Intimate Partner Violence in Psychiatric Patients: Risk Factors and Nursing Interventions, Exams of Nursing

Download Intimate Partner Violence in Psychiatric Patients: Risk Factors and Nursing Interventions and more Exams Nursing in PDF only on Docsity!

PSYCHIATRIC MENTAL HEALTH

DISORDERS

Organic Brain

Dysfunction Review

Exam

Q & A

1. Which of the following statements is true regarding the prevalence of intimate partner violence (IPV) in individuals with psychiatric mental health disorders? A. Individuals with psychiatric disorders are less likely to experience IPV compared to the general population. B. Individuals with psychiatric disorders are equally likely to experience IPV compared to the general population. C. Individuals with psychiatric disorders are more likely to experience IPV compared to the general population. D. Individuals with psychiatric disorders are more likely to be perpetrators of IPV compared to the general population. Answer: C. Individuals with psychiatric disorders are more likely to experience IPV compared to the general population. Rationale: Research has shown that individuals with psychiatric mental health disorders are at a higher risk of experiencing intimate partner violence compared to the general population. This may be due to a number of factors, including stigma, lack of social support, and increased vulnerability.
2. Which of the following is a common risk factor for both substance abuse and intimate partner violence in individuals with psychiatric disorders? A. Genetic predisposition B. Childhood trauma C. Lack of access to mental health services D. High socioeconomic status Answer: B. Childhood trauma Rationale: Childhood trauma, such as physical or sexual abuse, has been identified as a common risk factor for both substance abuse and intimate partner violence in individuals with psychiatric disorders. Individuals who have experienced trauma in childhood may be more likely to engage in

maladaptive coping strategies, such as substance abuse or violence.

3. Which of the following is an appropriate nursing intervention for a patient experiencing intimate partner violence (IPV) and a psychiatric mental health disorder? A. Confront the abuser and demand that they stop the violence immediately. B. Provide emotional support and validate the patient's feelings. C. Report the abuse to the authorities without the patient's consent. D. Encourage the patient to stay in the abusive relationship for financial stability. Answer: B. Provide emotional support and validate the patient's feelings. Rationale: When caring for a patient experiencing intimate partner violence and a psychiatric mental health disorder, it is important for the nurse to provide emotional support and validate the patient's feelings. Confronting the abuser without the patient's consent or encouraging the patient to stay in the relationship are not appropriate interventions and could further endanger the patient.
4. Which of the following is a common symptom of post-traumatic stress disorder (PTSD) in individuals who have experienced intimate partner violence (IPV)? A. Persistent feelings of worthlessness B. Intrusive memories or flashbacks of the trauma C. Excessive worry about physical health D. Lack of interest in social activities Answer: B. Intrusive memories or flashbacks of the trauma Rationale: Intrusive memories or flashbacks of the trauma are common symptoms of post-traumatic stress disorder (PTSD) in individuals who have experienced intimate partner violence. These symptoms can be distressing and interfere with the individual's daily functioning.

5. Which of the following is a potential consequence of child abuse and neglect on a child's mental health? A. Improved self-esteem and self-confidence B. Decreased risk of developing psychiatric disorders C. Impaired emotional regulation and coping skills D. Enhanced social skills and relationships with peers Answer: C. Impaired emotional regulation and coping skills Rationale: Child abuse and neglect can have a significant impact on a child's mental health, including impairing emotional regulation and coping skills. Children who have experienced abuse or neglect may struggle with managing their emotions and may develop maladaptive coping strategies, such as substance abuse or self-harm.
6. Which of the following statements is true regarding the relationship between substance abuse and violence in individuals with psychiatric disorders? A. Substance abuse is never a contributing factor to violence in individuals with psychiatric disorders. B. Individuals with psychiatric disorders are less likely to engage in violent behavior when under the influence of substances. C. Substance abuse can increase the risk of violence in individuals with psychiatric disorders. D. Violence in individuals with psychiatric disorders is always a result of untreated mental illness, not substance abuse. Answer: C. Substance abuse can increase the risk of violence in individuals with psychiatric disorders. Rationale: Substance abuse has been shown to increase the risk of violence in individuals with psychiatric disorders. Individuals who are under the influence of substances may have impaired judgment and inhibitions, leading to an increased likelihood of engaging in violent behavior.

