A nurse is assisting with the care of a 45-year-old female client who is in the emergency department.

Exhibits

Click to highlight the findings from the nurses’ notes that indicate partner violence and should be reported to the provider.

Nurses’ Notes for Highlighting:
Bruises noted in various stages of healing to the face, bilateral arms, and abdomen. Laceration to the left cheek cleansed and covered with an adhesive bandage. Left shoulder cleansed, antiseptic ointment applied, and covered with gauze dressing. Client states, “I fell getting out of the shower and scraped my face and shoulder on the bathroom counter. I tried to catch myself when I fell, and that is how I broke my arm.” Client has been married for 22 years and has two children. Client works part-time and volunteers at a community center. Client is tearful, does not make eye contact, and only speaks when spoken to. Client requests not to notify their partner because they do not want them to have to miss work or worry. Client reports poor appetite and difficulty sleeping.

Bruises noted in various stages of healing to the face, bilateral arms, and abdomen.

Laceration to the left cheek cleansed and covered with an adhesive bandage.

Left shoulder cleansed, antiseptic ointment applied, and covered with gauze dressing.

Client states, “I fell getting out of the shower and scraped my face and shoulder on the bathroom counter. I tried to catch myself when I fell, and that is how I broke my arm.”

Client has been married for 22 years and has two children.

Client works part-time and volunteers at a community center.

Client is tearful, does not make eye contact, and only speaks when spoken to.

Client requests not to notify their partner because they do not want them to have to miss work or worry.

Client reports poor appetite and difficulty sleeping.

Answer and Explanation

The Correct Answer is ["A","D","G","H","I"]

The findings that indicate possible partner violence and should be reported to the provider include:

Bruises noted in various stages of healing to the face, bilateral arms, and abdomen.
Client is tearful, does not make eye contact, and only speaks when spoken to.
Client reports poor appetite and difficulty sleeping.
Client requests not to notify their partner because they do not want them to have to miss work or worry.
Client states, “I fell getting out of the shower and scraped my face and shoulder on the bathroom counter. I tried to catch myself when I fell, and that is how I broke my arm.”

These signs, particularly the bruising in different healing stages, avoidance of eye contact, emotional distress, reluctance to notify the partner, and vague or inconsistent injury explanations, may indicate potential intimate partner violence. Ensuring proper screening, support, and intervention is crucial in situations like these. The client’s safety and well-being should remain a priority, and reporting these findings to the healthcare provider allows for further assessment and assistance.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale

Bulimia nervosa can be difficult to detect because individuals with the disorder often maintain a normal weight or may even be slightly overweight. Their eating and purging behaviors are often carried out in secret, and they may not appear outwardly ill or underweight, unlike individuals with anorexia nervosa.

Choice B rationale

People with bulimia nervosa engage in episodes of binge eating, consuming a large amount of food in a short period, followed by compensatory behaviors to prevent weight gain. Therefore, they do not eat an average amount of food on a daily basis; their intake is characterized by extremes.

Choice C rationale

Vomiting is one, but not the only, compensatory behavior associated with bulimia nervosa. Individuals may also use other methods such as misuse of laxatives, diuretics, excessive exercise, or fasting to counteract the effects of binge eating. The absence of vomiting does not rule out bulimia nervosa.

Choice D rationale

While bulimia nervosa has significant physical health consequences, the direct risk of developing diabetes mellitus is not a primary complication. Eating disorders can lead to various metabolic disturbances, but diabetes is more directly linked to factors like obesity, genetics, and insulin resistance. Electrolyte imbalances, esophageal damage, and cardiac arrhythmias are more immediate risks. .

A. Client denies that substance use was triggered by any childhood trauma. B. Client states that they “just got in with the wrong set of friends.” C. Client has identified several coping mechanisms when they feel tempted to use the substances. D. Client is not sure where they will live after discharge. E. Client states that they are looking forward to seeing old friends when they are released from the hospital. F. Client states that they have a plan to receive their methadone daily following discharge. G. The client has written a plan for what to do if relapse should occur. H. Client states that they are willing to participate in outpatient therapy following discharge.

Correct Answer is ["C","F","G","H"]

Explanation

The statements that indicate the client is progressing as expected include:

Client has identified several coping mechanisms when they feel tempted to use substances.
Client has written a plan for what to do if relapse should occur.
Client states that they are willing to participate in outpatient therapy following discharge.
Client states that they have a plan to receive their methadone daily following discharge.

These statements demonstrate the client’s ability to recognize and implement strategies for managing cravings, their proactive approach to relapse prevention, and their willingness to continue treatment after discharge—all signs of expected progress in recovery. However, uncertainty about post-discharge living arrangements and eagerness to reconnect with old friends could present challenges, as returning to previous environments may increase relapse risk. Continued support and planning are essential for a successful transition.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is participating in a community program about eating disorders.Which of the following information about bulimia nervosa should the nurse include in the presentation?

Correct Answer is A

Explanation

Correct Answer is ["C","F","G","H"]

Explanation

A client who delivered a healthy newborn 4 weeks ago calls her provider's office and tells the nurse, "This baby constantly cries. My partner works all the time, and I can't take any more.”. Which of the following responses is the nurse's priority?

A nurse is caring for a client who has agreed to a verbal safety contract following a self-mutilation attempt.Which of the following behaviors indicates that the contract has been effective?

A nurse is escorting a client to their car following discharge from an acute mental health facility.The client states their intentions to harm a friend after leaving the facility.Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a client who has bipolar disorder and has a new prescription for lithium.To address possible adverse effects, the nurse should include that which of the following laboratory values will be monitored while the client is taking this medication?

A nurse is assisting in the admission of a 30-year-old client to an inpatient mental health facility. Exhibits Complete the following sentence by using the lists of options: The nurse should anticipate prescriptions for dropdown as well as dropdown.

A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's disease.The caregiver reports that the client awakens at night and wanders.Which of the following strategies should the nurse suggest?

A nurse is preparing to administer fluphenazine 7.5 mg PO daily to a client who has schizophrenia. Available is fluphenazine elixir 2.5 mg/5 mL. How many mL should the nurse administer?