The public health nurse understands that which of the following is a common factor typically found in those who abuse others?

Fear and belief that others are out to get them.

Poor self-esteem and unawareness of alternatives.

Previous observations of violent behaviors to manage conflict.

Difficulty keeping commitments.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Fear and beliefs of paranoia are not typical factors in abusive behaviors; abuse often stems from emotional insecurities rather than delusional perceptions.

Choice B rationale

Poor self-esteem and lack of awareness of healthier conflict-resolution methods are common in abusers, contributing to maladaptive behaviors and cycles of violence.

Choice C rationale

Exposure to violent behaviors during developmental years can lead to the adoption of aggression as a conflict-management strategy, influencing abusive tendencies.

Choice D rationale

Difficulty keeping commitments may indicate irresponsibility but is not a defining characteristic of abusive behavior, which typically stems from emotional or psychological factors.

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Correct Answer is B

Explanation

Choice A rationale

Harm reduction models aim to support individuals with substance use issues, contrasting this statement's dismissive approach that denies intervention possibilities and health promotion.

Choice B rationale

Harm reduction acknowledges addiction as a multifactorial health issue, requiring evidence-based interventions targeting biological, psychological, and social determinants of substance use.

Choice C rationale

Public health frameworks highlight substance use as a significant issue due to its widespread health, social, and economic implications, refuting claims of its insignificance.

Choice D rationale

Effective addiction treatment incorporates comprehensive, personalized strategies proven to yield success, countering the assertion of ineffectiveness for most individuals.

A. Arrange for counseling for the boyfriend at the earliest possible availability. B. Encourage the mother to take the child and find alternate housing right away. C. Report the incident to child protective services or other appropriate legal authority. D. Abide by the mother's wishes because this information was provided in confidence.

Correct Answer is C

Explanation

Choice A rationale

Counseling for the boyfriend does not address the immediate safety risks to the child, who may remain vulnerable to further harm in the current environment.

Choice B rationale

While alternate housing might protect the child, it delays mandatory reporting, which is a legal obligation for healthcare providers in suspected abuse cases to ensure child welfare.

Choice C rationale

Reporting to child protective services is legally required and ensures the safety of the child while allowing investigation into the abuse for appropriate intervention and support.

Choice D rationale

Maintaining confidentiality is not applicable in cases of suspected child abuse, as healthcare providers are mandated reporters and must prioritize the child's safety over privacy.

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The public health nurse understands that which of the following is a common factor typically found in those who abuse others?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is utilizing the Harm Reduction Model to help with educating a community where substance use is becoming an increasing problem.According to the harm reduction model, which of the following statements by the nurse is true?

Correct Answer is B

Explanation

A mother confides to the nurse that her live-in boyfriend knocked down her 2-year-old child because he was crying too much.She begs the nurse not to tell anyone because her boyfriend has agreed to take anger management classes.Which of the following actions should be taken by the nurse?

Correct Answer is C

Explanation

A migrant farmworker presents to the clinic reporting an acute onset of dizziness, intense thirst, vomiting, fatigue, and headache with difficulty concentrating.Which of the following conditions would cause such symptoms?

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