7. Which of the following is a potential warning sign of intimate partner violence (IPV) in a patient with a psychiatric mental health disorder? A. Improved communication and conflict resolution skills B. Unexplained injuries or bruises C. Supportive and non-threatening partner behavior D. Open and honest communication with healthcare providers Answer: B. Unexplained injuries or bruises Rationale: Unexplained injuries or bruises can be a warning sign of intimate partner violence in a patient with a psychiatric mental health disorder. Healthcare providers should be vigilant in assessing for signs of abuse and providing support to patients who may be experiencing violence in their relationships.
8. Which of the following is an example of emotional abuse in a relationship? A. Physical assault B. Verbal threats C. Pushing or shoving D. Withholding affection or attention Answer: D. Withholding affection or attention Rationale: Withholding affection or attention is an example of emotional abuse in a relationship. Emotional abuse can have serious and lasting impacts on an individual's mental health and well-being, including low self-esteem, anxiety, and depression.
9. Which of the following is an appropriate nursing intervention for a patient experiencing substance abuse and intimate partner violence? A. Recommend that the patient leaves the abusive relationship immediately. B. Provide the patient with resources for safety planning and support services.

C. Encourage the patient to continue using substances as a coping mechanism. D. Minimize the significance of the abuse and focus on the substance abuse issues. Answer: B. Provide the patient with resources for safety planning and support services. Rationale: Providing the patient with resources for safety planning and support services is an appropriate nursing intervention for a patient experiencing substance abuse and intimate partner violence. Safety planning can help the patient to navigate their situation and access necessary support.

10. Which of the following is a potential consequence of witnessing domestic violence as a child on a person's mental health? A. Increased resilience and coping skills B. Decreased risk of developing anxiety disorders C. Impaired social relationships and trust D. Enhanced emotional regulation and self-esteem Answer: C. Impaired social relationships and trust Rationale: Witnessing domestic violence as a child can have a significant impact on a person's mental health, including impairing social relationships and trust. Children who witness violence in the home may struggle with forming healthy relationships and may have difficulty trusting others.
11. Which of the following is an example of physical abuse in a relationship? A. Yelling or screaming at a partner B. Controlling or monitoring a partner's activities C. Hitting, kicking, or pushing a partner D. Making demeaning or hurtful comments to a partner

Answer: C. Hitting, kicking, or pushing a partner Rationale: Hitting, kicking, or pushing a partner is an example of physical abuse in a relationship. Physical abuse can have serious consequences for the victim, including physical injuries, psychological trauma, and long- term mental health issues.

12. Which of the following is a potential barrier to seeking help for individuals experiencing intimate partner violence (IPV) and a psychiatric mental health disorder? A. Supportive family and friends B. Access to mental health services C. Financial stability D. Fear of further abuse or retaliation Answer: D. Fear of further abuse or retaliation Rationale: Fear of further abuse or retaliation is a common barrier to seeking help for individuals experiencing intimate partner violence and a psychiatric mental health disorder. Victims may be afraid of the consequences of seeking help, such as escalation of violence or further harm to themselves or their children.
13. Which of the following is an appropriate nursing intervention for a patient who is at risk of experiencing intimate partner violence (IPV)? A. Ignore the signs of abuse and focus on the patient's mental health symptoms. B. Document the signs of abuse in the patient's medical record without their consent. C. Provide the patient with information on safety planning and support services. D. Confront the abuser and demand that they stop the violence immediately. Answer: C. Provide the patient with information on safety planning and support services.

Rationale: Providing the patient with information on safety planning and support services is an appropriate nursing intervention for a patient who is at risk of experiencing intimate partner violence. Safety planning can help the patient to navigate their situation and access necessary support.

14. Which of the following is an example of psychological abuse in a relationship? A. Physical assault B. Insulting or belittling a partner C. Controlling a partner's finances D. Threatening to harm oneself if the partner leaves Answer: B. Insulting or belittling a partner Rationale: Insulting or belittling a partner is an example of psychological abuse in a relationship. Psychological abuse can involve a range of behaviors that undermine a person's self-esteem and sense of worth, including name-calling, manipulation, and threats.
15. Which of the following is a common barrier to seeking help for individuals experiencing substance abuse and intimate partner violence? A. Lack of awareness of available resources B. Supportive family and friends C. Financial stability D. Fear of judgment and stigma Answer: D. Fear of judgment and stigma Rationale: Fear of judgment and stigma is a common barrier to seeking help for individuals experiencing substance abuse and intimate partner violence. Victims may be concerned about how they will be perceived by others, including healthcare providers, friends, and family members, which can prevent them from seeking help.

