A client comes into the Emergency Department diagnosed with a fractured right wrist and states, "I am fine, really, because it is all my fault. I knew he was in a bad mood and I got in his way." The nurse should recognize which cycle of battery is this client in?
Phase I
Phase III
Phase II
Phase IV
The Correct Answer is C
A. Phase I: This is the tension-building phase, where minor incidents of abuse occur, and the victim often tries to placate the abuser to avoid escalation.
B. Phase III: This is the honeymoon phase, where the abuser may apologize, show remorse, and promise that the abuse will not happen again. The victim may also experience a period of denial and hope for change.
C. Phase II: This is the acute battering incident, where the abuse reaches a peak and the victim is physically harmed. The client's statement and the injury indicate they are in this phase.
D. Phase IV: There is no recognized "Phase IV" in the cycle of abuse. The standard model includes tension-building, acute battering, and the honeymoon phases.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cultural considerations have no impact on abusive situations involving older adults: This is incorrect. Culture significantly influences how abuse is perceived and addressed.
B. Abusive behaviors are consistent across all cultures: This is incorrect. Abusive behaviors and their recognition can vary widely across different cultural contexts.
C. Cultural diversity does not play a role in elder abuse prevention efforts: This is incorrect. Understanding cultural differences is essential for effective prevention and intervention.
D. Cultural beliefs and practices can influence perceptions of abuse and help-seeking behaviors: Correct. Different cultures have varying definitions of abuse and different attitudes toward seeking help, which can affect how abuse is identified and addressed.
Correct Answer is D
Explanation
A. Advising survivors to keep the assault a secret and not seek help from anyone: This advice is harmful and can exacerbate the trauma experienced by survivors. It is not evidence-based and goes against promoting recovery and safety.
B. Suggesting that survivors should avoid reporting the assault to law enforcement to prevent further trauma: Reporting or not reporting to law enforcement is a personal decision and should be supported based on the survivor's needs and wishes. However, encouraging secrecy is not supportive.
C. Encouraging survivors to blame themselves for the assault to regain a sense of control: Self-blame is detrimental to recovery and is not evidence-based. It can worsen psychological distress and hinder healing.
D. Discussing the importance of seeking medical attention promptly after a sexual assault: This is evidence-based and crucial for survivors. Seeking medical attention allows for assessment and treatment of physical injuries, prevention of sexually transmitted infections (STIs), pregnancy prevention (if applicable), and collection of forensic evidence if the survivor wishes to report the assault later.
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