Abuse & IPV

A client who is in a severely abusive relationship is admitted to a psychiatric inpatient unit. The patient states she fears for her life. Another RN states, "Why doesn't she just leave him?" What is the appropriate response by the nursing supervisor?

• "These patient's don't know life any other way, and change is not an option until they have better insight."

• "These patients have limited cognitive skills and few vocational abilities to be able to make it on their own."

• "These patient's often have a lack of financial independence to support themselves and their children, and most have religious beliefs prohibiting divorce and separation."

• "These patients are paralyzed into inaction by a combination of physical threats and a sense of powerlessness."

Tags

therapeutic communication

A woman comes into the ER with a broken nose and multiple bruises after being attacked by her husband. She states, "The beatings have been getting worse, and I'm afraid next time he will kill me." Which is the appropriate nursing response?

• "Leopards don't change their spots, and neither will he."

• "There are things you can do to prevent him from losing control."

• "Lets talk about your options so that you don't have to go home"

• "Why don't we call the police so that they can confront your husband with this behavior."

Tags

safety planning

therapeutic communication

The patient asks, "Why does a rapist use a weapon during the act of sexual assault?" The nurse knows this is because the perpetrator wants to

• Decrease their insecurity

• Inflict physical harm

• terrorize and subdue the victim

• mirror learned family behavior patterns related to weapons

A 2-year old is being seen in the ER following a reported fall down the stairs. Which of the following findings indicates that the injuries may be a result of physical abuse?

• The mother describes the child as "clumsy"

• The child has several fractures in various stages of healing

• The child clings to her mother when she attempts to leave the room

• The child struggles with staff when they attempt to obtain a blood specimen

Tags

child abuse

The nurse is running a support group for individuals that have suffered intimate partner violence. A patient asks the nurse about the characteristics of perpetrators of IPV and the nurse accurately responds by saying:

• "Perpetrators are usually alcoholics."

• "Perpetrators are often males."

• "Perpetrators are often strangers."

• "Perpetrators show a pattern of jealousy and control."

Tags

IPV

An elderly patient is brought into the ER by family due to reports of multiple falls at home. The nurse is suspicious that the patient has suffered physical abuse. The patient denies being abused. Her denial is likely based on her:

• Feeling that she deserved the abuse

• Strong belief that nothing could be done to help her

• Lack of trust that the situation will improve

• Fear of retaliation or removal from her family

Tags

elder abuse

The nurse is deciding whether or not to make a report of child abuse and neglect to protective services. To make the report, the nurse must have which of the following?

• Strong evidence that the abuse occurred

• Nursing supervisor's permission to make a report

• Suspicions that the abuse has occured

• Notified the child's parents of the report

Tags

child abuse

A community health nurse is working with a family that experienced neglect perpetrated towards their grandmother by her son. The grandmother insists on staying with her son despite the abuse and future potential neglect. Which intervention is highest priority at this time?

• Identify community resources to decrease caregiver stress

• establish patient rights and consequences of abuse and monitoring

• provide stress management techniques for the caregivers

• educate the caregivers on the aging process and how to cope

Tags

elder abuse

A patient has been physically abused by her boyfriend frequently since moving in together. During her last visit with the nurse, the patient stated, "I probably shouldn't go back to him because he continues to hurt me." The nusre is aware that the final decision to leave a batterer is:

• Usually a gradual process that occurs over time

• Likely to occur after the victim suffers a serious injury

• More likely if the patient has approval from her family

• Made when the batterer gives her permission to do so

Tags

IPV

The nurse is caring for an 8-year old child during a wellness visit. Which of the following findings by the nurse will rouse suspicion that the child is being sexually abused? Select all that apply

• The child is fearful of the caregiver and other adults.

• The child has a lack of peer friendships

• The child has demonstrated self-injurious behavior

• The child has an interest in sexual activities & content

Tags

child abuse

sexual abuse