During the impact stage of response to a violent crime, which nursing interventions would be appropriate for a victim? Select all that apply.
a. Provide physical safety.
b. Use empathetic responses.
c. Distract the patient with humor.
d. Provide clear, simple directions.
e. Support expression of feelings.
Question 2A 15-year-old patient is seen for evaluation by court order
The parents seek to have this teen declared incorrigible because of excessive drinking, habitually running away, and prostitution. The nurse interviewing the patient should recognize that these behaviors often occur in adolescents who:
a. are victims of childhood sexual abuse.
b. have antisocial personality disorder.
c. are experiencing schizophrenia.
d. have been ritually abused.
Question 3An adult in the emergency department has wrist slashes, suggesting self-mutilation. The patient's history reveals alcohol and drug abuse, binge eating, and unstable interpersonal relationships. Which history should the nurse suspect?
a. Rape trauma
b. Partner abuse
c. Serial ritual abuse
d. Childhood sexual abuse
Question 4A patient comes to the clinic for the fifth time in a month with vague complaints of not feeling well. The nurse notices fresh bruises on the patient's upper body. Which assessment question should take priority?
a. How much do you drink each day?
b. Are you annoying to anyone?
c. Did anyone hurt you?
d. Have you fallen?
Question 5Which assessment findings would prompt a nurse to suspect that a 15-year-old patient may be a victim of serial ritual abuse?
a. Lying in a fetal position; echolalia; body rocking
b. Multiple scars and burns; missing teeth; fear of being examined
c. Scarred index finger; tooth enamel erosion; sores around mouth
d. Acting-out behaviors; verbal aggression; arrested for grand larceny
Question 6A mother and two children are in the emergency department. She has just escaped from a severe beating by her husband. What is the nurse's priority intervention?
a. Appeal to her maternal instincts regarding child care.
b. Focus on physical safety and emotional security.
c. Provide a support group referral.
d. Disclose victims' legal rights.
Question 7A patient says, I was raped 2 hours ago. The patient coherently, quietly, and calmly states the facts in a monotone voice. The nurse should assess this behavior as
a. a delayed reaction to the trauma.
b. indicative of ego integrity.
c. evidence of denial.
d. sublimation.
Question 8Battered woman syndrome is an aspect of which medical diagnosis?
a. Sexual abuse
b. Major depression
c. Impaired adjustment
d. Post-traumatic stress disorder (PTSD)
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