SAMPLE NCLEX-LPN

‭When‬ ‭suspecting‬ ‭spousal‬ ‭abuse,‬ ‭nurses‬ ‭should‬ ‭ensure‬ ‭the‬ ‭victim's‬ ‭separation‬ ‭from‬ ‭the‬ ‭potential‬ ‭abuser‬ ‭to‬‭facilitate‬‭open‬‭communication.‬‭Nurses‬‭must‬‭also‬‭be‬‭mindful‬‭that‬‭abusers‬‭might‬‭linger‬‭nearby‬ ‭to prevent disclosure, which itself can be a sign of abuse.‬ ‭Clients‬ ‭who‬ ‭have‬ ‭experienced‬ ‭abuse‬ ‭or‬ ‭who‬ ‭are‬ ‭perpetrators‬ ‭require‬‭assessments‬‭that‬‭consider‬‭their‬ ‭physical,‬ ‭psychological,‬ ‭and‬ ‭social‬ ‭needs.‬ ‭For‬ ‭instance,‬ ‭abuse‬ ‭victims‬ ‭may‬ ‭need‬ ‭evaluations‬ ‭for‬ ‭depression‬‭and‬‭low‬‭self-esteem,‬‭while‬‭perpetrators‬‭may‬‭require‬‭assessments‬‭for‬‭substance‬‭abuse‬‭and‬ ‭psychological‬‭issues.‬‭Elder‬‭abuse‬‭victims‬‭need‬‭assessments‬‭of‬‭their‬‭social‬‭support‬‭systems‬‭and‬‭coping‬ ‭mechanisms.‬

‭Relevant nursing diagnoses for abused children may include:‬ ‭●‬ ‭Acute pain related to physical abuse and injuries‬ ‭●‬ ‭Fear and anxiety related to the threat of punishment‬ ‭●‬ ‭Delayed growth and development due to inadequate care‬ ‭●‬ ‭Imbalanced nutrition due to inadequate care‬ ‭●‬ ‭Risk of shaken baby syndrome related to parental abuse‬ ‭●‬ ‭Insomnia linked to fear and anxiety‬ ‭●‬ ‭Risk of trauma and post-trauma syndrome due to parental abuse‬ ‭●‬ ‭Social isolation because of familial fear of disclosure‬ ‭Appropriate nursing diagnoses for neglected children could be:‬ ‭●‬ ‭Failure to thrive due to fear and anxiety‬ ‭●‬ ‭Delayed growth and development due to inadequate care‬ ‭●‬ ‭Imbalanced nutrition due to inadequate care‬ ‭●‬ ‭Insomnia linked to fear and anxiety‬ ‭●‬ ‭Social isolation due to familial fear of disclosure‬ ‭Relevant‬ ‭nursing‬ ‭diagnoses‬ ‭for‬ ‭victims‬ ‭of‬ ‭spousal‬ ‭or‬ ‭intimate‬ ‭partner‬ ‭domestic‬ ‭violence‬ ‭may‬ ‭include:‬ ‭●‬ ‭Anxiety, fear, and post-trauma syndrome related to threats against self-concept‬

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