Domestic Abuse Assigned Assignment Help: How to Answer This Question

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Use appropriate theories and support your answer with clear reasoning.

Key Explanation

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Original Question

DOMESTIC ABUSE Situation5: You are assigned at Pavilion 12, a specialized area for children IN NCMH. Your patient, MS, is a 10 year-old, out-of-school female patient admitted with a chief complaint of multiple injury and hematoma on both eyes, upper and lower extremities, and posterior chest wall and laceration of genital area. MS was initially diagnosed as suffering from severe depression and has acquired sexually transmitted disease allegedly from her step-father. But the mother denies it. Social Case history revealed the following data: MS and her mother sell sampaguita for a living. Her mother remarried after her father died hoping to have somebody who could help them financially. Similarly, MS’ mother had history of being beaten-up by her second husband due to reasons like jealousy, highly possessiveness and suspiciousness. MS is the third among 9 siblings. They are living in a shanty house under the Nagtahan Bridge. Her step-father is a known alcohol and drug-user, and is unemployed. 1. Based on the given situation, MS and her family became prone to domestic violence because of the fallowing factors except a. The wife’s dependency on her husband b. The husband viewed wife and children as his possession c. The husband’s dependency on alcohol and prohibited drugs d. The husband was an abused child and became another abuser when he grew up Rationale: 2. The most evident psychological profile of the stepfather would be: a. Paranoid, suspicious, extremely jealous and possessive b. Jekyll and Hyde Syndrome c. Manic-depressive behavior d. History of previous abuse and violence Rationale: 3. Based on the situation, MS suffered what form of abuse from her step-father? a. Sexual abuse b. Physical Abuse c. Psychological Abuse d. Financial Abuse Rationale: 4. Generally, the psychodynamics of an abusive family member proposes a biologic theory that states: 1. The limbic system and the neurotransmitters are implicated in violent behavior. 2. An increase in Norepinephrine and serotonin increases irritability of an individual 3. An increase in dopamine increases episodes of aggression 4. Substance-abuse is often implicated affecting cognition and emotion of an individual 5. Violence is the result of an inability to control impulsive expression of anger and hostility. a. 1, 2, 3 and 4 b. 1, 2 and 3 c. 3 only d. 1, 2, 3, 4 and 5 Rationale: 5. As a nurse, you knew that part of your primary nursing responsibilities are as follows except: a. Identify family stressors b. Information dissemination to increase awareness on abuse and violence c. Report cases to authorized institutions d. Identify family at risk Rationale: 6. MS is now undergoing tertiary nursing care under an institutionalized care. She is highly elusive, seclusive and isolates self from other patients. As Cara approaches, she noticed that MS became teary eyed, agitated and shrinking. As a nurse you stated “Hello MS, I am Cara, I am your nurse, you seems to be shaking? What therapeutic technique of communication does Cara used? 1. Giving information 2. Encouraging description 3. Making observations 4. Exploring a. 1 and 3 b. 2 and 4 c. 1 and 2 d. 3 and 4 Rationale: 7. What specific attitude therapy must a nurse utilized in order to help MS verbalized her pent-up emotions? a. Active Friendliness AT b. Passive Friendliness AT c. Kind-firmness AT d. Matter of Fact AT Rationale: 8. MS’ stepfather on the other hand was sent-off to jail pending his rape case filed by his own wife. Inside the jail, the stepfather claimed “If you have the problem that I have, I bet you would drink too. What coping mechanism is he using? a. Minimization b. Projection c. Denial d. Rationalization Rationale: SET B – SUBSTANCE ABUSE Which of the following would the nurse recognize as signs of alcohol withdrawal? a. Coma, disorientation, and hypervigilance b. Tremulousness, sweating, and elevated blood pressure c. Increased temperature, lethargy, and hypothermia d. Talkativeness, hyperactivity, and blackouts Rationale: 2. A client who is intoxicated is admitted to the hospital for alcohol withdrawal. Which of the following would the nurse do to help the client become sober? a. Give the client black coffee to drink b. Have the client take a cold shower c. Provide the client with a quiet room to sleep in d. Walk around the unit with the