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NCLEX® Review Questions
NCLEX® Review Questions
This activity contains 10 questions.
There are several biopsychosocial theories associated with causation of rape and intrafamily abuse. However, the nurse knows that:
Stranger rape has a sexual connotation, while dynamics associated with family abuse relate to power and control.
None of the contributing factors consistently results in or is predictive of rape or intrafamily abuse.
Inability to control impulses is a consistent finding.
The greatest predictor for intrafamily abuse is the perpetrator’s history of abuse as a child.
According to systems theory, families in which sexual abuse occurs are characterized by which of the following?
High expressed emotion
Consistent equality within their structure and roles
Openness with nonfamily members
The care plan formulated with your client includes the following goals: “Client reports fear, depression, and stranger anxiety as ‘tolerable.’ Client reports increased control over remembering. Client describes self as a rape ‘survivor.’” For which client are these goals not appropriate?
Client in primary care setting 3 months after the rape
Client in individual therapy 1 month after the rape
Client in emergency room with a panic attack that the client associates with rape 6 months ago
Client in the emergency room immediately after the rape
Risk factors for intrafamily physical and sexual abuse include which of the following? (Select all that apply.)
Residence in low-income housing
Family’s immigrant or refugee status
Family’s primary language other than community’s dominant language
Breadwinner’s active military status
Continuous socioeconomic functioning below the poverty level
The interventions common to treatment plans for survivors include which of the following? (Select all that apply.)
Establish trust and rapport.
Support the client in the decisions he/she makes.
Remove the client from the home.
Identify areas of control.
Encourage the client to pursue legal action.
During an assessment in the emergency room, in the family’s presence, you develop concerns about caregiver abuse. Your state requires you to report cases of suspected abuse. The family members repeat their explanation of the client’s injuries. What do you say to them?
You do not discuss your obligation to report with the family.
“Some state officials will be calling you in the next few days. Tell them what you told me.”
“I am required by law to report suspected abuse.”
“I believe what you are telling me. Another health care provider may report this as suspected abuse, but I will not report this.”
Spiritual distress is an important issue for survivors of violence because survivors often report a sense of:
Loss of control.
Responsibility for the violence.
Your peer in the emergency department expresses frustration at the incidence of domestic violence in modern society and her inability to have an impact upon it. You respond, “I act to decrease the incidence of domestic violence with activities every day.” Your activities include which of the following? (Select all that apply.)
During your assessment, you consider only certain clients at risk for experiencing violence.
You confront sexual harassment among pre-adolescents and adolescents.
You role-model self-respect in the workplace.
Your community association assists new residents to develop social support networks.
During your assessment, you inquire about parenting challenges and interventions.
Self-awareness is essential in caring for the survivors of rape or violence. Possible outcomes from an absence of self-awareness include which of the following? (Select all that apply.)
The perpetrator’s safety may be jeopardized.
The nurse may convey to the client that the client is not responsible for the violence.
The nurse may assume the perpetrator was a stranger.
The nurse may “normalize” behavior the client perceives as violent.
The client may feel obligated to defend the perpetrator.
Your peer, who works in the emergency department, asks you to identify characteristics of the typical perpetrator of child abuse. Which of the following statements should you include in your response?
“Be alert to family members who appear agitated or almost out of control.”
“As you interact with the perpetrators, it will become obvious they are mentally ill.”
“Abusers often have a long history of violent, criminal behavior.”
“Perpetrators often present as pleasant, concerned individuals.”
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