A 25-year-old female patient presents at the emergency department with multiple bruises and a history of recurrent injuries. She reports that her partner is responsible for the injuries but expresses fear of repercussions if she speaks out. What is the most appropriate initial action by the nurse? A. Encourage the patient to confront her partner about the abuse. B. Provide the patient with a list of local shelters and resources. C. Document the patient's injuries and report the abuse to the authorities. D. Advise the patient to leave the abusive relationship immediately. Answer: B Rationale: Providing the patient with a list of local shelters and resources prioritizes her safety and well-being. It also respects her autonomy in making decisions regarding her next steps. A 40-year-old male patient with a history of substance abuse is admitted to the psychiatric unit after a suicide attempt. During assessment, the nurse observes signs of alcohol withdrawal. Which intervention should the nurse prioritize? A. Initiating one-on-one observation for the patient. B. Administering a benzodiazepine to manage withdrawal symptoms. C. Providing emotional support and empathy to the patient. D. Monitoring the patient's vital signs and assessing for potential complications. Answer: D Rationale: Prioritizing the monitoring of vital signs and assessment for potential complications is essential in managing the patient's alcohol withdrawal and ensuring his safety. A 30-year-old female patient is diagnosed with post-traumatic stress disorder (PTSD) following a history of domestic violence. The patient experiences intrusive memories, nightmares, and heightened arousal. Which therapeutic intervention is most appropriate for this patient?

A. Cognitive-behavioral therapy (CBT) focused on exposure and response prevention. B. Eye movement desensitization and reprocessing (EMDR) therapy. C. Group therapy to facilitate sharing and processing of traumatic experiences. D. Medication management with selective serotonin reuptake inhibitors (SSRIs). Answer: B Rationale: EMDR therapy has been shown to be effective in treating PTSD symptoms, especially in individuals who have experienced trauma such as domestic violence. A 55-year-old male patient with a history of schizophrenia presents with disorganized behavior and auditory hallucinations. The patient is noncompliant with his medication regimen. Which action should the nurse prioritize in this situation? A. Confronting the patient about the importance of medication compliance. B. Involving the patient in developing a treatment plan that addresses his concerns. C. Administering the patient's antipsychotic medication against his will. D. Placing the patient in seclusion until he agrees to take his medication. Answer: B Rationale: Involving the patient in developing a treatment plan that addresses his concerns promotes autonomy and collaboration, which are essential in managing noncompliance in individuals with schizophrenia. A 35-year-old female patient presents with symptoms of dissociative identity disorder (DID). The nurse observes the patient transitioning between different identities during the assessment. Which intervention should the nurse prioritize? A. Encouraging the patient to integrate her different identities into one cohesive personality. B. Establishing a safe and supportive therapeutic environment for the patient. C. Administering antipsychotic medication to manage the patient's

dissociative symptoms. D. Confronting the patient about the authenticity of her different identities. Answer: B Rationale: Establishing a safe and supportive therapeutic environment is crucial in managing patients with DID and promoting their sense of safety and trust. A 28-year-old male patient with a history of opioid use disorder is admitted for detoxification. The patient expresses fear of experiencing withdrawal symptoms. Which pharmacological intervention should the nurse anticipate in managing the patient's withdrawal? A. Initiating a tapering schedule for opioid replacement therapy. B. Administering a long-acting opioid agonist for symptom management. C. Providing the patient with over-the-counter analgesics for pain relief. D. Monitoring the patient's vital signs and providing supportive care. Answer: A Rationale: Initiating a tapering schedule for opioid replacement therapy can help manage the patient's withdrawal symptoms and facilitate the detoxification process. A 45-year-old female patient with a history of bipolar disorder is admitted to the psychiatric unit during a manic episode. The patient exhibits grandiosity, decreased need for sleep, and excessive involvement in pleasurable activities. Which nursing intervention is most appropriate for this patient? A. Setting limits on the patient's behavior and enforcing strict routines. B. Administering a mood stabilizer to manage the patient's manic symptoms. C. Engaging the patient in physical activities to channel her excess energy. D. Providing a calm and structured environment while ensuring the patient's safety. Answer: D

