A patient in an abusive relationship is hospitalized with abdominal and head trauma caused by their partner. The partner sends flowers to the patient and pizzas for all the staff. Via video chat, the partner tearfully begs the patient to forgive them and not press charges. The partner states, “I just want you, me, and the kids to be together. You know you do too.” What conclusions can the nurse make about this scenario? (Select All That Apply)
The patient’s partner’s act of sending flowers is an example of undoing.
The patient and partner are in the honeymoon phase of intimate partner violence.
The patient has a submissive personality and depression.
Since the injuries have caused hospitalization, the patient will end the relationship.
The partner may be trying to manipulate the staff by buying pizza.
Correct Answer : A,B,E
The correct answer is a, b, and e.
Choice A Reason:
The patient’s partner’s act of sending flowers is an example of undoing. Undoing is a defense mechanism where a person tries to cancel out or remove an unhealthy, destructive, or otherwise threatening thought or action by engaging in contrary behavior. In this case, the partner is attempting to make amends for the abuse by sending flowers, which is a common tactic used by abusers to mitigate their guilt and manipulate the victim into forgiving them.
Choice B Reason:
The patient and partner are in the honeymoon phase of intimate partner violence. The cycle of abuse in intimate partner violence typically includes a honeymoon phase, where the abuser may apologize, show remorse, and promise to change. This phase often involves gestures of affection and kindness, such as sending flowers or gifts, to win back the victim’s trust and prevent them from leaving.
Choice C Reason:
The patient has a submissive personality and depression. While it is possible that the patient may have a submissive personality and depression, this conclusion cannot be definitively made based on the given scenario alone. Submissive personality traits and depression are complex and require thorough psychological evaluation to diagnose accurately.
Choice D Reason:
Since the injuries have caused hospitalization, the patient will end the relationship. This conclusion is not necessarily accurate. Victims of intimate partner violence often face significant psychological, emotional, and practical barriers to leaving an abusive relationship, even after severe incidents that result in hospitalization. The decision to leave an abusive relationship is influenced by various factors, including fear, financial dependence, emotional attachment, and lack of support.
Choice E Reason:
The partner may be trying to manipulate the staff by buying pizza. Manipulative behavior is common in abusive relationships. By buying pizza for the staff, the partner may be attempting to create a favorable impression and gain sympathy, which can influence the staff’s perception of the situation and potentially affect their support for the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Promoting activities that encourage self-reflection. While promoting self-reflection is important in the therapeutic process, it is not the most essential aspect initially for establishing a trusting nurse-patient relationship. Self-reflection activities are more effective once a foundation of trust has been established.
Choice B Reason:
Conveying an accepting attitude. This statement is correct. Conveying an accepting attitude is crucial in the initial stages of establishing a trusting nurse-patient relationship. Patients with borderline personality disorder often feel judged and misunderstood. An accepting attitude helps to create a safe and supportive environment, which is essential for building trust and encouraging open communication.
Choice C Reason:
Identifying community resources. Identifying community resources is important for long-term support and management of borderline personality disorder, but it is not the most essential aspect initially for establishing trust. This step is more relevant once the therapeutic relationship has been established and the patient is ready to engage with external support systems.
Choice D Reason:
Providing positive feedback. Providing positive feedback is beneficial in reinforcing positive behaviors and encouraging progress. However, it is not the most essential aspect initially for establishing trust. Positive feedback is more effective when the patient already feels understood and supported by the nurse.
Correct Answer is D
Explanation
The correct answer is d. Restrict your child’s intake of caffeine while she is taking this medication.
Choice A Reason:
This statement is incorrect. Methylphenidate does not typically increase saliva production. In fact, it is more commonly associated with dry mouth as a side effect. Therefore, informing parents that the medication might increase saliva production would be misleading and not based on the known side effects of the drug.
Choice B Reason:
This statement is incorrect. Methylphenidate should generally be administered in the morning or early afternoon to avoid insomnia, as it is a stimulant and can interfere with sleep if taken too late in the day. Administering the medication at bedtime would likely cause sleep disturbances, which is counterproductive for managing ADHD symptoms.
Choice C Reason:
This statement is incorrect. Methylphenidate is more commonly associated with weight loss rather than weight gain. The medication can suppress appetite, leading to reduced food intake and potential weight loss. Therefore, it is important to monitor the child’s weight and nutritional intake while on the medication, but weight gain is not a typical concern.
Choice D Reason:
This statement is correct. Caffeine is a stimulant and can exacerbate the side effects of methylphenidate, such as increased heart rate, jitteriness, and anxiety. Therefore, it is advisable to restrict the child’s intake of caffeine while taking this medication to avoid these potential interactions and side effects. This includes limiting consumption of caffeinated beverages like coffee, tea, and certain sodas.
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