Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
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Chapter 38: Care of Survivors of Abuse and Violence
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Ask the patient to define “verbally abusive language.” |
| b. | Provide the patient with examples of assertive communication. |
| c. | Identify the patient’s verbal abuse in order to set standards for future dialogue. |
| d. | Remove privileges from the patient until communications show less aggression. |
ANS: C
This question asks that behaviors for intervention be prioritized. First, it is necessary to help the patient identify the problem and to set criteria for future communications.
DIF: Cognitive Level: Application REF: Text Page: 739
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
| a. | “So when your husband says he needs other women because you aren’t sexually satisfying his needs, do you believe what he is telling you is true?” |
| b. | “You say that your son has been pulling another child’s hair and you are worried he’s becoming violent and abusive like your brother?” |
| c. | “You say that you placed your son on an allowance but that you also want to regulate everything he spends and saves?” |
| d. | “I noticed that when your mother paid you a compliment about your new hairstyle, you seemed skeptical.” |
ANS: A
The correct option is an illustration of how the nurse might help the patient to look at her husband’s attempt to undermine her sexuality to inappropriately justify his infidelity. This is a form of sexual abuse. Questioning the son’s behavior helps the patient to place fears (as yet unjustified by the patient’s example) in perspective. The need to maintain control over the son’s spending decisions describes a common parental error when first giving a child an allowance; the nurse will seek to clarify boundaries while remaining alert to the parent’s attempts to maintain total control over all financial dealings of the child. Skepticism describes the patient’s inability to acknowledge a parent’s response as supportive.
DIF: Cognitive Level: Application REF: Text Pages: 736-737
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
| a. | Teach the individual how to avoid provoking the abuser. |
| b. | Assist the individual in filing a police report describing the abuse. |
| c. | Help the individual identify needs to best obtain the appropriate support. |
| d. | Facilitate the individual’s move into a safe house located near the current workplace. |
ANS: C
In order to best provide support, the nurse must fully understand the patient’s needs. This is done before support options can be determined. The other options are examples of interventions for needs that have not yet been determined.
DIF: Cognitive Level: Application REF: Text Page: 736
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
| a. | “You have left your spouse many times only to return. Please tell me how you view this last time as being different from all the times you left before.” |
| b. | “Last time we talked, you thought your children would miss their father, but you now think they seem happier and almost relieved by your separation.” |
| c. | “So you’re having doubts and want to return to your husband even though you know that he broke your arm and caused your miscarriage?” |
| d. | “I support you returning to your spouse until you finally decide you have suffered enough.’” |
ANS: B
The correct option is a therapeutic reflection that helps the patient to sort out the fears that many victims of abuse have that their children will suffer without the other parent present. Commenting on a patient’s history is sarcastic and nontherapeutic since it likely reflects the nurse’s bias against the battered individual’s ambivalence rather than viewing it as a normal part of the process that individuals who have been abused experience.
DIF: Cognitive Level: Application REF: Text Page: 737
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
| a. | Exploring own attitudes and values toward survivors of violence |
| b. | Identifying the dysfunctional behaviors exhibited by the violent family |
| c. | Concentrating on identifying any possible personal abusive relationships |
| d. | Attending seminars on the psychological impact of being the victim of abuse |
ANS: A
The first step toward effective intervention with survivors of family violence is the exploration of one’s own attitude toward and knowledge about violence.
DIF: Cognitive Level: Application REF: Text Pages: 737-738
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
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