Abuse Questions PDF

1\. Which individuals are most at risk for displaying aggressive behavior? Select all that apply. a\. An adolescent embarrassed in front of friends. b\. A young male who feels rejected by the social group. c\. A young adult depressed after the death of a friend. d\. A middle-aged adult who feels...

1\. Which individuals are most at risk for displaying aggressive behavior? Select all that apply. a\. An adolescent embarrassed in front of friends. b\. A young male who feels rejected by the social group. c\. A young adult depressed after the death of a friend. d\. A middle-aged adult who feels that concerns are going unheard. e\. A patient who was discovered telling a lie. 2\. A newly admitted male patient has a long history of aggressive behavior toward staff. Which statement by the nurse demonstrates the need for more information about the use of restraint? a\. "If his behavior warrants restraints, someone will stay with him the entire time he's restrained." b\. "I'll call the primary provider and get an as-needed (prn) seclusion/restraint order." c\. "If he is restrained, be sure he is offered food and fluids regularly." d\. "Remember that physical restraints are our last resort." 3\. Which intervention(s) should the nurse implement when helping a patient who expresses anger in an inappropriate manner? Select all that apply. a\. Approach the patient in a calm, reassuring manner. b\. Provide suggestions regarding acceptable ways of communicating anger. c\. Warn the patient that being angry is not a healthy emotional state. d\. Set limits on the angry behavior that will be tolerated. e\. Allow any expression of anger as long as no one is hurt. 4\. Which guidelines should direct nursing care when deescalating an angry patient? Select all that apply. a\. Intervene as quickly as possible. b\. Identify the trigger for the anger. c\. Behave calmly and respectfully. d\. Recognize the patient's need for increased personal space. e\. Demands are agreed to as long as they will not result in harm to anyone. 5\. Which comorbid condition would result in cautious use of an SSRI for a patient with chronic aggression? a\. Asthma b\. Anxiety disorder c\. Glaucoma d\. Bipolar disorder 6\. Patrick is a widower with four daughters. He enjoyed a healthy relationship with each of them until they reached puberty. As the girls began to mature physically, he acted in an aggressive manner, often beating them without provocation. Patrick is most likely acting on: a\. Self-protective measures b\. Stress of raising four daughters c\. Frustration of unhealthy desire d\. Motivating his daughters to be chaste 7\. A nurse named Darryl has been hired to work in a psychiatric intensive care unit. He has undergone training on recognizing escalating anger. Which statement indicates that he understands danger signs in regard to aggression? a\. "I need to be aware of patients who are withdrawn and sitting alone." b\. "An obvious change in behavior is a risk factor for aggression." c\. "Patients who seek constant attention are more likely to be violent." d\. "Patients who talk to themselves are the most dangerous." 8\. An effective method of preventing escalation in an environment with violent offenders is to develop a level of trust through: a\. A casual authoritative demeanor b\. Keeping patients busy c\. Brief, frequent, nonthreatening encounters d\. Threats of seclusion or punishment 9\. A 24-hour observation is a good choice for restraint in which of the following patients? a\. An inmate with suicidal ideation on hospice care b\. A sex offender in the psychiatric intensive care unit c\. An aggressive female with antisocial personality disorder d\. An inmate diagnosed with paranoid schizophrenia 10\. Chronic obstructive pulmonary disease, spinal injury, seizure disorder, and pregnancy are conditions that: a\. Frequently result in out of control behavior. b\. Respond well to therapeutic holding. c\. Necessitate the use of only two-point restraint. d\. Contraindicate restraint and seclusion. 1. a, b, d, e; 2. b; 3. a, b, d; 4. a, b, c, d; 5. d; 6. c; 7. b; 8. c; 9. a; 10. D Chapt 28 1\. Which statement made by a new mother should be explored further by the nurse? a\. "I have three children, that's enough." b\. "I think the baby cries just to make me angry." c\. "I wish my husband could help more with the baby." d\. "Babies are a blessing, but they are a lot of work." 2\. Which problem is observed in children who regularly witness acts of violence in their family? Select all that apply. a\. Phobias b\. Low self-esteem c\. Major depressive disorder d\. Narcissistic personality disorder e\. Posttraumatic stress disorder 3\. What situation associated with a caregiver presents the greatest risk that an older adult will experience abuse by that caregiver? a\. The caregiver is a single male relative. b\. The caregiver was neglected as a child. c\. The caregiver is under the age of 30. d\. The caregiver has little experience with older adults. 4\. What safety-related responsibility does the nurse have in any situation of suspected abuse? a\. Protect the patient from future abuse by the abuser. b\. Inform the suspected abuser that the authorities have been notified. c\. Arrange for counseling for all involved parties, but especially the patient. d\. Report suspected abuse to the proper authorities. 