ch 28

Which statement about intimate partner violence (IPV) is true? It occurs only in poor, uneducated, minority households. It only occurs in heterosexual relationships. Victims can change the abusers' behavior. Professional intervention is needed to change the abusers' behavior.

Professional intervention is needed to change the abusers' behavior. Abusers will stop the abuse only after receiving treatment. Abusers do not change behaviors on their own. The other statements are true.

Chronic stress characterizes the lives of people living with domestic violence. As the community health nurse, you recognize which as a long-term effect of violence? Spontaneous disclosure of abuse to health care provider Not complaining of physical symptoms Having disturbed eating patterns, but sleeping well Suffering chronic fatigue and tension

Suffering chronic fatigue and tension When subject to repeated abuse, the victim experiences a variety of responses, including shock, denial, confusion, withdrawal, psychological numbing, and fear. He or she lives in anticipatory terror and experiences chronic fatigue and tension, disturbed sleeping and eating patterns, and vague gastrointestinal and genitourinary complaints. The other options are not symptoms of chronic violence.

Which assessment findings by the community health nurse would suggest that an elderly client may be the survivor of physical abuse by a caregiver? (Select all that apply.) The client has a laceration on her forehead that was sutured. The client has a flat affect. The client has bruises on her forearms in various stages of healing. The client withdraws from soft touch. The client is not sexually active but has a diagnosis of Chlamydia.

The client has a laceration on her forehead that was sutured. The client has bruises on her forearms in various stages of healing. The client is not sexually active but has a diagnosis of Chlamydia. Signs of physical abuse include bruises, lacerations, fractures, dislocations, untreated injuries in various stages of healing, and STDs in sexually inactive clients. The other options are not indications of physical abuse.

Which client is at highest risk for elder abuse? A 75-year-old nursing home client who is alert and has osteoporosis A 70-year-old client with dementia who is cared for at home A 65-year-old client who has just had a hip replacement A 72-year-old client on a rehabilitation unit with bilateral above-the-knee amputations

a 70 year old with dementia who is cared for at home The most likely victims of elder abuse are individuals who are in poor physical or mental health and dependent on others for physical or financial support; these clients are often confused and depressed.

Which statement about homicide in the United States is false? Most homicides are caused by stabbings. Homicide is the third leading cause of death for 1- to 4-year-old children. Blacks are more likely to be the victims of homicide than whites. Over 50% of homicide victims are killed by someone they knew.

most homicides are caused by stabbings Most homicides are caused by firearms. The other statements are true.

Child maltreatment that allows the child to use drugs and alcohol is an example of sexual abuse. physical abuse. psychological abuse. neglect.

neglect Neglect is the failure of the responsible person to provide basic needs such as shelter, food, clothing, education, and access to medical care; permitting the child to use drugs/alcohol; and inattention to the child's emotional needs. The other options are types of abuse.

As a visiting community health nurse, you must take precautions to avoid unsafe situations. To avoid putting yourself in danger, you would enter a house where a violent act is occurring and call 911. expect the client to control angry family members. always carry a concealed weapon. remain outside if you hear sounds of fighting in a home.

remain outside if you hear sounds of fighting in a home When approaching a home, as a community health nurse, you should notice the environment, animals, fences, activities, possible indicators of crime, and places you could go for assistance if necessary. Walk with confidence and maintain a professional attitude. Listen for signs of fighting before knocking. If you hear sounds of fighting, leave. Do not enter a home if you suspect an unsafe situation.

The school nurse is interviewing a student who has been assaulted by another student. Both students proclaim to be gang members. The nurse understands the reasons most youth give for joining a gang include the following: (Select all that apply.) financial gain. sense of belonging. peer pressure. relative is in a gang. need for respect.

sense of belonging peer pressure need for respect Reasons that young people give for joining gangs include the belief that gangs will protect them, peer pressure, the need for respect, and a sense of belonging.

As a school nurse, you know the leading reason cited as the cause of school violence is use of violence to handle disputes. an unhappy home life. overly protective parental situations. poor communication with authority figures.

use of violence to handle disputes. Adolescents and children increasingly use violence to settle disputes. Children are often not taught peaceful ways of resolving differences and learn by what they observe at home, on television, in video games, and in movies. Consequently, schools have become a common site for violence. The reasons for violence are complicated and multilayered, but the most common reason cited is use of violence to handle disputes.

Nurses, including public health nurses, are at increased risk for workplace violence. Risk factors for violence in the workplace include all except working in pairs. access to medications. increased number of mentally ill patients. inadequate security.

working in pairs Risk factors for violence in the workplace include increasing number of acute and chronically mentally ill patients, working alone, availability of drugs at worksite, low staffing levels, poorly lit parking areas and corridors, long waits for service, inadequate security, increasing number of substance abusers, and access to firearms.