The nurse understands that which factors are central to the dynamic of intimate partner violence?

Emotional injury and learned helplessness.

Poor communication and social isolation.

Power and control.

Erratic relationships and vulnerability.

Answer and Explanation

The Correct Answer is C

Choice A Reason:

Emotional injury and learned helplessness. While emotional injury and learned helplessness are significant consequences of intimate partner violence (IPV), they are not the central factors driving the dynamic of IPV. Learned helplessness refers to a state where the victim feels powerless to change their situation due to repeated exposure to traumatic events. Emotional injury is a result of the abuse but not a driving factor.

Choice B Reason:

Poor communication and social isolation. Poor communication and social isolation can exacerbate the situation but are not the primary factors central to the dynamic of IPV. Social isolation is often a tactic used by abusers to control their victims, but it is a consequence rather than a cause. Poor communication can contribute to misunderstandings and conflicts but is not the root cause of IPV.

Choice C Reason:

Power and control. This statement is correct. The central dynamic of intimate partner violence is the abuser’s desire to exert power and control over their partner. This need for dominance manifests through various abusive behaviors, including physical, emotional, psychological, and financial abuse. The Power and Control Wheel, a tool developed by the Domestic Abuse Intervention Project, illustrates how different abusive tactics are used to maintain control over the victim.

Choice D Reason:

Erratic relationships and vulnerability. Erratic relationships and vulnerability are characteristics often seen in IPV situations but are not central to the dynamic. Vulnerability can make individuals more susceptible to abuse, and erratic relationships can be a symptom of the abuse, but they do not drive the abusive behavior5.

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Correct Answer is C

Explanation

Choice A Reason: Anorexia Nervosa

Anorexia nervosa is an eating disorder characterized by an intense fear of gaining weight and a distorted body image, leading to restricted food intake and excessive weight loss. Individuals with anorexia nervosa often have a relentless pursuit of thinness and may engage in extreme dieting, excessive exercise, and other behaviors to lose weight. While eliminating specific foods can be a part of anorexia nervosa, the primary focus is on weight loss and body image rather than the purity or healthiness of the food.

Choice B Reason: Rumination Disorder

Rumination disorder involves the repeated regurgitation of food, which may be re-chewed, re-swallowed, or spit out. This condition is more common in infants and individuals with developmental disabilities but can occur in people of all ages. The behavior is typically involuntary and not related to concerns about food purity or healthiness. Therefore, it does not align with the client’s report of eliminating specific foods to “eat clean.”

Choice C Reason: Orthorexia

Orthorexia is an eating disorder characterized by an obsession with eating foods that one considers healthy or pure. Individuals with orthorexia may eliminate entire food groups, such as sugars, carbohydrates, or dairy, in their quest to maintain a “clean” diet6. This condition can lead to malnutrition and social isolation due to the restrictive nature of the diet. The client’s report of eliminating specific foods to “eat clean” is a clear indication of orthorexia.

A. You are safe now. B. I’ll call your spouse. C. We’ll have to take photographs of these wounds. D. The police will want to interview you.

Correct Answer is A

Explanation

a. You are safe now.

Explanation of Choices

Choice A Reason: You Are Safe Now

This statement is the most appropriate because it immediately addresses the client’s need for safety and reassurance. Victims of sexual assault often experience intense fear and anxiety. By reassuring the client that they are now in a safe environment, the nurse helps to stabilize the client’s emotional state and begins to build trust. This statement is crucial in creating a sense of security, which is the first step in providing effective care and support.

Choice B Reason: I’ll Call Your Spouse

While involving a support person can be beneficial, this statement does not address the client’s immediate emotional needs. The priority at this moment is to ensure the client feels safe and supported. Once the client is reassured and stabilized, the nurse can then discuss involving family members or other support persons. Immediate focus should be on the client’s safety and emotional well-being.

Choice C Reason: We’ll Have to Take Photographs of These Wounds

Taking photographs for forensic evidence is an important part of the medical and legal process following a sexual assault. However, this statement is not therapeutic and does not address the client’s immediate emotional needs. Discussing forensic procedures should come after the client feels safe and supported. The nurse should first focus on providing emotional reassurance before moving on to procedural details.

Choice D Reason: The Police Will Want to Interview You

Informing the client about the need for a police interview is necessary, but it is not the priority therapeutic statement at this moment. The client is likely already overwhelmed and distressed. The nurse should first provide reassurance and emotional support before discussing legal procedures. Ensuring the client feels safe and supported is essential before introducing additional stressors.

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The nurse understands that which factors are central to the dynamic of intimate partner violence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports that they have been eliminating specific foods from their diet in order to “eat clean.” The nurse should identify that this is an indication of which of the following conditions?

Correct Answer is C

Explanation

A client who has just been raped arrives at the Emergency Room. The client is crying, pacing, and cursing their attacker. Which is the priority therapeutic statement for the nurse to make?

Correct Answer is A

Explanation

The nurse understands that which factors are central to the dynamic of intimate partner violence?

A client with a history of a suicide attempt has been discharged and is being followed in an outpatient clinic. What is/are the most appropriate nursing intervention(s)? (SELECT ALL THAT APPLY)

A nurse is providing teaching to a client about ways to improve their health. Which of the following modifiable risk factors should the nurse include? (Select All that Apply)

The nurse is planning a psycho-education group for clients diagnosed with borderline personality disorder. The nurse understands that which aspect of group intervention is most essential initially to establish a trusting nurse-patient relationship?

Which of the following assessment findings would lead the nurse to suspect the client has a venous ulcer to the right lower extremity? (SELECT ALL THAT APPLY)

The highest priority nursing action relative to the initial phase of alcohol withdrawal would be to:

The nurse is educating clients about recovery from alcohol abuse. Which statement by the client indicates that learning has occurred?

Several children come to the Emergency Department for treatment. The situation that would cause the nurse to have the highest suspicion of child abuse would be: