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Abuse Situation: Anne, a 20 year old college student was gang raped while on her way home.

She was brought to the hospital with bruises all over her body. 1. Upon admission, she was crying uncontrollably and will not talk. Initially, the nurse identifies one of the following as the relevant nursing diagnosis: a. Impaired physical mobility b. Rape trauma syndrome c. Sensory-perceptual alteration d. Impaired skin integrity The refusal to talk is a defense mechanism characterized by involuntary exclusion of painful thought or memory from awareness which is one of the following? a. Regression b. Displacement c. Repression d. Projection Amethyst, a staff nurse in the emergency room realizes that she has an important role to play as a patient advocate to rape victim. To demonstrate this role, she take note which of the following responsibilities? a. Ask the patient to stay in one isolated room first to provide privacy while attending to the other patients. b. Provide emotional support first and postpone physical assessment when patient is already calm c. Since this is a legal case, call the press about the incidence of rape d. Perform through physical assessment and document objectively all the evidences of rape For the victims of sexual abuse like Anne, the nurse can help her lower her level of anxiety by doing which of the following? a. Identify Anne’s coping mechanisms b. Allowing Anne to express her feelings and concerns c. Assessing her family history d. Utilizing her knowledge of human sexuality Anne was uncontrollably and appears to be very anxious. The nurse therapeutically communicates with her by saying on e of the following statements: a. “you are very upset, calm yourself first” b. “Would you like to relate to me what happened” c. “can you identify who did this to you?” d. “I know something terrible and horrifying happened to you” An appropriate nursing intervention would be which of the following? a. Observe her regularly b. Force her to participate in the scheduled activities c. Encourage her to socialize d. Always have someone to stay with her

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Which of the following is not a coping mechanism of abused women? a. Obedience b. Aggressiveness c. Assertiveness d. Impulsiveness A victim of domestic abuse, battered housewives are usually a. Nowhere to go b. Dependent on husband c. Love the husband very much d. Angry with husband The priority nursing intervention in the care of a child victim of abuse is: a. assess the family dysfunction b. the child will remain safe c. encourage expression of feelings d. talk to the parents Play therapy among victims of abuse is: a. Playing indoors to divert attention from abuse b. Drawing or playing with dolls rather than talking c. Allowing the child to talk about hurt feelings and pain d. Opening communication channels with the family Number 6 of Lippincott The priority nursing implementation for a child or elder victim of abuse is: a. Assessment of scope problem b. Analysis of family dynamics c. Safety of the victim d. Teaching coping skills Number 10 in Lippincott The flowing are the behavioral manifestations (symptoms) of child abuse EXCEPT: a. Child is eager to go home b. Child will not cry when approached by strangers c. Child responds to questions in monosyllables d. Child resorts to manipulative behavior to get attention Number 4 in Lippincott In the cycle of violence tension building is one cycle which includes the following manifestation EXCEPT: a. Arguments b. Accusations c. Silent or cold treatments d. Request and apologies Number 1 in Lippincott Number 2 in Lippincott Number 5 in Lippincott Number 9 in Lippincott