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 B
Explanation
A. Rotate staff to prevent caregiver role strain: Consistency in caregivers is crucial for dementia patients to minimize confusion and anxiety. Frequent changes in caregivers can be unsettling for them.
B. Limit the client's choices for daily activities: Simplifying choices helps to reduce decision-making pressure and confusion, which can be beneficial for dementia patients.
C. Provide a cognitively stimulating environment: While cognitive stimulation is beneficial, it must be balanced with the need for a calm, non-overstimulating environment to avoid overwhelming the patient.
D. Use confrontation to manage negative behavior: Confrontation is generally not effective and can increase agitation and confusion in dementia patients. Non-confrontational approaches are preferred.
Correct Answer is A
Explanation
A. Echolalia: Echolalia, the repetition of words or phrases spoken by others, is a common characteristic of autism spectrum disorder. It can be part of the individual’s attempt to communicate or self-stimulate and may be indicative of difficulties in expressive language development.
B. Ambivalence: Ambivalence, the state of having mixed feelings or contradictory ideas about something or someone, is more commonly associated with conditions like schizophrenia, not ASD.
C. Expressive affect: Individuals with ASD often have difficulties with expressive affect, meaning they may show limited emotional expression, which contrasts with the term "expressive affect" suggesting full emotional expression.
D. Associative looseness: Associative looseness, a symptom where a person’s thoughts are disconnected and fragmented, is more characteristic of schizophrenia than ASD.
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