Mental Health Chapter 26: Outward-Focused Emotions: Violence

Child prostitution in Thailand is widespread, and it is estimated that _____% of these children have AIDS. a. 10 b. 25 c. 50 d. 75

c. 50

A physically or mentally impaired older woman who is living with a relative and has a history of unexplained bruises or injuries, burns in unusual places, or poor personal hygiene is likely a victim of: a. Neglect b. Child abuse c. Elder abuse d. Adolescent abuse

c. Elder abuse

A 25-year-old woman expresses concern regarding some of her new boyfriends behaviors. Which of the following statements might indicate that he has an abusive personality? (Select all that apply.) a. Even though they have been dating for less than 2 months, he wants to get married as soon as possible. b. He does not allow her to go out with friends unless he accompanies them. c. He finds fault with her family and seeks to convince her that they are trying to sabotage her relationship with him. d. He has a poor relationship with his own parents, blaming them for not supporting him after he was fired from various jobs. e. He would like to further his education, but realizes that he must first work for a while to pay off student loans.

ANS: A, B, C, D Early signs of an abusive personality include a push for quick involvement, as seen in the rush to get married. Demonstrating jealous and controlling behaviors in not allowing his partner to go out with friends, as well as blaming his family for his own problems, and attempting to isolate his partner from her family are also signs of an abusive personality. Working to pay off loans before furthering education is a realistic expectation and not indicative of an abusive personality.

During the first phase of the domestic abuse cycle, the female victim of domestic violence inflicted by a male usually displays which characteristics or behaviors? (Select all that apply.) a. Denial of the seriousness of the problem b. Feeling that she cannot control his behavior c. Blaming alcohol and work for his behavior d. Feeling that she deserves minor abuse

ANS: A, C The first cycle is the tension phase. During this phase, she feels that she can control his behavior, and she feels that she does not deserve minor abuse.

Which are characteristics of a dysfunctional family? (Select all that apply.) a. Occasional arguments b. Setting goals c. Inconsistent authority d. No clearly defined roles e. Members are self-centered f. Family boundaries are rigid g. Clear and supportive communications

ANS: C, D, E, F A dysfunctional family is described by its inability to fulfill its basic functions. All other options represent a well-functioning family dynamic.

__________ refers to abuse or battering of a family member by another family member.

Domestic violence

__________ refers to a sudden occurrence of physical force that causes harm or injury to another person.

Violence

Many victims of violence believe that their abusers may attempt to hurt them again, even as they are seeking help. Recognizing this, the care provider: a. Does not leave the client alone b. Posts security guards at the door c. Leaves the client alone no longer than 15 minutes d. Immediately gets the name and phone number of the perpetrator

a. Does not leave the client alone

*The theory that cites poverty, unemployment, and crime as sources of violence is known as the ____ theory. a. Feminist b. Sociological c. Anthropological d. Psychiatric/mental illness

b. Sociological -Sociological theories consider environmental and social factors to be a cause of violence in society. Feminist theories describe violence directed toward women. Anthropological theory is based on cultural patterns, social organizations, and sexual differences; and the psychiatric/mental illness theory refers to violence as a mental illness.

A female who is physically abused by her husband arrives in the emergency room following a serious battering incident. During this phase of the domestic abuse cycle, the nurse expects the client to: a. Have experienced the battering episode a few days prior to the incident b. Be very nurturing and compliant and seeking to please her husband c. Believe in the permanency of their relationship and believe that it will not happen again d. Ask the emergency room nurse to call the police immediately to arrest her husband

a. Have experienced the battering episode a few days prior to the incident

*What concept do feminist theories use to explain violence against women? a. Machismo b. Femininity c. Masculinity d. Muscularity

a. Machismo -Machismo is defined as compulsive masculinity that results in aggressive and violent behavior directed toward women, which occurs as the result of socialization of this behavior throughout childhood.

*A rule of thumb for recovering from a rape or other violent experience states that the greater the force or brutality, the greater the psychological harm and: a. Recovery time b. Legal implications c. Social dysfunction d. Financial difficulty

a. Recovery time -Recovery time is directly related to the level of the attack.

