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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Family conflict: Family conflict can contribute to suicidal ideation, but the presence of an active psychiatric disorder is a more direct risk factor.

B. Homosexuality: Sexual orientation itself is not a risk factor for suicide, but discrimination and lack of acceptance related to sexual orientation can contribute to risk.

C. Availability of firearms: Access to firearms increases the lethality of suicide attempts but is not as significant as the presence of an active psychiatric disorder.

D. Active psychiatric disorder: This is the correct answer. Conditions such as depression, bipolar disorder, and substance use disorders significantly increase the risk of suicide in adolescents.

A. A patient who does not have a support system at home. B. A patient who is refusing to go to group therapy. C. A patient with major depressive disorder and stopped taking his medication. D. A patient who is unable to leave home without assistance.

Correct Answer is D

Explanation

A. A patient who does not have a support system at home: While a lack of support is a concern, it is not a criterion for home-bound health care eligibility.

B. A patient who is refusing to go to group therapy: Refusal to participate in therapy does not meet the criteria for being home-bound.

C. A patient with major depressive disorder and stopped taking his medication: While this is a serious situation, it does not necessarily mean the patient is home-bound.

D. A patient who is unable to leave home without assistance: This fits the definition of being home-bound, which means the patient has a condition that makes leaving the home difficult and requires assistance.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from an adolescent. Which of the following should the nurse identify as the greatest risk for suicide?

Correct Answer is D

Explanation

The nurse is preparing to discharge a client home from a mental health institution. The nurse should recognize that in order for a mental health client to receive home-bound health care, which of the following criteria must be met?

Correct Answer is D

Explanation

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