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Promotions-Exam 4 Test

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5 Written Questions

5 Matching Questions

  1. Domestic Abuse: Honeymoon: Stage III (MAN)
  2. Domestic Abuse Nursing Interventions
  3. To evaluate Stress
  4. Domestic Abuse: Phase II "Acute Battering" (MAN)
  5. Domestic Abuse: Phase 1 "Tension Building" (MAN)
  1. a Observe the patient and family.
    Give amply amount of time to deal with stress effectively and completely.
    Refer to ongoing resources to avoid delay or interruptions in care.
  2. b Convey that survivors are not alone; others are willing to help, Convey that survivor has dignity and worth; does not deserve abuse
    Acknowledge fears, ambivalence about abuser and leaving, Accept that survivor cannot be pushed to leave abuser, Monitor safety
    Provide information about abuse, cycle of violence, abuser accountability
    Build self-esteem, confidence, independence, sense of hope
    If danger of injury present—advise use of shelter, safe house
    If injured—encourage to get medical help
    Teach about inevitability of cycle of violence, that no one deserves battering
    Provide emergency phone numbers
    Encourage and provide information to develop emergency plan
    Inform of legal protections
  3. c is loving, charming, begging for forgiveness, making promises.
    Truly believes it will never happen again.
  4. d Trigger event is either internal or external
    Battering occurs privately
    Threaten more harm if partner tries to get help
    Tries to justify behavior
    Minimizes the severity
    Stress is relieved
  5. e Excessively high expectation of the partner.
    Blames partner for anything that goes wrong.
    Does not try to control behaviors
    Aware of inappropriate behaviors but does not admit to it.
    Verbal and physical abuse increase.
    Afraid partner will leave
    Frantic and more controlling

5 Multiple Choice Questions

  1. Unexplained bruises, welts, fractures
    Infected burns
    Unexplained burns, especially on the soles, palms, back, or buttocks
  2. Compensation, Conversion, Denial, Displacement
    Identification, Dissociation, Regression
  3. Intensity, Scope, Duration, Amount,Predictability
    Characteristics of the person that influence the response, Level of control, feeling competent, cognitive appraisal and number of supports available.
  4. Recognize clues to abuse in assessment
    Provide privacy for interview
    Convey that others are willing to help
    Reiterate survivor did not cause or deserve abuse
    Convey survivor has worth, dignity
    Acknowledge fear, ambivalence
    Do not rush or coerce; support trials of counseling
  5. Might call for help
    Initiate battering to get it over with (long-term).
    Initial reaction is shock, disbelief, denial
    Fear of more abuse, may not press charges
    Humiliated, sleepless, depressed, anxious.
    Does not seek help for injuries.

5 True/False Questions

  1. Planning: goals and outcomesPrioritize the highest problem that is causing stress, Utilize collaborative care, Multidisciplinary approach, View patient holistically, Inform of potential resources, Group counseling sessions
    Consultations, Individual therapy

          

  2. Domestic Abuse: Phase 1 "Tension Building" (WOMAN)Nurturing compliant, tries to please partner.
    Denies seriousness of problem.
    Feels can control partners behavior
    Tries to prevent partners anger
    Blames external factors
    Takes minor abuse
    Gets scared and tries to hide
    Might call for help as the tension becomes unbearable.

          

  3. Depression in Children (Manifestations)Accept patient; focus on strengths
    Reinforce efforts to make decisions
    For severe indecision, nurse makes decision
    Never reinforce hallucinations/delusions
    Accept anger
    Spend time with withdrawn patients
    Provide activities designed for success
    Medications as prescribed by provider.

          

  4. Threats of SuicideA suicide gesture or threat should never be ignored
    The child should be encouraged to discuss the thought
    The health care provider should try to determine whether the child has a plan and the lethality of the plan
    Help from a qualified health care professional should be obtained

          

  5. Antidepressant Therapy PointersLag time before symptoms improve
    Monitor for increased suicidal tendencies
    Monitor for cheeking and hoarding
    Monitor vital signs
    Observe for signs of early toxicity
    Monitor sexual side effects of SSRIs
    Be aware of drug-drug and drug-food interactions

          

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