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4 Cards in this Set
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- Back
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1. From a biological theory perspective, which of the following predisposes individuals to be abusive? a) Unmet needs for security resulting in an underdeveloped ego and a weak super ego. b) Imitation of individuals who have a predisposition toward aggressive behavior. c) Various levels of norepinephrine, dopamine, and serotonin. d) The influence of culture and social structure. |
Correct answer: C Various components of the neurological system in both humans and animals have been implicated in both the facilitation and the inhibition of aggressive impulses. One biological theory suggests that norepinephrine, dopamine, and serotonin may play a role in aggressive behavior. |
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2. A 12-year-old girl suddenly refuses to change for gym, participate in physical activities, has difficulty walking and sitting, and will not eat her food at lunchtime. What should the school nurse consider when assessing this child’s symptoms? a) Sexual abuse b) Emotional neglect c) Physical neglect d) Emotional abuse |
Correct answer: A Sexual abuse of a child may be considered a possibility when the child has difficulty walking or sitting; suddenly refuses to change for gym or to participate in physical activities; reports nightmares or bedwetting; experiences a sudden change in appetite; demonstrates bizarre, sophisticated, or unusual sexual knowledge; becomes pregnant or contracts a venereal disease; runs away; or reports sexual abuse by a parent or another adult caregiver. After assessing the data, the school nurse should further investigate this child’s unexplained symptoms, and if warranted, report findings to authorities. |
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3. A young mother in a severely abusive relationship is admitted to the psychiatric unit after an attempted suicide. The client tells the nurse, “I’m sure things will be better between us once I go home.” Which is the most appropriate nursing response? a) “Research shows that men who batter get worse rather than improve.” b) “Aren't you concerned about your children?” c) “You really shouldn’t return home to that violent situation.” d) “Let's develop a safety plan in case he becomes violent in the future.” |
Correct answer: D It is critical to stress to the client the importance of safety. The client must be made aware of the variety of resources that are available to her. Most major cities in the United States now have safe houses or shelters where women can go to be assured of protection for them and their children. Helping the client develop a safety strategy will increase her sense of control and decrease her sense of powerlessness. |
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4. After an examination and treatment for rape, the nurse prepares to discharge a client from the ED. Which discharge teaching should the nurse provide? a) Information on available community resources b) The names and phone numbers of local attorneys who defend rape victims c) When to return to the emergency room for follow-up care d) The phone number of the battered women’s shelter or safe house |
Correct answer: A The client must be made aware of the variety of resources that are available to her. These may include crisis hotlines, community groups for women who have been abused, and counseling services. Knowledge of available community resources decreases the victim’s sense of powerlessness. |