5\. The nurse is assisting a patient to identify safety issues that may occur now that she has left an abusive partner. What telephone numbers should be available to the patient? Select all that apply. a\. The police department b\. An abuse hotline c\. A responsible friend or family member d\. A domestic violence shelter e\. The hospital emergency department 6\. Secondary effects of abuse often manifest as arrested development in children due to the fact that: a\. Coping is easier than emotional growth b\. Energy for development is diverted to coping c\. Children cannot differentiate love from abuse d\. Abuse fosters a sense of belonging, even if dysfunctional 7\. The use of a patient-centered interview technique works well for gathering information about abusive situations. It is a good use of clinical time to sit near the patient and: a\. Establish trust and rapport b\. Ask lots of questions c\. Interrupt the patients' story to allow for decompression d\. Utilize closed-ended questions 8\. The abused person is often in a dependent position, relying on the abuser for basic needs. At particular risk are children and older adults due to: a\. The love they have for parents or children. b\. Their limited options. c\. The need to feel safe at home. d\. Other relatives do not want them. 9\. An appropriate expected outcome in individual therapy regarding the perpetrator of abuse would be: a\. A decrease in family interaction so there are fewer opportunities for abuse to occur. b\. The perpetrator will recognize destructive patterns of behavior and learn alternate responses. c\. The perpetrator will no longer live with the family but have supervised contact while undergoing intensive inpatient therapy. d\. A triad of treatment modalities, including medication, counseling, and role-playing opportunities. 10\. Perpetrators of domestic violence tend to: Select all that apply. a\. Have relatively poor social skills and have grown up with poor role models. b\. Believe they, if male, should be dominant and in charge in relationships. c\. Force their mates to work and expect them to handle the financial decisions. d\. Be controlling and willing to use force to maintain their power in relationships. e\. Prevent their mates from having relationships and activities outside the family. 1. b; 2. a, b, c, e; 3. b; 4. d; 5. a, b, c, d; 6. b; 7. a; 8. b; 9. b; 10. a, b, d, e Chapt 29 Chapter Review 1\. Which statement made by a sexually assaulted patient strongly suggests the drug gamma-hydroxybutyric acid (GHB) was involved in the attack? a\. "I remember everything that happened but felt too tired to fight back." b\. "The drink I was given had a salty taste to it." c\. "They tell me I was unconscious for 24 hours." d\. "I heard that I was fighting the nursing staff and saying that they were trying to kill me." 2\. Considering the guilt that women feel after being sexually assaulted, which nursing assessment question has priority? a\. "Do you want the police to be called?" b\. "Did you recognize the person who assaulted you?" c\. "Do you have someone you trust that can stay with you?" d\. "Do you have any thoughts about harming yourself?" 3\. Which statement is an accurate depiction of sexual assault? a\. Rape is a sexual act. b\. Most rapes occur in the home. c\. Rape is usually an impulsive act. d\. Women are usually raped by strangers. 4\. Which signs and symptoms are associated with rape-trauma and rape-trauma response? Select all that apply. a\. Outbursts of anger b\. Major depressive disorder c\. Auditory hallucinations d\. Flashbacks e\. Amnesia for the event 5\. Which racial identification places a woman at the greatest risk of being sexually assaulted in her lifetime? a\. Multiracial b\. American Indian c\. Black non-Hispanic d\. White 6\. The stress of being raped often results in suffering similar to people who have witnessed a murder or had a physiological reaction to trauma, resulting in which of the following? a\. Posttraumatic stress disorder b\. Anxiety c\. Depression d\. All of the above 7\. A young woman named Carly was raped after closing shift behind the restaurant where she works. Six months have passed and Carly has not been able to return to work, refuses to go out to eat, and feels that she has less value as a woman now that she has been raped. Carly's clinical presentation suggests: a\. Reexperiencing b\. Hyperalertness c\. Avoidance d\. Physical effects 8\. Ron is a victim of assault and has revealed to his family and friends the fact that he was raped. The family reacts with horror and disgust, and the nurse caring for Ron recognizes that a\. Ron's family is being judgmental. b\. Ron's family should leave the hospital. c\. Ron's family will also need support. d\. Ron's family's dynamics are dysfunctional. 9\. Perpetrators of sexual assault are often incarcerated but frequently do not undergo therapy. Samuel, convicted of rape and sentenced to 15 years in prison, has asked to see a therapist. The psychiatric nurse practitioner is surprised to learn of the request, as many perpetrators a\. Boast of their assault history. b\. Feel regret and remorse. c\. Do not acknowledge the need for change. d\. Are unable to recognize rape as a crime. 10\. You are working at a telephone hotline center when Abby, a rape victim, calls. Abby states she is afraid to go to the hospital. What is your best response? a\. "I'm here to listen, and we can talk about your feelings." b\. "You don't need to go to the hospital if you don't want to." c\. "If you don't go to the hospital, we can't collect evidence to help convict your rapist." d\. "Why are you afraid to seek medical attention?" 