Chapter 28: Child, Older Adult, and Intimate Partner Violence Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition

MULTIPLE CHOICE 1. Which comment by the nurse would best support relationship building with a survivor of intimate partner abuse? a. You are feeling violated because you thought you could trust your partner.‖ b. I‘m here for you. I want you to tell me about the bad things that happened to you.‖ c. I was very worried about you. I knew you were living in a potentially violent situation.‖ d. Abusers often target people who are passive. I will refer you to an assertiveness class.‖ ANS: A The correct option uses the therapeutic technique of reflection. It shows empathy, an important nursing attribute for establishing rapport and building a relationship. None of the other options would help the patient feel accepted. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 28-12, 27 TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity 2. An 11-year-old reluctantly tells the nurse, ―My parents don‘t like me. They said they wish I was never born.‖ Which type of abuse is likely? a. Sexual b. Physical c. Emotional d. Economic ANS: C Examples of emotional abuse include having an adult demean a child‘s worth, frequently criticize, or belittle the child. No data support physical battering or endangerment, sexual abuse, or economic abuse. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 28-3, 17 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 3. What feelings are most commonly experienced by nurses working with abusive families? a. Outrage toward the victim and discouragement regarding the abuser b. Helplessness regarding the victim and anger toward the abuser c. Unconcern for the victim and dislike for the abuser d. Vulnerability for self and empathy with the abuser ANS: B Intense protective feelings, helplessness, and sympathy for the victim are common emotions of a nurse working with an abusive family. Anger and outrage toward the abuser are common emotions of a nurse working with an abusive family. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 28-21, 22, 51 (Table 28-3) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 4. Which rationale best explains why a nurse should be aware of personal feelings while working with a family experiencing family violence? a. Self-awareness enhances the nurse‘s advocacy role. b. Strong negative feelings interfere with assessment and judgment. c. Strong positive feelings lead to healthy transference with the victim. d. Positive feelings promote the development of sympathy for patients. ANS: B Strong negative feelings cloud the nurse‘s judgment and interfere with assessment and intervention, no matter how well the nurse tries to cover or deny feelings. Strong positive feelings lead to overinvolvement with victims rather than healthy transference. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 28-21, 22, 51 (Table 28-3) TOP: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity 5. The parents of a 15-year-old seek to have this teen declared a delinquent because of excessive drinking, habitually running away, and prostitution. The nurse interviewing the patient should recognize these behaviors often occur in adolescents who a. have been abused. b. are attention seeking. c. have eating disorders. d. are developmentally delayed. ANS: A Self-mutilation, alcohol and drug abuse, bulimia, and unstable and unsatisfactory relationships are frequently seen in teens who are abused. These behaviors are not as closely aligned with any of the other options. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 28-6, 55 (Box 28-1) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 6. What is a nurse‘s legal responsibility if child abuse or neglect is suspected? a. Discuss the findings with the child‘s parent and health care provider. b. Document the observation and suspicion in the medical record. c. Report the suspicion according to state regulations. d. Continue the assessment.