A nurse is caring for a client who is crying and states they are depressed and feel like they are "going crazy." Which of the following client statements indicates the client is experiencing emotional abuse? (Select All that Apply.)

"My ex-partner constantly makes fun of my weight."

"My ex-partner tells me that I can't do anything right."

"I recently was promoted at work but now I'm unable to work with the same coworkers I was used to working with."

"I am newly divorced and a single parent."

"I suppose I really do need to be on medication, like my ex-partner said."

'My friend recently passed away."

Answer and Explanation

Correct Answer : A,B,E

A. "My ex-partner constantly makes fun of my weight." This statement reflects emotional abuse, as body-shaming can damage self-esteem and create feelings of worthlessness. Constant criticism about appearance is a form of psychological manipulation and control.
B. "My ex-partner tells me that I can't do anything right." Emotional abusers often undermine their victims’ confidence by making them feel incompetent or incapable. This type of verbal degradation can lead to self-doubt, anxiety, and depression.
C. "I recently was promoted at work but now I'm unable to work with the same coworkers I was used to working with." While workplace changes can be stressful, this does not indicate emotional abuse. There is no mention of manipulation, belittlement, or control by another person.
D. "I am newly divorced and a single parent." Divorce and single parenting can be challenging, but they do not inherently signify emotional abuse. Emotional abuse involves a pattern of controlling, belittling, or manipulative behavior from another individual.
E. "I suppose I really do need to be on medication, like my ex-partner said." This statement suggests that the ex-partner may have manipulated the client into doubting their own mental stability. Gaslighting—making someone question their own reality—is a common tactic in emotional abuse.
F. "My friend recently passed away." Grief can contribute to emotional distress, but the loss of a friend does not indicate emotional abuse. Emotional abuse involves deliberate psychological harm from another person.

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Correct Answer is A

Explanation

A. Orthorexia. Orthorexia is characterized by an unhealthy obsession with eating foods that one considers healthy and the avoidance of foods perceived as unhealthy. The client's report of eliminating specific foods to "eat clean" aligns with this condition, indicating a focus on the quality of food rather than quantity.
B. Pica. Pica is the compulsive consumption of non-food items, such as dirt or chalk. The client's behavior of eliminating foods does not fit this description, as they are not consuming non-nutritive substances.
C. Anorexia nervosa. Anorexia nervosa is an eating disorder characterized by restrictive eating and an intense fear of gaining weight. While clients with anorexia may eliminate foods, the specific focus on "eating clean" suggests a different motivation than the fear of weight gain typically seen in anorexia.
D. Rumination disorder. Rumination disorder involves the repetitive regurgitation of food, which is then re-chewed or re-swallowed, rather than the intentional avoidance of certain foods. This behavior does not relate to the client's reported actions of eliminating foods from their diet.

A. A history of self-injurious behavior B. A history of schizophrenia C. Borderline personality disorder D. History of trauma during the developmental years

Correct Answer is D

Explanation

A. A history of self-injurious behavior. While self-injurious behavior can be associated with various mental health conditions, it is not specifically identified as a risk factor for dissociative identity disorder (DID).
B. A history of schizophrenia. Schizophrenia is a distinct mental health disorder characterized by psychotic symptoms, and while individuals with schizophrenia may experience dissociation, it is not considered a direct risk factor for DID.
C. Borderline personality disorder. While there is some overlap between symptoms of borderline personality disorder and dissociative symptoms, having borderline personality disorder itself is not a primary risk factor for developing DID.
D. History of trauma during the developmental years. A significant risk factor for dissociative identity disorder is a history of severe trauma or abuse during childhood, particularly chronic emotional, physical, or sexual abuse. This trauma can disrupt normal psychological development and contribute to the fragmentation of identity characteristic of DID.

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A nurse is caring for a client who is crying and states they are depressed and feel like they are "going crazy." Which of the following client statements indicates the client is experiencing emotional abuse? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports that they have been eliminating specific foods from their diet in order to "eat clean." The nurse should identify that this is an indication of which of the following conditions?

Correct Answer is A

Explanation

A nurse is preparing an in-service for a group of staff members about dissociative identity disorder. Which of the following should the nurse identify as a risk factor for this disorder?

Correct Answer is D

Explanation

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