QuestionsAnswers - Questions&Answers 1.Anursevisitsthehomeofan11-y...

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NCLEXAbuse,Neglect&Violence Questions&Answers 1.Anursevisitsthehomeofan11-year-oldchildandfindsthechildcaringfor threeyoungersiblings.Bothparentsareatwork.Thechildsays,"Iwanttogoto school,butwecantaffordababysitter.Itdoesn'tmatter;I'mtoodumbto learn."Whatpreliminaryassessmentisevident?

• Insufficientdataarepresenttomakeanassessment.

b.Childandsiblingsareexperiencingneglect.

• Childrenareathighriskforsexualabuse.

d.Childrenareexperiencingphysicalabuse.AnswerB~Thechildisexperiencingne-glectwhentheparentstakeawaythe opportunitytoattendschool.Theotherchildrenmayalsobeexperiencingphysical neglect,butmoredatashouldbegatheredbeforemakingtheactualassessment.The informationpresenteddoesnotindicateahighriskforsexualabuse,andnoconcrete evidenceofphysicalabuseispresent. Abuse, Neglect & Violence NCLEX.pdffile:///C:/Users/HP/Desktop/New%20folder%20(2)/Abuse,%20Neglec...

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2.Whichbehaviorbestdemonstratesaggression?

• Stompingawayfromthenursesstation,goingtoanotherroom,andgrab-

bingasnackfromanotherpatient.b.Burstingintotears,leavingthecommunitymeeting,andsittingonabed huggingapillowandsobbing.

• Tellingtheprimarynurse,IfeltangrywhenyousaidIcouldnothavea

secondhelpingatlunch.d.Tellingthemedicationnurse,Iamnotgoingtotakethatoranyother medicationyoutrytogiveme.AnswerA~Aggressionisharshphysicalorverbalactionthatreflectsrage,hostility, andthepotentialforphysicalorverbaldestructiveness.Aggressivebehaviorviolates therightsofothers.Theincorrectoptionsdonotfeatureviolationofanothersrights.

3.Akindergartenstudentisfrequentlyviolenttowardotherchildren.Aschool nursenoticesbruisesandburnsonthechild'sfaceandarms.Whatother symptomshouldindicatetothenursethatthechildmayhavebeenphysically abused?

• Thechildshrinksattheapproachofadults.
• Thechildbegsorstealsfoodormoney. Abuse, Neglect & Violence NCLEX.pdffile:///C:/Users/HP/Desktop/New%20folder%20(2)/Abuse,%20Neglec...

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• Thechildisfrequentlyabsentfromschool.
• Thechildisdelayedinphysicalandemotionaldevelopment.

Answer1~Thenurseshoulddeterminethatachildwhoshrinksattheapproachof adultsinadditiontohavingbruisesandburnsmaybeavictimofabuse.Maltreatmentisconsidered,whetherornottheadultintendedtoharmthechild.

4.Awomanpresentswithahistoryofphysicalandemotionalabuseinher intimaterelationships.Whatshouldthisinformationleadanursetosuspect?

1.Thewomanmaybeexhibitingacontrolledresponsepattern.

2.Thewomanmayhaveahistoryofchildhoodneglect. Abuse, Neglect & Violence NCLEX.pdffile:///C:/Users/HP/Desktop/New%20folder%20(2)/Abuse,%20Neglec...

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3.Thewomanmaybeexhibitingcodependentcharacteristics.

4.Thewomanmaybeavictimofincest.Answer4~Thenurseshouldsuspectthatthisclientmaybeavictimofincest.Many womenwhoarebatteredhavelowself-esteemandhavefeelingsofguilt,anger,fear, andshame.Womeninabusiverelationshipsoftengrewupinanabusivehome.

5.Anursinginstructorisdevelopingalessonplantoteachaboutdomestic violence.Whichinformationshouldbeincluded?

• Powerandcontrolarecentraltothedynamicofdomesticviolence.
• Poorcommunicationandsocialisolationarecentraltothedynamicof

domesticviolence.

• Erraticrelationshipsandvulnerabilityarecentraltothedynamicofdomes-

ticviolence.

• Emotionalinjuryandlearnedhelplessnessarecentraltothedynamicof

domesticviolence.Answer1~Thenursinginstructorshouldincludetheconceptthatpowerand controlarecentraltothedynamicofdomesticviolence.Batteringisdefinedasa patternofcoercivecontrolfoundedonphysicaland/orsexualviolenceorthreatof violence.Thetypicalabuserisverypossessiveandperceivesthevictimasa Abuse, Neglect & Violence NCLEX.pdffile:///C:/Users/HP/Desktop/New%20folder%20(2)/Abuse,%20Neglec...

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