While an abused woman cannot be categorized to fit a specific profile, which of the following traits is most commonly identified? a. Trusting nature b. Assertive personality c. Accomplished in non-traditional female career d. Suspicious nature

a. Trusting nature

Eating disorders, substance abuse, delinquent behaviors, posttraumatic stress disorder, and suicide most commonly are seen as the result of abuse in which population? a. Children b. Adolescents c. Adults d. Elderly

b. Adolescents

A male who, as a child, observed the women in his family being dominated is, in his own life, more likely to: a. Love b. Batter c. Belittle d. Order around

b. Batter

*The term that describes repeated physical abuse, usually of a woman, child, or elder, is: a. Neglect b. Battering c. Exploitation d. Gender abuse

b. Battering -This is the definition of battering. Neglect is defined as causing harm to anothers health or welfare through failure to provide for basic needs or by placing the persons health or welfare at unreasonable risk. Exploitation refers to using an individual for selfish purposes or for profit. Gender abuse is described as various forms of abuse directed toward women.

*Which signs and/or symptoms should alert the caregiver to a child who is suffering from neglect? a. Bruises and welts at various stages of healing b. Consistently dirty, hungry, and inappropriately dressed c. Child has torn, stained, or bloody underclothing d. Any fracture in a child younger than 2 years of age or fractures at various stages of healing in a child of any age

b. Consistently dirty, hungry, and inappropriately dressed -These are only a few of the signs of neglect. Bruises and fractures are consistent with physical abuse, and torn, stained, or bloody underclothing is seen with sexual abuse.

Whenever there is a history of unexplained lethargy, fussiness, or irritability in an infant, caregivers should suspect ____ syndrome. a. Shaken baby b. Drugged baby c. Depressed infant d. Feeding disorder

b. Drugged baby

Abuse during pregnancy endangers the health and well-being of the pregnant woman and her fetus. Which complicating factor is seen twice as much in women experiencing abuse during pregnancy? a. Postpartum hemorrhage b. Preterm delivery c. Maternal substance abuse d. Delivery by caesarean section

b. Preterm delivery

When a functional family is faced with a crisis or unexpected situation, which of the following behaviors do they exhibit to overcome it? a. Avoid the conflict and focus on positive aspects of their lives. b. Isolate the family and attempt to reach resolution without outside interference. c. Maintain clear and supportive communication to address the crisis. d. Look to the head of the family to resolve based on role.

c. Maintain clear and supportive communication to address the crisis.

*By law, what are health care providers required to do when they encounter incidents of suspected or actual abuse or neglect? a. Inspect b. Investigate c. Report to the authorities d. Report to the clients family

c. Report to the authorities -By law, health care providers are required to report violent incidents to the police. It is not mandatory for health care providers to inspect clients if they have not given permission. Investigation is the responsibility of law enforcement officials. Reporting to the clients family is a breach of confidentiality unless requested by the client.

*Which nursing diagnosis would be most appropriate for an adolescent client suffering from test anxiety who was continually told by her mother that she was inferior to her siblings and could never amount to anything? a. Noncompliance b. Denial, ineffective c. Self-esteem disturbance, situational low/chronic low d. Violence, risk for other-directed

c. Self-esteem disturbance, situational low/chronic low -Emotional abuse involves rejection, criticism, terrorizing, and isolation. The result is low self- esteem, in which the adolescent doubts her abilities. The adolescent in this case is not in denial, or demonstrating behaviors that would alert the nurse to a violent nature. Noncompliance is not an issue in this case.

Mr. Right employs 22 children in his clothing factory. Each child is no older than 10 years of age and works 11 hours a day, 6 days a week. Mr. Right is practicing: a. Abuse b. Neglect c. Violence d. Exploitation

d. Exploitation

During the recoil stage of recovery from violence, the major characteristic is: a. Fear b. Disorganization c. Reconstruction d. Struggle to adapt

d. Struggle to adapt

The __________ theory implies that aggressive and violent behaviors are learned through role modeling of other people.

social learning