Which reason(s) should the nurse expect a female client to use when she is having difficulty leaving a relationship where she is a victim of intimate partner violence? Select all that apply.

Shame and guilt.

Children.

Religious beliefs about marriage.

The perpetrator will not change.

Financial dependency.

Answer and Explanation

Correct Answer : A,B,C,E

A.   Shame and guilt often play a significant role in why victims of intimate partner violence may struggle to leave abusive relationships. Victims may feel ashamed of the abuse they are experiencing or guilty for various reasons, such as believing they are responsible for the abuse or worrying about the judgment of others.
B.   Children can be a central factor in a victim's decision to stay in an abusive relationship. Concerns about the well-being of the children, fear of losing custody, or the desire to maintain a two-parent household can influence a victim's decision-making process.
C.   Religious beliefs about marriage can also impact a victim's choice to stay in an abusive relationship. Some religions emphasize the sanctity of marriage and the importance of family unity, which can lead victims to feel obligated to stay and try to work things out despite the violence.
D.   The belief that the perpetrator will not change is not typically a reason victims stay; rather, it's often hope for change that keeps them in the relationship. However, this option does not apply as a reason for staying as per the context of the question.
E.   Financial dependency is a common barrier to leaving an abusive relationship. Victims may be economically dependent on their abusers for basic needs and financial security, making it challenging to envision a life independent of the relationship.

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Correct Answer is C

Explanation

A. While reinforcing the need for group therapy sessions is important, it does not address the immediate safety concerns associated with violent behavior. Therapy is a long-term solution, but immediate action is necessary to prevent harm.
B. Telling the mother to describe her feelings of helplessness to the adolescent is not appropriate. It may increase the adolescent's frustration or aggression, rather than de-escalating the situation.
C. Advising the mother to call the police if violent behavior occurs again is the most important intervention. Violent actions, such as putting a fist through a window, indicate a risk for harm to self or others, and law enforcement intervention may be needed to ensure safety.
D. Referring the mother for psychiatric evaluation may be helpful if she is experiencing anxiety or depression, but it does not address the immediate concern of the adolescent's violent behavior.

A. Ignore the nonverbal behavior and focus on the client's verbal messages. B. Integrate the verbal and nonverbal messages and interpret them as one. C. Ask the client's spouse to interpret the discrepancy. D. Pay close attention and document the nonverbal messages.

Correct Answer is D

Explanation

A. Ignoring nonverbal behavior may overlook important cues that could provide valuable insight into the client's condition and needs.
B. Integrating verbal and nonverbal messages is important, but it may not address the discrepancy or the potential significance of the nonverbal cues.
C. Asking the client's spouse to interpret the discrepancy may not be appropriate or effective, as the spouse may not fully understand the client's nonverbal cues or their significance.
D. Paying close attention and documenting nonverbal messages allows the nurse to gather comprehensive data and potentially explore the observed discrepancy further in subsequent interactions or assessments.

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Which reason(s) should the nurse expect a female client to use when she is having difficulty leaving a relationship where she is a victim of intimate partner violence? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A client requests permission for the spouse to remain in the room during the admission assessment. While interviewing the client, the nurse notes a discrepancy between the client's verbal and nonverbal communication. Which action should the nurse take?

Correct Answer is D

Explanation

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