Answer Choices:
a. “Tell me how you punish your children.”
b. “How do you stop your baby from crying?”
c. “Caring for four small children must be difficult.”
d. “Do you or your husband ever beat the children?”
e. “Calling children ‘stupid’ injures their self-esteem.”
Answer:
A, B, C
Question: A 10-year-old child cares for siblings while the parents work because the family cannot afford a babysitter. This child says, “My father doesn’t like me. He calls me stupid all the time.” The mother says the father is easily frustrated and has trouble disciplining the children. The community health nurse should consider which resources to stabilize the home situation? (Select all that apply.)
Answer Choices:
a. Parental sessions to teach child-rearing practices
b. Anger management counseling for the father
c. Continuing home visits to provide support
Answer:
A, B, C
Question: A person was abducted and raped at gunpoint by an unknown assailant. Which assessment finding best indicates the person is in the acute phase of rape trauma syndrome?
Answer Choices:
a. Confusion and disbelief
b. Decreased motor activity
c. Flashbacks and dreams
d. Fears and phobias
Answer:
A
Question: An older adult diagnosed with dementia lives with family and attends an adult day care center. Observing poor hygiene, the nurse at the center talks with the family. The family says, “She’s a burden at night and we are all tired.” Which intervention is most appropriate?
Answer Choices:
a. Teach the caregiver more about the effects of dementia.
b. Secure additional resources for the mother’s evening and night care.
c. Support the caregiver to grieve the loss of the mother’s ability to function.
d. Teach the family how to give physical care more effectively and efficiently.
Answer:
B
Question: Which activities are in the scope of practice of a sexual assault nurse examiner (SANE)? (Select all that apply.)
Answer Choices:
a. Requiring HIV testing of a victim
b. Collecting and preserving evidence
c. Providing long-term counseling for rape victims
d. Obtaining signed consents for photographs and examinations
e. Providing pregnancy and sexually transmitted disease prophylaxis
Answer:
B, D, E
Question: An 11-year-old child is absent from school to care for siblings while the parents work. The family cannot afford a babysitter. When asked about the situation, the child responds, “My parents don’t like me. They call me stupid and say I’m a good for nothing.” What type of abuse is likely?
Answer Choices:
a. Sexual
b. Physical
c. Emotional
d. Economic
Answer:
C
Question: A victim of a violent rape has been in the emergency department for 3 hours. Evidence collection is complete. As discharge counseling begins, the victim says softly, “I will never be the same again. I can’t face my friends. There is no sense of trying to go on.” Select the nurse’s most important response.
Answer Choices:
a. “Are you thinking of suicide?”
b. “It will take time, but you will feel the same as before.”
c. “Your friends will understand when you tell them.”
d. “You will be able to find meaning in this experience as time goes on.”
Answer:
A
Question: Which family scenario presents the greatest risk for family violence?
Answer Choices:
a. An unemployed husband with low self-esteem, a wife who loses her job, and a developmentally delayed 3-year-old child enter a shelter of stressors.
b. A husband who finds employment 2 weeks after losing his previous job, a wife with stable employment, and a child diagnosed with attention deficit disorder.
c. A single mother with an executive position, a high school graduate son, and a daughter attending college, living in the home paid off years ago.
d. A single homosexual male parent and an adolescent son who has just begun dating girls.
Answer:
A
Question: An adult has recently been absent from work for 3-day periods on several occasions. Each time, the individual returns to work wearing dark glasses. Facial and body bruises are apparent. What is the occupational health nurse’s priority assessment?
Answer Choices:
a. Interpersonal relationships
b. Work responsibilities
c. Socialization skills
d. Physical injuries
Answer:
D
Question: A nurse working in the county jail interviews a man who recently committed a violent sexual assault against a woman. Which comment from this perpetrator is most likely?
Answer Choices:
a. “She was very beautiful.”
b. “She wanted sex the sex.”
c. “I have issues with my mother.”
d. “I’ve been depressed for a long time.”
Answer:
B
Question: Which rationale best explains why a nurse should be aware of personal feelings while working with a family experiencing family violence?
Answer Choices:
a. Self-awareness protects one’s own mental health.
b. Strong negative feelings interfere with assessment and judgment.
c. Strong positive feelings lead to under involvement with the victim.
d. Positive feelings promote the development of sympathy for patients.
Answer:
B
Question: An 11-year-old child says, “My parents don’t like me. They call me stupid and say I never do anything right, but it doesn’t matter. I’m too dumb to learn.” Which nursing diagnosis applies to this child?
Answer Choices:
a. Chronic low self-esteem, related to negative feedback from parents
b. Deficient knowledge, related to interpersonal skills with parents
c. Disturbed personal identity, related to negative self-evaluation
d. Complicated grieving, related to poor academic performance
Answer:
A
Question: After treatment for a detached retina, a victim of intimate partner violence says, “My partner only abuses me when intoxicated. I’ve considered leaving, but I was brought up to believe you stay together, no matter what happens. I always get an apology, and I can tell my partner feels bad after hitting me.” Which nursing diagnosis applies?
Answer Choices:
a. Social isolation, related to lack of community support system
b. Risk for injury, related to partner’s physical abuse when intoxicated
c. Deficient knowledge, related to resources for escape from the abusive relationship
d. Disabled family coping, related to uneven distribution of power within a relationship
Answer:
B
Question: A person was abducted and raped at gunpoint. The nurse observes this person is confused, talks rapidly in disconnected phrases, and is unable to concentrate or make simple decisions. What is the person’s level of anxiety?
Answer Choices:
a. Minimal
b. Mild
c. Moderate
d. High
Answer:
D
Question: An employee has recently been absent from work on several occasions. Each time, this employee returns to work wearing dark glasses. Facial and body bruises are apparent. During the occupational health nurse’s interview, the employee says, “My partner beat me, but it was because there are problems at work.” What should the nurse’s next action be?
Answer Choices:
a. Notify the police.
b. Refer the employee to a shelter.
c. Notify the adult protective agency.
d. Document injuries with a body map.
Answer:
D