A nurse is caring for a client who has a history of being a perpetrator of abuse and violence. Which of following characteristics should the nurse expect the client to have? (Select All that Apply.)

Intimidates others

Communicates in short sentences

Shows bravery

Has a low tolerance for frustration

Has low self-esteem

is demanding

Answer and Explanation

Correct Answer : A,D,E,F

A. Abusive individuals frequently use intimidation, threats, or coercion to control others. This can be verbal, emotional, or physical and serves to maintain power and dominance over victims. Recognizing this behavior allows nurses to implement safety measures for both staff and other clients.

B. Communication style alone, such as brevity of speech, is not a reliable indicator of abusive tendencies. Abusers may be articulate or manipulative in speech; the key factor is their pattern of controlling or aggressive behavior, not sentence length.

C. Bravery or courage is a neutral trait and is not directly linked to a history of abuse. While abusers may present as confident, the presence of “bravery” does not predict abusive behavior.

D. Abusive individuals often have poor impulse control and may react aggressively when frustrated, annoyed, or challenged. Low frustration tolerance can manifest as verbal outbursts, threats, or physical aggression, making this a key behavioral marker.

E. Many perpetrators of abuse struggle with underlying insecurities. Aggression, control, or manipulation is sometimes a way to compensate for feelings of inadequacy or low self-worth. Recognizing low self-esteem can inform interventions aimed at behavioral modification or therapy.

F. Abusive individuals may exhibit controlling and demanding behaviors, expecting others to comply with their wishes and reacting negatively when boundaries are set or expectations are unmet. This trait reinforces the power imbalance often central to abusive dynamics.

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Correct Answer is A

Explanation

A. Reduction in alcohol cravings and anxiety is a primary indicator that the withdrawal treatment plan is effective. Successful management of alcohol withdrawal involves alleviating physical and psychological withdrawal symptoms, stabilizing mood, and reducing urges to consume alcohol, which helps prevent relapse.

B. Increased depressive symptoms would indicate a negative outcome. Withdrawal management should monitor for mood changes, but worsening depression is not a desired or effective result of treatment.

C. Increased social isolation reflects poor psychosocial adjustment and can worsen relapse risk. Effective treatment should encourage engagement with support systems, therapy, and social resources rather than isolation.

D. Increased tolerance to alcohol is not a desired outcome. Tolerance reflects continued alcohol use and progression of dependence, which contradicts the goal of withdrawal treatment.

A. Reassure the client that these feelings will pass with time. B. Referral to a mental health professional for urgent evaluation and treatment. C. Advise dietary changes to improve mood stability. D. Encourage rest and family support.

Correct Answer is B

Explanation

A. Reassuring the client that the feelings will pass is inappropriate and potentially dangerous. Postpartum psychosis is a psychiatric emergency characterized by hallucinations, delusions, confusion, and possible risk of harm to self or the infant. Minimizing the severity may delay critical treatment.

B. Referral to a mental health professional for urgent evaluation and treatment is the most appropriate intervention. Postpartum psychosis requires immediate psychiatric assessment, possible hospitalization, and pharmacologic management. Early intervention is essential to protect both the client and the infant and to stabilize the client’s mental state.

C. Advising dietary changes does not address the acute and severe nature of postpartum psychosis. While nutrition can influence overall health, it is not an appropriate primary intervention for a psychiatric emergency.

D. Encouraging rest and family support may be beneficial as supportive measures, but they are insufficient when psychotic symptoms are present. Postpartum psychosis requires urgent medical and psychiatric intervention rather than routine supportive care alone.

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A nurse is caring for a client who has a history of being a perpetrator of abuse and violence. Which of following characteristics should the nurse expect the client to have? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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