Chapter 33, Violence and Abuse Video Solutions, Psychiatric-Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices

Problem 1

An 11-year-old student goes to the school nurse with a bloody nose after a fight with a peer. The fight ensued when the peer brushed against the client in the hall and knocked his books out of his hands. The client accosted the student, shoved him, and challenged him to a fight. What type of risk factor for continued youth violence does the client have?
a. Peer risk factor
b. Family risk factor
c. Individual risk factor
d. Neighborhood risk factor

Asma Venkitta

Numerade Educator

Problem 2

The school nurse is concerned about the number of injuries she sees that have resulted from fighting. Which of the following interventions will likely have the greatest effect on youth violence in the school?
a. A social problem-solving program
b. Family therapy for students who have been involved in fighting
c. Referral of students involved in fighting to the school counselor
d. Distribution of handouts about youth violence to all students

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Problem 3

A 5-year-old child is brought to the ED with a broken wrist. The mother states the child fell off a swing. The nurse notes multiple healing bruises on the child's back, which the mother states occurred when the child fell down the steps 5 days earlier. Based on these data, which action should the nurse take?
a. Continue assessing the child for possible neurologic reasons for frequent falls.
b. Report the family to the child protection agency for suspected physical abuse.
c. Accept the mother's explanation and arrange for a cast to be applied to the arm.
d. Inform the physician that she suspects child abuse.

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Problem 4

A 78-year-old man with a history of atrial fibrillation and type 2 diabetes is brought to the ED by his 50-year-old son, who cares for him at home. On assessment, the nurse notes that the client is dehydrated, unkempt, and has a stage 3 pressure ulcer on his coccyx. He is weak but otherwise neurologically intact. The nurse asks if the client is being well cared for at home, to which the client replies, "He does the best he can, I guess." Which of the following interpretations of the findings and the client's statement is the most likely explanation for the client's condition?
a. The client's age and weakness
b. Physical abuse
c. Physical neglect
d. The client's underlying physical condition

Asma Venkitta

Numerade Educator

Problem 5

A nurse in the ED is assessing a 42-year-old client who was brutally raped and beaten 3 hours earlier by her estranged boyfriend. The client has several facial fractures and multiple lacerations. She states, "He has done this before." Throughout the assessment, the client does not appear upset and is cooperating in a matter-of-fact manner with the examination. The nurse attributes the client's affect to which of the following explanations?
a. The client is handling the assault well from an emotional standpoint.
b. The client's reaction is abnormal and suggests an underlying psychological problem.
c. The client is concerned more about her physical injuries at this time.
d. The client's affect is a normal reaction and may represent an effort to regain control.

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