The emergency department nurse educator is providing an in-service to the nursing staff on recognizing the signs and symptoms of interpersonal violence (IPV) and rape. Which assessment finding will the educator include in the teaching?

Question

1. Sores around the mouth, brittle hair
2. Multiple bruises, abrasions at various stages of healing
3. Acting-out behaviors, disobedience, trouble with the law
4. Poor eye contact, depressed mood, unwillingness to give history data

Answer 1

Answer: 2
Explanation: Physical abuse is the non-accidental use of physical force that results in bodily injury, pain, or impairment. Multiple bruises and abrasions at various levels of healing are signs that the patient may have been subjected to physical abuse. Acting-out behaviors are more consistent with antisocial personality disorder. Poor eye contact, depressed mood, and withdrawal behaviors are more consistent with a diagnosis of depression. Sores around the mouth and brittle hair may indicate an eating disorder.