client Rationale: 3. Which of the following would be contraindicated for a client who is experiencing severe symptoms of alcohol withdrawal? a. Ambulating the client b. Lowering environmental stimuli c. Monitoring intake and output d. Using short, direct statements Rationale: 4. Which of the following foods would the nurse eliminate from the diet of a client with alcohol withdrawal? a. Ice cream b. Milk c. Orange juice d. Diet soda Rationale: 5. Which of the following interventions would the nurse include in the plan of care for the client in severe alcohol withdrawal? a. Continuous use of restraints for safety b. Informing the client about alcohol treatment programs c. Remaining with the client when he or she is confused d. Touching the client before saying anything Rationale: 6. When caring for a client who has been using PCP, the nurse would be especially alert for which of the following behaviors? a. Auditory hallucinations b. Bizarre behavior c. Loud screaming d. Violent behavior Rationale: 7. The nurse calls security and has physical restraints applied to a client who was admitted voluntarily when the client becomes verbally abusive, demanding to be discharged from the hospital. Which represents the possible legal ramifications for the nurse associated with these interventions? Select all that apply. a. Libel b. Battery c. Assault c. Slander d. False imprisonment Rationale: 8. What should be the priority nursing diagnosis for a client experiencing alcohol withdrawal? a. Risk for injury R/T central nervous system stimulation b. Disturbed thought processes R/T tactile hallucinations c. Ineffective coping R/T powerlessness over alcohol use d. Ineffective denial R/T continued alcohol use despite negative consequences Rationale: 9. On the first day of a client’s alcohol detoxification, which nursing intervention should take priority? a. Strongly encourage the client to attend 90 Alcoholics Anonymous meetings in 90 days. b. Educate the client about the biopsychosocial consequences of alcohol abuse. c. Administer ordered chlordiazepoxide (Librium) in a dosage according to protocol. d. Administer vitamin B1 to prevent Wernicke-Korsakoff syndrome. Rationale: 10. A lonely, depressed divorcée has been self-medicating with cocaine for the past year. Which term should a nurse use to best describe this individual’s situation? a. The individual is experiencing psychological dependency. b. The individual is experiencing physical dependency. c. The individual is experiencing substance dependency. d. The individual is experiencing social dependency. Rationale: 11. The nurse is working with a client who has a potential for violence and aggressive behavior. Which of the following immediate outcomes would be most appropriate for the nurse to include in the plan of care? The client will a. Ask the nurse for medication when upset b. Discuss feelings of anger with staff c. Participate in therapy to resolve underlying issues d. Use indirect behaviors to express anger Rationale: 12. A client is preparing for discharge from a substance dependence treatment program. Which of the following would be the priority in the discharge plan? a. A list of goals b. Family forgiveness c. Follow-up care d. Supportive friends Rationale: 13. A client who was raped has difficulty expressing her feelings of anger and outrage. Which of the following activities would the nurse suggest to assist the client in expressing her feelings? a. Meditating b. Listening to music c. Using a punching bag d. Writing in a journal Rationale: 14. A client who is newly widowed tells the nurse that she wishes she could “join her husband in heaven.” After assessing the client for suicidal ideation, which of the following would be the best response by the nurse? a. “Do you have children that can help you at this time?” b. “Things will get better with time.” c. “Tell me what feelings you’ve been experiencing.” d. “What was the cause of your husband’s death?” Rationale: 15. You have a newly admitted client diagnosed with Substance Abused Disorder. You identified 5 nursing diagnosis bases on your assessment. Which one is of the highest priority? WHY? a. Risk for injury related to substance intoxication or withdrawal. b. Ineffective denial related to underlying fears and anxieties. c. Ineffective coping related to inadequate support system or coping skills. d. Imbalance nutrition: less than body requirements related to drinking alcohol instead of eating nourishing food. e. Chronic low self-esteem related to retarded ego development Rationale:

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