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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason: Prevents Extrapyramidal Side Effects
Extrapyramidal side effects (EPS) are drug-induced movement disorders that include symptoms such as tremors, rigidity, bradykinesia, and tardive dyskinesia. These side effects are commonly associated with first-generation antipsychotics. While second-generation antipsychotics like olanzapine have a lower risk of causing EPS, their primary use in this context is not to prevent these side effects. Therefore, this choice is not the most appropriate response to the family’s question.
Choice B Reason: Reduces Agitation Until the Lithium Takes Effect
Olanzapine is a second-generation antipsychotic that is effective in managing acute agitation and psychotic symptoms in patients with bipolar disorder. Lithium, while effective for long-term mood stabilization, takes several days to weeks to reach therapeutic levels and exert its full effect. During this period, olanzapine can help reduce the client’s agitation and stabilize their mood. This makes it the most appropriate response to the family’s question.
Choice C Reason: Cures Manic Symptoms
While olanzapine can help manage manic symptoms, it does not “cure” them. Bipolar disorder is a chronic condition that requires ongoing management with medications and therapy. The term “cure” is misleading as it implies a permanent resolution of symptoms, which is not the case with bipolar disorder. Therefore, this choice is not accurate.
Choice D Reason: Ensures High-Quality Sleep
Olanzapine can have sedative effects and may help improve sleep in some patients. However, its primary use in this scenario is to manage acute agitation and psychotic symptoms rather than to ensure high-quality sleep. While improved sleep may be a beneficial side effect, it is not the main reason for its prescription in this context.
Correct Answer is ["125"]
Explanation
Calculation Steps
Step 1: Convert 1 liter to milliliters (mL).
1 liter = 1000 mL
Result: 1000 mL
Step 2: Determine the total time in hours.
Total time = 8 hours
Result: 8 hours
Step 3: Calculate the infusion rate in milliliters per hour (mL/hr).
Infusion rate = Total volume (mL) ÷ Total time (hours)
Step 4: Perform the division.
1000 mL ÷ 8 hours = 125 mL/hr
Result: 125 mL/hr
Therefore, the nurse should set the infusion pump to 125 mL/hr.
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