Rationale: Providing a calm and structured environment while ensuring the patient's safety is crucial in managing individuals experiencing a manic episode and promoting their well-being. A 20-year-old female patient with a history of anorexia nervosa is admitted for inpatient treatment. The patient presents with severe malnutrition and expresses intense fear of gaining weight. Which nursing intervention should be prioritized in the care of this patient? A. Monitoring the patient's food intake and engaging in meal support therapy. B. Confronting the patient about the dangers of prolonged malnutrition. C. Administering appetite stimulants to encourage the patient to eat. D. Allowing the patient to maintain control over her food choices and intake. Answer: A Rationale: Monitoring the patient's food intake and engaging in meal support therapy are essential in addressing the nutritional needs and promoting recovery in individuals with anorexia nervosa. A 50-year-old male patient with a history of depression presents with suicidal ideation and a plan to overdose on his prescribed medications. What is the most appropriate initial action by the nurse? A. Confronting the patient about the irrationality of his suicidal thoughts. B. Placing the patient on one-to-one observation to ensure his safety. C. Administering a sedative to calm the patient and alleviate his distress. D. Encouraging the patient to verbalize his feelings and concerns. Answer: B Rationale: Placing the patient on one-to-one observation is essential in ensuring his safety and preventing the execution of his suicidal plan. A 60-year-old female patient with a history of hoarding disorder is admitted for psychiatric evaluation. The patient's living environment is cluttered and poses significant safety risks. Which intervention should the nurse prioritize in the care of this patient? A. Initiating cognitive-behavioral therapy to address the patient's

hoarding behaviors. B. Collaborating with the patient to develop a plan for decluttering her living space. C. Administering anxiolytic medication to alleviate the patient's distress. D. Restricting the patient's access to her living space until it is decluttered. Answer: B Rationale: Collaborating with the patient to develop a plan for decluttering her living space empowers the patient and promotes engagement in the treatment process while addressing safety concerns. A 35-year-old male patient with a history of antisocial personality disorder engages in manipulative and deceitful behaviors during interactions with healthcare providers. Which approach should the nurse employ in establishing therapeutic rapport with this patient? A. Setting clear boundaries and consequences for the patient's manipulative behaviors. B. Confronting the patient about the negative impact of his behaviors on others. C. Providing empathy and support while maintaining a consistent approach. D. Refusing to engage with the patient until he demonstrates genuine change. Answer: C Rationale: Providing empathy and support while maintaining a consistent approach can help establish therapeutic rapport and facilitate engagement with patients with antisocial personality disorder. A 40 - year-old female patient with a history of intimate partner violence presents with physical injuries and emotional distress. The patient expresses ambivalence about leaving the abusive relationship. Which nursing intervention is most appropriate for this patient? A. Encouraging the patient to leave the abusive relationship immediately. B. Providing the patient with information about safety planning and

resources. C. Confronting the patient about the dangers of staying in the abusive relationship. D. Placing the patient in a secure facility to ensure her safety. Answer: B Rationale: Providing the patient with information about safety planning and resources respects her autonomy and supports her in making informed decisions regarding her situation. A 25-year-old male patient with a history of schizophrenia experiences auditory hallucinations commanding him to harm others. The patient expresses distress and a lack of control over these experiences. What is the most appropriate nursing intervention for this patient? A. Administering a sedative to calm the patient and alleviate his distress. B. Confronting the patient about the irrationality of his hallucinations. C. Placing the patient in seclusion to prevent the potential for harm. D. Engaging the patient in therapeutic communication and assessing his safety. Answer: D Rationale: Engaging the patient in therapeutic communication and assessing his safety allows for the expression of distress and the identification of potential risks, promoting a collaborative approach to managing the hallucinations. A 30-year-old female patient with a history of borderline personality disorder engages in self-harming behaviors such as cutting. The patient presents with emotional dysregulation and a fear of abandonment. Which therapeutic intervention is most appropriate for this patient? A. Dialectical behavior therapy (DBT) to address emotion dysregulation and self-harm. B. Confronting the patient about the negative consequences of her self- harming behaviors. C. Administering anxiolytic medication to alleviate the patient's emotional distress. D. Placing the patient in restraints to prevent self-harming behaviors.

Answer: A Rationale: Dialectical behavior therapy (DBT) has been shown to be effective in addressing emotion dysregulation and self-harming behaviors in individuals with borderline personality disorder. A 35-year-old male patient with a history of alcohol use disorder experiences delirium tremens (DTs) following abrupt cessation of alcohol intake. The patient exhibits severe agitation, hallucinations, and autonomic instability. Which nursing intervention is the priority in managing this patient's condition? A. Administering a benzodiazepine to manage the patient's symptoms. B. Placing the patient in restraints to prevent harm to himself and others. C. Providing a quiet and low-stimulation environment for the patient. D. Initiating one-on-one observation to monitor the patient's condition closely. Answer: A Rationale: Administering a benzodiazepine to manage the patient's symptoms is crucial in addressing the severe agitation, hallucinations, and autonomic instability associated with delirium tremens.