"The nurse recognizes that the following statement best describes which phase in the cycle of battering: 'The woman senses that the man's tolerance for frustration is declining. He becomes angry with little provocation but may be quick to apologize. She may just try to stay out of his way.' Which of the following phases does this statement describe?"

Phase I

Phase II

Phase III

Phase IV

Answer and Explanation

The Correct Answer is B

Choice A reason:

Phase I, also known as the tension-building phase, involves threats, verbal abuse, and intimidation. The tension increases, and the victim may feel fearful and try to placate the abuser. However, the description provided does not fully align with this phase as it lacks mention of active efforts by the victim to calm the abuser.

Choice B reason:

Phase II corresponds to the acute battering incident. It is characterized by emotional, sexual, or physical abuse. The statement describes a situation where the man's tolerance for frustration is declining and he becomes easily angered, which can be indicative of the escalation towards an acute battering incident. The woman's strategy to 'stay out of his way' suggests an attempt to avoid triggering an acute episode.

Choice C reason:

Phase III is described as a tranquil, loving, or at least nonviolent phase. This is when the abuser may apologize and promise that the behavior will never occur again. The statement does not describe this phase as it focuses on the anticipation of violence rather than reconciliation or calm.

Choice D reason:

There is no widely recognized 'Phase IV' in the cycle of battering. The cycle typically consists of three phases: tension-building, acute battering incident, and calm-loving respite. Therefore, this choice does not apply to the given statement.

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Correct Answer is D

Explanation

Choice A Reason:

The laissez-faire leadership style is characterized by a hands-off approach, where the leader provides little to no direction and allows group members to make decisions. In this scenario, the nurse is not taking a laissez-faire approach; instead, she is actively engaging the group to discuss and resolve the issue.

Choice B Reason:

Surrogate leadership is not a widely recognized leadership style in nursing. It typically refers to a situation where someone acts on behalf of another, but in the context of leadership styles, it does not apply. Therefore, this choice is not relevant to the given scenario.

Choice C Reason:

Autocratic leadership involves the leader making decisions unilaterally without input from group members. This style is characterized by clear, direct communication and control over decision-making. The nurse's action of asking the group for input indicates that she is not employing an autocratic style.

Choice D Reason:

Democratic leadership is marked by participative decision-making, where the leader includes group members in the process to encourage collaboration and consensus-building. By asking the group for their thoughts on resolving the bathroom cleanliness issue, the nurse is demonstrating democratic leadership, which values the input and engagement of all group members.

A. "I haven't gotten my period yet, and all my friends have theirs." B. "There's a big pimple on my face, and I worry that everyone will notice it." C. "My parents treat me like a baby sometimes." D. "None of the kids at this school like me, and I don't like them either."

Correct Answer is D

Explanation

Choice A Reason:

The comment "I haven't gotten my period yet, and all my friends have theirs" reflects a common concern among adolescents regarding physical development and peer comparison. While this can cause anxiety, it is generally a normal part of adolescent development. The nurse can reassure the adolescent that the timing of puberty varies widely and that it is normal to develop at a different pace than peers.

Choice B Reason:

The concern about a pimple on the face, "There's a big pimple on my face, and I worry that everyone will notice it," is typical of adolescent worries about appearance and self-esteem. While it is important to address these concerns and provide support, it is not as urgent as addressing potential social isolation or mental health issues.

Choice C Reason:

The statement "My parents treat me like a baby sometimes" indicates a common struggle for independence among adolescents. This issue can be addressed through family counseling and communication strategies to help the adolescent and parents navigate this developmental stage. However, it does not indicate an immediate risk to the adolescent's well-being.

Choice D Reason:

The comment "None of the kids at this school like me, and I don't like them either" is the most concerning and should be the nurse's priority. This statement suggests social isolation and potential feelings of depression or low self-esteem. Social isolation can have significant negative impacts on an adolescent's mental health and development. It is crucial for the nurse to explore this further, provide support, and possibly refer the adolescent to a mental health professional.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a group therapy meeting, a client brings up a concern about the cleanliness of the bathroom. The nurse asks the group what should be done about the issue and how to resolve it. The nurse is demonstrating which type of leadership style?

Correct Answer is D

Explanation

A school nurse is talking with a 13-year-old female at her annual health-screening visit. Which of the following comments made by the adolescent should be the nurse's priority to address?

Correct Answer is D

Explanation

A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

Which of the following actions should the nurse take to address the safety needs of an older adult client who was alert and oriented at admission but now seems increasingly restless and intermittently confused?

A client has made the decision to leave her alcoholic husband and reports feeling very depressed. Which of the following is a non-therapeutic statement by the nurse that demonstrates sympathy?

A school nurse is speaking to the mother of a 16-year-old male adolescent. The mother has concerns about her son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?

A nurse notices that a client who has moderate anxiety is pacing the corridor and rambling. As the nurse approaches, the client states, "I am at the end of my rope. I don't think I can take any more bad news." Which of the following responses should the nurse make?

Which of the following actions should the nurse take first when performing an assessment on a client who reports being sexually assaulted?

A nurse is planning care for a client newly admitted with major depressive disorder. After ensuring safety, which of the following actions should the nurse plan to take?

A nurse in an acute mental health unit is admitting a client diagnosed with bipolar disorder. The nurse recognizes which of the following findings supports the admitting diagnosis of acute mania?