1. b; 2. d; 3. b; 4. a, b, d, e; 5. a; 6. d; 7. c; 8. c; 9. c; 10. A Chapter Review 22 1\. Which statement made by a sexually assaulted patient strongly suggests the drug gamma-hydroxybutyric acid (GHB) was involved in the attack? a\. "I remember everything that happened but felt too tired to fight back." b\. "The drink I was given had a salty taste to it." c\. "They tell me I was unconscious for 24 hours." d\. "I heard that I was fighting the nursing staff and saying that they were trying to kill me." 2\. Considering the guilt that women feel after being sexually assaulted, which nursing assessment question has priority? a\. "Do you want the police to be called?" b\. "Did you recognize the person who assaulted you?" c\. "Do you have someone you trust that can stay with you?" d\. "Do you have any thoughts about harming yourself?" 3\. Which statement is an accurate depiction of sexual assault? a\. Rape is a sexual act. b\. Most rapes occur in the home. c\. Rape is usually an impulsive act. d\. Women are usually raped by strangers. 4\. Which signs and symptoms are associated with rape-trauma and rape-trauma response? Select all that apply. a\. Outbursts of anger b\. Major depressive disorder c\. Auditory hallucinations d\. Flashbacks e\. Amnesia for the event 5\. Which racial identification places a woman at the greatest risk of being sexually assaulted in her lifetime? a\. Multiracial b\. American Indian c\. Black non-Hispanic d\. White 6\. The stress of being raped often results in suffering similar to people who have witnessed a murder or had a physiological reaction to trauma, resulting in which of the following? a\. Posttraumatic stress disorder b\. Anxiety c\. Depression d\. All of the above 7\. A young woman named Carly was raped after closing shift behind the restaurant where she works. Six months have passed and Carly has not been able to return to work, refuses to go out to eat, and feels that she has less value as a woman now that she has been raped. Carly's clinical presentation suggests: a\. Reexperiencing b\. Hyperalertness c\. Avoidance d\. Physical effects 8\. Ron is a victim of assault and has revealed to his family and friends the fact that he was raped. The family reacts with horror and disgust, and the nurse caring for Ron recognizes that a\. Ron's family is being judgmental. b\. Ron's family should leave the hospital. c\. Ron's family will also need support. d\. Ron's family's dynamics are dysfunctional. 9\. Perpetrators of sexual assault are often incarcerated but frequently do not undergo therapy. Samuel, convicted of rape and sentenced to 15 years in prison, has asked to see a therapist. The psychiatric nurse practitioner is surprised to learn of the request, as many perpetrators a\. Boast of their assault history. b\. Feel regret and remorse. c\. Do not acknowledge the need for change. d\. Are unable to recognize rape as a crime. 10\. You are working at a telephone hotline center when Abby, a rape victim, calls. Abby states she is afraid to go to the hospital. What is your best response? a\. "I'm here to listen, and we can talk about your feelings." b\. "You don't need to go to the hospital if you don't want to." c\. "If you don't go to the hospital, we can't collect evidence to help convict your rapist." d\. "Why are you afraid to seek medical attention?" 1. b; 2. d; 3. b; 4. a, b, d, e; 5. a; 6. d; 7. c; 8. c; 9. c; 10. A Review Questions 1\. When caring for a patient recovering from an episode of opioid toxicity, the nurse determines that the patient has opioid use disorder based on which finding? a\. Withdrawal symptoms b\. A history of daily use c\. Craving that results in drug-seeking behaviors d\. Intravenous, rather than oral, use of the drug 2\. A patient hospitalized with a fractured femur after an automobile accident develops nausea and vomiting, abdominal cramps, and restlessness. The nurse suspects that the patient is experiencing which reaction? a\. Opioid withdrawal b\. Alcohol toxicity c\. Flashbacks from LSD use d\. Nicotine withdrawal 3\. Which treatments will the nurse anticipate administering to a patient who has been admitted with alcohol toxicity? (Select all that apply.) a\. Naloxone b\. Thiamine c\. Intravenous fluids d\. Naltrexone e\. Intravenous glucose solution f\. Flumazenil 4\. The nurse observes another nurse taking oral opioids from the medication room at the hospital. Which is the best action for the nurse who observes drug diversion to take? a\. Report the finding to the nursing supervisor to enable the nurse's participation in a nondisciplinary program. b\. Ignore the situation to protect the nurse from dismissal and possible loss of licensure. c\. Confront the nurse and demand that the drugs be returned before someone notices their absence. d\. Ask the nurse to request pain medications from a physician rather than stealing them from the hospital. 5\. A patient is to start disulfiram to help with alcohol use disorder. The nurse providing medication education about the drug will include which topics in the education plan? (Select all that apply.) a\. Importance of taking the medication every day b\. That better results are experienced when a support group helps with treatment adherence c\. Common food and hygiene products that contain alcohol d\. That disulfiram treatment should be stopped 1 day before alcohol consumption e\. That disulfiram works by disrupting the metabolism of alcohol f\. That use of alcohol with disulfiram may cause nausea and vomiting and may even be fat