Which statement made by an emergency department nurse indicates accurate knowledge of domestic violence?

A. "Power and control are central to the dynamic of domestic violence."

B. "Poor communication and social isolation are central to the dynamic of domestic violence."

C. "Erratic relationships and vulnerability are central to the dynamic of domestic violence."

D. "Emotional injury and learned helplessness are central to the dynamic of domestic violence."

The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the clients significant other?

A. Awake in the client every 2 hours.

B. Monitor for increased intracranial pressure.

C. Observe frequently for hypervigilance.

D. Offer the client food every 3 to 4 hours.

A client who is in a severely abusive relationship is admitted to a psychiatric inpatient unit. The client fears for her life. A staff nurse asks, "Why doesn't she just leave him?" Which is the nursing supervisor's most appropriate reply?

A. "These clients don't know life any other way, and change is not an option until they have improved insight."

B. "These clients have limited KEY: Cognitive skills and few vocational abilities to be able to make it on their own."

C. "These clients often have a lack of financial independence to support themselves and their children, and most have religious beliefs prohibiting divorce and separation."

D. "These clients are paralyzed into inaction by a combination of physical threats and a sense of powerlessness."

The nurse is caring for the following clients. Which client what the nurse assess first after receiving the shift report?

A. The 22 year old male client diagnosed with a concussion who is complaining someone is waking him up every 2 hours.

B. The 36 year old female client admitted with complaints of left sided weakness who is scheduled for an MRI scan.

C. The 45-year-old client admitted with blunt trauma to the head after a motorcycle accident who has a Glasgow Coma Scale score of 6.

D. The 62-year-old client diagnosed with CVA who has expressive aphasia.

Which assessment data should a school nurse recognize as signs of physical neglect?

A. The child is often absent from school and seems apathetic and tired.

B. The child is very insecure and has poor self-esteem.

C. The child has multiple bruises on various body parts

. D. The child has sophisticated knowledge of sexual behaviors

When planning care for women in abusive relationships, which of the following information is important for the nurse to consider? (Select all that apply.)

A. It often takes several attempts before a woman leaves an abusive situation.

B. Substance abuse is a common factor in abusive relationships.

C. Until children reach school age, they are usually not affected by parental discord.

D. Women in abusive relationships usually feel isolated and unsupported.

E. Economic factors rarely play a role in the decision to stay in abusive relationships.

The client is diagnosed with a closed head injury and is in a coma. The nurse writes the client problem

A. Notify the health-care provider immediately.

B. Prepare to administer an antihistamine.

C. Test the drainage for presence of glucose.

D. Place 2x2 Gauze under the nose to collect drainage.

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