A nurse is working with a client who has frequent angry outbursts which is disrupting life at home. Which statement by the nurse is most helpful when working with this client?

"You can reduce your anger by hitting a punching bag."

"You need to learn how to be less assertive in your communications."

"You need to learn to suppress these angry feelings."

"Anger is a normal feeling, and you can use it to solve problems

Answer and Explanation

The Correct Answer is D

Option D is the most helpful statement when working with a client who has frequent angry outbursts. It acknowledges that anger is a normal emotion that everyone experiences at times. Additionally, it provides a positive perspective on anger, suggesting that it can be used constructively to solve problems.

Anger itself is not a negative emotion; it becomes problematic when it is expressed inappropriately or disruptively. By validating the client's feelings and reframing anger as a potential tool for problem-solving, the nurse can help the client explore healthier ways to cope with and express their emotions.

Options A, B, and C are not as helpful in this situation:

A. "You can reduce your anger by hitting a punching bag." - While physical activity can help release pent-up emotions, this statement focuses solely on a physical outlet for anger and does not address the underlying issues causing the frequent angry outbursts.

B. "You need to learn how to be less assertive in your communications." - This statement suggests that the client's assertiveness is the problem, which may not be the case. Instead, the nurse should focus on helping the client develop healthier ways to express their emotions and communicate effectively.

C. "You need to learn to suppress these angry feelings." - Encouraging the suppression of emotions is not a healthy coping mechanism. Suppressing anger can lead to increased stress and may result in more intense outbursts later on. The nurse should help the client learn constructive ways to manage and express their anger.

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Correct Answer is D

Explanation

When a school nurse suspects that a child is being sexually abused, the priority action is to ensure the child's safety and well-being. Option D, accurately and thoroughly documenting the findings and reporting to the appropriate authorities, is the most critical step in protecting the child.

Child abuse, including sexual abuse, is a serious concern that requires immediate attention and intervention. In many jurisdictions, healthcare professionals, including school nurses, are mandated reporters, which means they are legally obligated to report suspected cases of child abuse to child protective services or other appropriate authorities.

Options A, B, and C are not appropriate as the child's safety is the top priority:

A. Discussing the findings with the parents and giving them the opportunity to explain could potentially place the child at further risk if the parents are involved in the abuse or are unwilling to address the situation.

B. Talking to the child and finding out if they are experiencing sexual abuse or inappropriate touching should not be the first step without involving child protective services or other appropriate authorities. The child may be frightened or reluctant to disclose abuse directly to the nurse, especially if the abuser is a family member or someone known to the child.

C. Talking with another co-worker to confirm the assessment may delay the necessary action and reporting to protect the child.

A. An ability to feel remorse for the abuse B. Needy and possessive of the partner C. An inflated sense of self-esteem D. Encourages the partner to have a life outside the intimate relationship

Correct Answer is B

Explanation

Explanation: When completing a family assessment for a victim of intimate partner violence, the nurse may identify characteristics of the abuser that contribute to the abusive behavior. Among the options provided, "Needy and possessive of the partner" is the characteristic of the abuser. Abusers often display controlling behavior, which includes possessiveness and excessive need for control over their partners. This possessiveness may manifest as jealousy, isolation, and an attempt to limit the victim's freedom and independence.

A. An ability to feel remorse for the abuse - This characteristic is less likely to be present in an abuser. Abusers often exhibit a lack of remorse for their abusive behavior and may blame the victim or external factors for their actions.

C. An inflated sense of self-esteem - While some abusers may exhibit arrogance and an inflated sense of self-importance, it is not a defining characteristic of all abusers.

D. Encourages the partner to have a life outside the intimate relationship - Abusers typically do the opposite; they often seek to isolate their victims from their support systems and limit their social interactions outside the abusive relationship.

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A nurse is working with a client who has frequent angry outbursts which is disrupting life at home. Which statement by the nurse is most helpful when working with this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The school nurse is seeing a 7-year-old child in the clinic and is concerned with behaviors and physical indications that indicate the child is being sexually abused. Which is the priority action by the nurse?

Correct Answer is D

Explanation

The nurse is completing a family assessment for a victim of intimate partner violence. Which characteristic of the abuser will the nurse identify when completing the assessment?

Correct Answer is B

Explanation

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