A nurse is talking to a client who is explaining about her home situation and the intimate partner violence she recently experienced. Which of the following responses should the nurse make?

"I'd like to hear more about how you are feeling."

"Let's talk about what is going on at work."

"Now that you have come for help, you will feel much better."

"Why do you think your partner is angry with you?"

Answer and Explanation

The Correct Answer is A

A. "I'd like to hear more about how you are feeling." This response demonstrates empathy and encourages the client to express her feelings, which is critical for emotional support.

B. "Let's talk about what is going on at work.": This dismisses the client’s concerns and shifts focus away from the abuse.

C. "Now that you have come for help, you will feel much better.": This is dismissive and minimizes the client’s experience.

D. "Why do you think your partner is angry with you?": This implies blame and can further traumatize the client.

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Correct Answer is ["A","B","C","E"]

Explanation

A. The client has anal bleeding: Physical trauma such as bleeding may occur from sexual abuse.

B. The client complains of pelvic soreness: Pelvic soreness is a common physical manifestation following sexual assault.

C. The client has bruising around the breasts: Bruising in areas commonly targeted during assault can indicate abuse.

D. The client has a scar on their inner thigh: A scar is indicative of past injury but does not directly confirm recent sexual abuse.

E. The client's underwear is bloody: Blood-stained undergarments may be evidence of trauma.

A. Reinforce reality with the client. B. Instruct the client to take deep breaths. C. Assist the client to identify the cause of the anxiety. D. Administer an antianxiety medication to the client.

Correct Answer is B

Explanation

A. Reinforce reality with the client. While reinforcing reality can help in addressing the client's hallucinations (seeing bugs), it may not be the immediate priority when the client is experiencing severe panic.

B. Instruct the client to take deep breaths: Helping the client to take deep breaths can provide immediate relief from acute anxiety by promoting relaxation and helping to reduce the physiological symptoms of panic. Once the client is calmer, other interventions can be considered.

C. Assist the client to identify the cause of the anxiety: Insight into triggers is more appropriate after the acute episode resolves.

D. Administer an antianxiety medication to the client: While this may be necessary, it is not the immediate first action in this scenario.

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A nurse is talking to a client who is explaining about her home situation and the intimate partner violence she recently experienced. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a client who reports having experienced sexual abuse. The nurse should identify which of the following findings are consistent with the client's report? (Select All that Apply.)

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is caring for a client who has panic disorder. The client tells the nurse she is suddenly feeling very apprehensive, has a sense that something catastrophic is going to happen, and that she sees bugs flying around her room. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

Select which statement about ANGER is true.

A nurse is collecting the medical history of a client. The client reports that they have experienced violence in the past with a previous partner. What is an immediate concern of the nurse?

A client is pacing in the hallway with clenched fists and a flushed face. They are yelling and cursing loudly. Which phase of the aggression cycle is this client in?

A nurse is collecting data from a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?

A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?

A nurse is caring for a client who witnessed her brother's homicide and has posttraumatic stress disorder (PTSD). Which of the following findings should the nurse expect?