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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. The client complains of pelvic soreness. Pelvic soreness is a common physical symptom following sexual abuse due to trauma, forced penetration, or muscle tension from psychological distress.
B. The client's urine sample is positive for chlamydia. Sexually transmitted infections (STIs), such as chlamydia, can be a result of sexual abuse. A positive test in a client who has not engaged in consensual sexual activity raises concern for recent or past assault.
C. The client has anal bleeding. Anal trauma, including bleeding, is a strong indicator of possible sexual abuse, especially if there is no medical history of other conditions like hemorrhoids or anal fissures.
D. The client has bruising around the breasts. Unexplained bruising in sensitive areas such as the breasts may suggest physical force during a sexual assault, making this a concerning finding.
E. The client's underwear is bloody. Bloodstains on underwear can indicate genital or anal trauma, which may occur during sexual abuse. This finding warrants further medical and forensic evaluation.
F. The client has a scar on their inner thigh. While scars may suggest past trauma or injury, they do not necessarily indicate recent sexual abuse. Unlike fresh injuries, scars do not provide evidence of a recent assault and are not specific to sexual abuse.
Correct Answer is D
Explanation
A. Treatment is usually enough to overcome any social determinants. This statement is misleading, as social determinants of health significantly impact mental health and treatment outcomes. Effective treatment often requires addressing these determinants rather than relying solely on clinical interventions.
B. The client will be unable to change any of their social determinants of health. This is not accurate; while some social determinants can be challenging to change, individuals and communities can work towards improving their circumstances through support and resources.
C. Social determinants of health are mostly negative effects on a person's physical health. While social determinants can negatively affect physical and mental health, they also encompass positive factors that can support well-being, such as access to education and social support.
D. Social determinants can be an advantage or a challenge to treatment for an SMI. This statement accurately reflects that social determinants, such as socioeconomic status, community support, and access to healthcare, can either facilitate or hinder the treatment and recovery process for individuals with serious mental illnesses.
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