A nurse is providing education about strategies for a safety plan for a female client who is a victim of intimate partner violence. Which strategies should be included in the safety plan? (Select all that apply.)
Plan an escape route to use if the abuser blocks the main exit.
Have a bag ready that has extra clothes for self and children.
Give the abuser the location of where you will be staying.
Establish a signal with family and friends to signify violence.
Purchase a gun to use for protection.
Correct Answer : A,B,D
Choice A reason: Planning alternate escape routes is a core part of safety planning, ensuring the victim can exit safely even if blocked.
Choice B reason: Having an emergency bag ready allows quick departure and reduces risk of having to return to the abuser’s home.
Choice C reason: Giving the abuser information about location compromises safety and places the victim at greater risk.
Choice D reason: Establishing a signal with trusted individuals ensures the victim can get help quickly if violence escalates.
Choice E reason: Encouraging firearm purchase is not an appropriate nursing intervention due to safety risks and escalation potential. Safer protective strategies should be emphasized.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: The Durham Rule states that a defendant is not criminally responsible if their unlawful act was the result of a mental illness or defect. This directly matches the legal standard, making it the correct choice.
Choice B reason: The “irresistible impulse” test applies when a person cannot control their actions despite knowing right from wrong. This is not the Durham Rule’s standard.
Choice C reason: This statement describes the M’Naghten Rule, which requires proof that the defendant did not understand the wrongfulness of their act. It does not represent the Durham Rule.
Choice D reason: Temporary intoxication or delirium does not meet the criteria under the Durham Rule. Voluntary intoxication in particular is not considered a valid legal defense.
Correct Answer is B
Explanation
Choice A reason: Enhancing dopamine transmission is not the mechanism of antipsychotics; excessive dopamine is implicated in schizophrenia’s positive symptoms, so reducing—not enhancing—dopamine activity is key.
Choice B reason: Blocking both dopamine and serotonin receptors is characteristic of second-generation (atypical) antipsychotics. This dual action reduces extrapyramidal side effects while still targeting positive and negative symptoms.
Choice C reason: First-generation antipsychotics primarily block dopamine D2 receptors, which increases the risk for extrapyramidal side effects such as dystonia and parkinsonism.
Choice D reason: Selective serotonin receptor blockade is not the defining mechanism of second-generation antipsychotics. These medications act on both dopamine and serotonin systems.
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