2024
2024 VARCAROLIS CHILD
OLDER ADULT AND INTIMATE
PARTNER VIOLENCE CHAPTER
28 EXAM WITH CORRECT
ANSWERS
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. - CORRECT ANSWERS-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 over-involvement with victims rather than healthy transference.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 540-541 TOP: Nursing Process: Planning
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.
c.
have eating disorders.
b.
are attention seeking.
d.
are developmentally delayed. - CORRECT ANSWERS-A 2024
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: Page 533 (Box 28-1) TOP: Nursing Process: Assessment
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. - CORRECT ANSWERS-C
Each state has specific regulations for reporting child abuse that must be observed. The nurse is a mandated reporter. The reporter does not need to be sure that abuse or neglect occurred, only that it is suspected. Speculation should not be documented, only the facts.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 543 TOP: Nursing Process: Implementation
Client Needs: Safe, Effective Care Environment 7. Several children are seen in the emergency department for treatment of various illnesses and injuries. Which assessment finding would create the most suspicion for child abuse? The child who has:
a.
complaints of abdominal pain.
c.
bruises on extremities.
b.
repeated middle ear infections.
d.
diarrhea. - CORRECT ANSWERS-C
Injuries such as immersion or cigarette burns, facial fractures, whiplash, bite marks, traumatic injuries, bruises, and fractures in various stages of healing suggest the possibility of abuse. In older children, vague complaints such as back pain may also be suspicious. Ear infections, diarrhea, and abdominal pain are problems that were unlikely to have resulted from violence.
PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Page 537-538 | Page 545 (Box 28-7)
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