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Arierog Arierog
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Posts: 344
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6 years ago
A nurse caring for victims of violence plans care based on an understanding that after the initial impact, most victims begin to react emotionally to effects of the traum
 
  a. This second stage of recovery is known as:
  a. disorganization.
  b. reorganization.
  c. retribution.
  d. recoil.

Question 2

The nurse cares for a victim of a violent assault and battery. What is the most therapeutic intervention?
 
  a. Discourage expression of feelings until the victim enters the recoil stage.
  b. Use accepting, nurturing, and empathetic communication techniques.
  c. Educate the victim about strategies to avoid attacks in the future.
  d. Maintain a matter-of-fact manner, and remain objective.

Question 3

A male victim of gang rape comes to the emergency department. The victim is severely anxious, but the nurse will not be able to care for the patient for at least 20 minutes based on the current patient load. Select the nurse's best action.
 
  a. Assign a female nursing assistant to remain with the patient in a private cubicle.
  b. Assign a male nursing assistant to help the patient undress in a private cubicle.
  c. Direct hospital security personnel to monitor the patient in the waiting room.
  d. Notify law enforcement authorities immediately.

Question 4

A woman comes to the clinic with neck pain
 
  There's a bald spot on her scalp. She explains that she caught her hair in a door, which pulled it out and caused her neck injury. The partner wants to stay with the injured woman. What is the nurse's best action?
  a. Encourage the partner to remain with the woman to provide emotional support.
  b. Require the partner to stay in the waiting room when the woman is examined.
  c. Call hospital security to have them stand by to prevent violence.
  d. Report the situation to local law enforcement authorities.

Question 5

A survivor of childhood abuse is hospitalized following an episode of wrist cutting. The patient has a history of bingepurge eating disorder as well as difficulty trusting and relating to others. What is the nurse's priority intervention?
 
  a. Set limits on self-harmful behavior.
  b. Foster belief in and valuing of family unity.
  c. Confront abnormal eating patterns and self-mutilation.
  d. Encourage discussion of personal responsibilities associated with abuse.

Question 6

Which intervention would be most therapeutic as a nurse cares for a victim of partner abuse?
 
  a. Validate the truthfulness of the victim's comments.
  b. Avoid pressuring the victim or disparaging the abuser.
  c. Acknowledge the victim's inability to change the situation.
  d. Encourage the partner to stay with the victim during an interview.
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Replies
wrote...
6 years ago
Answer to #1

D
In the recoil stage, emotional stress is high as the individual strives to come to terms with what has happened. The victim talks about the incident and his or her feelings about the trauma. Reorganization is the third stage of recovery, in which grief over the incident is resolved. Retribution is not a stage in the recovery process. In the impact stage, common responses are shock, denial, and disbelief. Disorganization may be a reaction in the impact stage.

Answer to #2

B
Victims of violence require the nurse to provide unconditional acceptance of them as individuals, because the victim often feels guilty and engages in self-blame. The nurse must be nurturing if the victim's needs are to be met and must be empathetic to convey understanding and promote establishment of trust.

Answer to #3

A
The patient should be moved from the waiting room to a cubicle as quickly as possible. He needs the reassuring presence of a woman who can reduce the fear of further sexual abuse. Assigning a man would probably increase his anxiety to panic level. The initial priority would be to care for the patient rather than notifying law enforcement.

Answer to #4

B
The victim's explanation of being injured does not sound plausible. The nurse should suspect partner abuse. Regarding the other options, the victim and perpetrator must be separated to permit the victim the privacy to discuss what has really happened to her. It is unlikely that the perpetrator will act out when he can be observed by others. It is too early to involve the local police.

Answer to #5

A
Setting limits on self-mutilating behavior or purging is necessary to provide for the safety needs of the patient. Individuation should be fostered. The victim should not be encouraged to accept any personal responsibility for the abuse. The patient is aware of the eating patterns and self-mutilation; confrontation will not build trust.

Answer to #6

B
Nurses should never pressure a victim to leave the abuser. The patient must make the decision without coercion. Leaving is dangerous, because it escalates the violence and might result in death. Neither should the nurse disparage the perpetrator. The victim still cares about the batterer. The nurse should ask directly about abuse. The nurse should not suggest that the individual is unable to take constructive action. The patient should have a safe environment, without the abuser, to discuss the events. The nurse should not question the truthfulness of the victim's complaints.
Arierog Author
wrote...
6 years ago
Thank you Slight Smile
wrote...
6 years ago
Pleasure
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