The nurse interprets that which of the following comments by the ...

[jasdeep_brar]

The nurse interprets that which of the following comments by the client whose husband uses violence against her is consistent with the presence of low self-esteem commonly found with battered wife syndrome?
 
  1. I'm lucky to be married to a man who really loves me the way that he does.
  2. I told him that this is his last chance; if it happens again, I'm leaving for good.
  3. I stay because there's enough in it for me; I don't have to work full time this way.
  4. Things would be fine at home if I just could do better. He has a lot of pressures on him at work.

Question 2

A nurse is having a conversation with a depressed client on an inpatient psychiatric unit. The client says to the nurse, Things would be so much better for everyone if I just weren't around.
 
   Which of the following responses by the nurse would be appropriate at this time? 1. You sound very unhappy. Are you thinking of harming yourself?
  2. Those feelings will go away when your medication really takes effect.
  3. Have you talked to anyone specifically about what is bothering you?
  4. I know what you mean; everyone gets that way when they are depressed.

[Shshxj]

Answer to Question 1

4

Rationale: The client who is a victim of abuse often vocalizes statements that reflect the low self-esteem and self-deprecation that feed into the cycle of violence. The victim assumes the guilt for the abuse because the perpetrator says that the punishment was deserved. The other statements do not reflect self-deprecatory comments.

Answer to Question 2

1

Rationale: Clients who are depressed may be at higher risk for suicide. When clients make statements such as the one in the question, it is critical for the nurse specifically to assess suicidal ideation and plan. The best method is to ask the client directly about whether a specific plan has been formed.