Chapter 12

Which of the following are common characteristics of violent families regardless of the type of abuse that exists? Select all that apply.

Abuse of power and control Alcohol and other drug abuse Intergenerational transmission Social isolation

The nurse is assessing an elderly female in the emergency department. There are many bruises present on her body in varying stages of healing. After documenting the bruising in the assessment, what should the nurse do next?

Ask the client when and how the bruises occurred

An elderly client with dementia lives with her daughter. During the day the client attends a Day Center. The nurse notices the client is unkempt and smells of urine. Upon examining the client, the nurse notes bruising on her arms and back. From the nurse's observations, which of the following is the type of abuse suspected?

physical abuse

The client is talking to the nurse about her intimate relationships. Which one of the following statements regarding intimate partner violence is true?

Intimate partner violence can exist with former partners.

A nurse is working with a client who has a history of repeated abusive intimate relationships. The nurse has difficulty understanding why a woman would repeatedly enter into relationships with abusive partners. When working with this client, the nurse can best maintain a therapeutic relationship through which of the following approaches?

Keeping focused on the client's feelings about her life situation

The nurse is collecting assessment data on a client who is suspected to be a victim of violence. Which assessment data would support the suspicion that the client is a victim of abuse? Select all that apply.

The client has few friends. There is a large amount of alcohol use in the home. The client reports that the father was abusive during childhood.

Which characteristic of the abuser should the nurse look for when completing the family assessment of a victim of intimate partner violence?

Needy and possessive of the partner

Which of the following are common behavioral and emotional responses to abuse? Select all that apply.

One third of abusive men are likely to have come from violent homes. Women who grew up in violent homes are 50% more likely to expect or accept violence in their own relationships. Dependency on the abuser is a common trait found in victims of domestic violence. It is critical for the nurse to demonstrate acceptance after hearing about the abuse so that the victim may begin to gain self-acceptance.

The nurse is caring for a 16-year-old boy with a history of sexual abuse. What might the nurse expect to assess with this client?

The client will experience long-term emotional trauma.

A school nurse is educating a group of adolescent girls about rape and sexual assault. The nurse evaluates the students' understanding when they report which of the following as a high-risk factor regarding the incidence of rape?

The highest incidence of rape occurs in adolescents and young adult women.

The community health nurse meets with the family members of an elderly client. The nurse includes which of the following in the plan of care as a preventive measure to guard against elder abuse?

Provide the primary caregiver with additional resources to meet the elder's needs

A coherent elderly woman has been financially and emotionally abused by her adult children for the past several years, but has failed to report the abuse to anyone. Which is the most likely reason that the woman neglects to report the abuse?

She is emotionally close to her children and does not want to bring them harm.

A young female immigrant presents in the rural health clinic with facial bruising and a fractured nose. The client is reluctant to give details of the nature of her injuries. Which of the following should be a consideration in providing care for this client?

She may fear deportation if she seeks public assistance.

Which of the following are common reasons why abused women remain with the abusive partner? Select all that apply.

The abused person is personally and financially dependent on the abuser. The abused person has low self-esteem and defines her success as a person by the ability to make the relationship work. The abused person believes that she is unable to function without her husband. The abused person is afraid that the abuser will kill her if she tries to leave.

Which of the following behaviors would first alert the school nurse or teacher to suspect sexual abuse in a 7-year-old child?

The child tells sexually explicit stories to peers.

The nurse is discussing expectations of raising a child with a pregnant teenager expecting her first baby. The father will not be a participant in the parenting. Which of the following statements made by the expectant mother would be of greatest concern to the nurse?

"My child will love me, unlike my parents ever did."

The nurse is working with a client at the battered women's shelter who is in a violent and abusive relationship. The client is considering a separation and asks the nurse, "What do you think about that?" Which is the best response by the nurse?

"You may be in more physical danger after you leave him."

A woman is in treatment for an anxiety disorder. Her history reveals that she was sexually abused repeatedly by her husband. Which of the following interventions would be appropriate in relation to this piece of data?

Encourage her to talk about feelings related to the abuse.

Which of the following is the best explanation for why family violence tends to occur over multiple generations of families?

Family violence may be perpetuated between generations of families by role modeling and social learning.

The pediatric nurse is caring for a 15-month-old child recently admitted to the hospital for a fractured femur. Which of the following data obtained during the assessment would raise the nurse's suspicion that the child has suffered physical abuse?

The injury occurring several days before the parents sought treatment

A young woman telephones the emergency department and loudly tells the nurse, "I've been raped! Please help me!" Which of the following is the priority for the nurse to determine?

If the client was in a safe place, her condition, and if transportation is available

Which of the following are typical characteristics of the perpetrator of intimate partner abuse? Select all that apply.

The perpetrator often believes that the partner is his own property. The perpetrator is often irrationally jealous, even of his own children. The perpetrator is emotionally immature and needy.

The nurse is working in the emergency department with a woman who was raped one hour ago. Which of the following is most important for the nurse to remember when planning care?

The woman may feel threatened by some of the procedures.

A female college student comes to the counseling center and tells the nurse she is afraid of her boyfriend. She states, "He is so jealous and overprotective; he wants to know where I am and who I'm with every minute." Which of the following is most likely true of the situation?

This is characteristic of the tension-building phase of the violence cycle.

Which referral would a nurse make for a client who was badly beaten by a spouse, has no place to go, and no financial means?

a women's shelter

A community health nurse visits a home and finds a child who stayed home from school to care for a younger sibling. The nurse observes that the house is cluttered and dirty. When asked about the parents, the child states he does not think his father likes him because he calls him "stupid." The nurse suspects which type of abuse?

emotional abuse

The client tells the nurse that her husband abuses her often with he drinks, just as his father had beaten him and his mother. He always apologizes and is remorseful after the event. Which stage is this in the cycle of violence?

honeymoon phase

The nurse at a university health services clinic has been asked to meet with a freshman class of women about warning signs of relationship violence. The nurse points out which of the following danger signs the students should be alert for in a date?

is excessively jealous

The nurse is involved in a community education program for new parents and plans to include information on child abuse. The nurse will teach the parents that the most common form of child abuse is which of the following?

neglect

A client has not been to work in three days. When she returns to work, she is wearing dark glasses. Facial and body bruises are visible. Her supervisor takes her to the occupational nurse. Which assessment is the priority for the nurse?

physical injuries

A woman has just presented at the emergency department after being raped. The initial nursing action would be to

provide emotional support