The nurse is working with a client at the battered women's shelter who is in a violent and abusive relationship. The client is considering a separation and asks the nurse. "What do you think about that?" Which is the best response by the nurse?
"You may be in more physical danger after you leave them."
"Batterers never change, so it would be best for you to leave."
"If you leave, maybe your partner will see that they have to change their behavior."
"If you don't leave. your partner will think you're going to continue to endure the abuse."
The Correct Answer is A
This is the best response because it acknowledges the client’s statement while providing realistic, evidence-based information. According to the National Institute of Mental Health (NIMH) and domestic violence research, the period immediately after leaving an abusive partner is often the most dangerous, as abusers may escalate threats or violence when they feel a loss of control. This response validates the client’s concerns, offers safety awareness, and opens the door for further discussion about creating a safety plan.
option B generalizes that all batterers never change, which may not be true for all situations and individuals.
Option C suggests that leaving will make the partner change is inappropriate and unsafe. This could give the client false hope that the abuser’s behavior will improve, when evidence shows that abusive partners rarely change without intensive intervention.
Option D may imply a threat or ultimatum, which is not appropriate and can be disempowering for the client. The most important aspect of supporting someone in an abusive relationship is to provide a non-judgmental, understanding, and empowering environment where they can explore their options and make decisions that are best for their safety and well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Falsely imprisoning a client involves restricting their freedom and movement against their will without proper legal authority or justification. Option D demonstrates false imprisonment because the nurse applies restraints to restrict the client's movement and then forces the medication into the client's mouth, essentially depriving the client of their right to refuse treatment.
Options A, B, and C are not examples of false imprisonment:
A. The nurse informing the client that the behavior will not be tolerated and will be addressed by the psychiatrist is a response to the client's inappropriate behavior. It does not involve restricting the client's freedom or movement.
B. The nurse throwing the medication in the trash and documenting the client's refusal is an appropriate response to the client's refusal of medication. It respects the client's right to refuse treatment.
C. The nurse pushing the client and causing them to fall to the floor, resulting in a nosebleed, is an example of physical assault and battery, not false imprisonment. It is an inappropriate and harmful action by the nurse.
Correct Answer is ["0.6"]
Explanation
Step 1: Determine the dosage available per mL.
- Available dosage is 8 mg in 0.4 mL.
- Calculation: 8 mg ÷ 0.4 mL = 20 mg/mL.
- Result: 20 mg/mL.
Step 2: Calculate the volume needed for 12 mg.
- Required dosage is 12 mg.
- Calculation: 12 mg ÷ 20 mg/mL = 0.6 mL.
- Result: 0.6 mL.
So, the nurse should administer 0.6 mL of methylnaltrexone.
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