Which comment by the nurse would be most effective in teaching a patient about abusive behavior?
a. "So when your husband says he needs other women because you aren't sexually satisfying his needs, do you believe what he is telling you is true?"
b. "You say that your son has been pulling another child's hair and you are worried he's becoming violent and abusive like your brother?"
c. "You say that you placed your son on an allowance but that you also want to regulate everything he spends and saves?"
d. "I noticed that when your mother paid you a compliment about your new hairstyle, you seemed skeptical.".
A
The correct option is an illustration of how the nurse might help the patient to look at her husband's attempt to undermine her sexuality to inappropriately justify his infidelity. This is a form of sexual abuse. Questioning the son's behavior helps the patient to place fears (as yet unjustified by the patient's example) in perspective. The need to maintain control over the son's spending decisions describes a common parental error when first giving a child an allowance; the nurse will seek to clarify boundaries while remaining alert to the parent's attempts to maintain total control over all financial dealings of the child. Skepticism describes the patient's inability to acknowledge a parent's response as supportive.
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