resources for counseling and support Note: It would be essential to include in the discussion both appropriate behavior with intimate partners and resources available on campus. Anyone could be a victim of IPV and resources should be provided during any discussion. An elderly widow tells the nurse, "Since my sister-in-law's death, her husband has been making advances at me. He tried to come in my home with a bottle of wine. Even though he's family, I'm afraid of what might happen if I let him in." Which action should the nurse take first? A. Support the widow to clarify her thoughts and feelings about the situation B. Explain to the widow on how to obtain an order of protection (restraining order) C. Positively reinforce the widow for addressing the problem with a caring professional D. Educate the widow about sexual assault and violence, including the importance of prevention -ANSWER C. Positively reinforce the widow for addressing the problem with a caring professional Note: Although "C" is what should happen first, all of the answers should be done. Having the widow obtaining a restraining order in "B" might be premature. Providing education about that as an option depending on future behavior from the sister-in-law's widowed husband after boundaries were set it not premature. An ED nurse talks with a newly admitted victim of reported rape. Which communication should the nurse offer to comfort this patient? A. "You are safe now. I will stay with you in this private room." B. "Would you like your friend to stay with you during your examination?" C. "You made a good decision to come to the hospital after you were raped." D. "What questions do you have about your examination by the sexual assault nurse examiner?" -ANSWER A. "You are safe now. I will stay with you in this private room."