Which reason(s) should the nurse expect a female client to use when she is having difficulty leaving a relationship where she is a victim of intimate partner violence? Select all that apply.
Shame and guilt.
Children.
Religious beliefs about marriage.
The perpetrator will not change.
Financial dependency.
Correct Answer : A,B,C,E
A. Shame and guilt often play a significant role in why victims of intimate partner violence may struggle to leave abusive relationships. Victims may feel ashamed of the abuse they are experiencing or guilty for various reasons, such as believing they are responsible for the abuse or worrying about the judgment of others.
B. Children can be a central factor in a victim's decision to stay in an abusive relationship. Concerns about the well-being of the children, fear of losing custody, or the desire to maintain a two-parent household can influence a victim's decision-making process.
C. Religious beliefs about marriage can also impact a victim's choice to stay in an abusive relationship. Some religions emphasize the sanctity of marriage and the importance of family unity, which can lead victims to feel obligated to stay and try to work things out despite the violence.
D. The belief that the perpetrator will not change is not typically a reason victims stay; rather, it's often hope for change that keeps them in the relationship. However, this option does not apply as a reason for staying as per the context of the question.
E. Financial dependency is a common barrier to leaving an abusive relationship. Victims may be economically dependent on their abusers for basic needs and financial security, making it challenging to envision a life independent of the relationship.
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Related Questions
Correct Answer is D
Explanation
A. Folic acid supplementation may be beneficial for some clients, but it is not typically an immediate priority in alcohol detoxification.
B. Haloperidol is an antipsychotic medication and is not typically indicated as an immediate treatment during alcohol detoxification.
C. Trazodone is an antidepressant medication and is not typically indicated as an immediate treatment during alcohol detoxification.
D. Vitamin B1 (thiamine) supplementation is crucial in alcohol detoxification to prevent or treat Wernicke's encephalopathy and Korsakoff's syndrome, which are neurological complications associated with thiamine deficiency commonly seen in individuals with alcohol use disorder.
Correct Answer is A
Explanation
A. Responding with illogical answers to questions is characteristic of schizophrenia, particularly during periods of psychosis when the client may experience disorganized thinking and impaired reality testing.
B. Admitting to frequently thinking about committing suicide is not specific to schizophrenia and may occur in various mental health conditions, such as depression or bipolar disorder.
C. Describing times of depression followed by feelings of euphoria suggests a mood disorder, such as bipolar disorder, rather than schizophrenia.
D. Exhibiting compulsive, ritualistic behaviors may be seen in obsessive-compulsive disorder (OCD) but is not typically characteristic of schizophrenia. Schizophrenia is primarily characterized by positive symptoms (such as hallucinations and delusions), negative symptoms (such as blunted affect and social withdrawal), and cognitive symptoms (such as disorganized thinking and impaired executive function).
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