Chapter 20

A community health nurse assesses a child during a home visit. Which would lead the nurse to suspect that the child is a victim of sexual abuse? A) Bruising of the arms and back B) Evidence of numerous dental caries C) Reports of pain on urination D) Burns on the hands and feet

C

Which would lead a community health nurse to suspect possible child neglect? Select all that apply. A) 15-year-old Lucy misses school once a week to watch her baby sister while mom works. B) 6-year-old Sam plays in the yard with a sweater on when it is 60 degrees outside. C) Twins, Bobby and Billy, arrive at school in dirty and smelly clothing most school days. D) 11-year-old Samantha comes to school without lunch or lunch money each day. E) 9-year-old Tommy misses school two or three times a month due to asthma attacks. F) 14-year-old Jennifer watches her neighbor's 2-year-old every Saturday.

A C D

A community health nurse suspects Munchausen syndrome by proxy when a child: A) experiences "seizures" only when a parent is present, not if a third party is present. B) has stunted growth and shortened limbs that have been noticeable since birth. C) has a noticeable limp when wearing shoes but not in bare feet. D) has periods of "acting out" and misbehaving, especially when there is company.

A

In preparation for an examination on the history of family violence, a group of students review the various laws enacted for protection. The students demonstrate understanding when they identify which as one of the earliest laws enacted? A) Child Abuse Prevention and Treatment Act B) Family Violence Prevention and Services Act C) Keeping Children and Families Safe Act D) Child Abuse Prevention and Treatment and Adoption Reform Act

A

The nursing student reads the textbook in preparation for a class meeting about primary, secondary, and tertiary prevention related to families in crisis. The student associates which statement as being most accurate regarding the levels of prevention? A) Often people in crisis are temporarily helpless and unable to cope on their own but are receptive to outside influence. B) Secondary prevention interventions include taking action to prevent the unwanted state. .C) Tertiary prevention focuses on moving past the crisis and returning to the precrisis client's health and containing costs. D) Primary prevention is the least effective level of intervention in terms of promoting event from occurring

A

When assessing a family in crisis, which of action would the community health nurse need to take first? A) Assess the nature of the crisis B) Determine client's perception C) Define available supports D) Assess coping abilities

A

Which would the community health nurse identify as an act of sexual exploitation of a child? A) Child pornography B) Child molestation C) Fondling of child's genitals D) Vaginal penetration with an object

A

A community health nurse is preparing a presentation for a community center group about crisis. Which concepts about situational crises should be included in the presentation? Select all that apply. A) A situational crisis is a stressful, disrupting event arising from external circumstances that occur suddenly to a person, group, aggregate, or community. B) Situational crises can be predicted, expected, and planned. C) Situational crises are never positive. D) Situational crises often occur without warning. E) Situational crises occur to people because of where they are in time and space.

A D E

When discussing elder abuse with a senior citizen group, which would the community health include? A) Older men experienced abuse at a higher rate than elderly women. B) Types of elder abuse include physical abuse, emotional abuse, neglect, and exploitation. C) The majority of cases of elder abuse are perpetrated by persons unknown to the victim. D) Elders with dementia are less likely to be abused since they have less social interactions.

B

While visiting a family in their home, a community health nurse hears a parent screaming who says, "Everything you do is wrong. Can't you do anything right ever?" Which does the nurse suspect? A) Neglect B) Emotional abuse C) Sexual abuse D) Physical abuse

B

A community health nurse is reviewing the medical records of several families in the community who have experienced varying crises. The nurse identifies which as developmental crises? Select all that apply. A) A windstorm that damaged 20 homes in a community B) Grandpa Jones dying at age 82 years C) A couple getting engaged D) The Smiths getting a divorce E) The Jones experiencing a home invasion F) Seven people dying in an automobile crash

B C D

A child is referred to the school nurse to be assessed for neglect. Which assessment finding would the nurse classify as neglect? A) Presence of lice B) Presence of scabies C) Lack of weight gain D) Bruises on lower right extremity

C

A group of families are attending a local community group for a class on Internet safety and children. Which statement by the group indicates effective teaching? A) "It's not so much the time they spend but the sites they use." B) "We'll move the computer to the family room so we can easily observe the child's Internet use." C) "We'll set the Internet browser feature to medium." D) "The firewall program that we have from 2 years ago should still be good."

B

A nurse is counseling a woman following a rape. While caring for this client, the nurse would classify this trauma as which type of crisis and provide care accordingly? A) Developmental crisis B) Situational crisis C) Multiple crisis D) Crisis resolution

B

After teaching a class about family and domestic violence directed toward children as a community health problem, which, if stated by the class, indicates to the instructor that the teaching was effective? A) Family violence is new and occurs as a result of our fast-paced technological society. B) Family violence has occurred in most countries for centuries as children have been thought of as the property of their parents. C) Family violence occurs mostly in the urbanized areas of the United States mostly in the urbanized areas where exposure to crime is more prevalent. D) Family violence is decreasing in industrialized countries in the world as a result of more public awareness.

B

The community health nurse received a referral for a family who witnessed the death of an infant 7 months old. The murder was committed by the mother who is currently incarcerated. Which type of murder would the nurse associate with this death? A) Neonaticide B) Infanticide C) Munchausen syndrome by proxy D) Acute psychotic filicide

B

The nurse is developing a plan of care for a family in crisis. Knowing that a crisis normally resolves in a certain time frame, the nurse would implement a plan of care to initially last for which time frame? A) 1 to 3 weeks B) 4 to 8 weeks C) 3 to 6 months D) 7 to 12 months

B

A nurse is making an initial home visit for a family who was recently discharged from the hospital. The parents experienced a difficult birth and the newborn was diagnosed with spina bifida. While caring for this family, the nurse would attribute this episode to which type of crisis and provide care accordingly? A) Developmental crisis B) Situational crisis C) Multiple crisis D) Crisis resolution

C

After teaching a group of students about abuse and families, the instructor determines that the students have an understanding of this issue when they state: A) "Less than 10% of women worldwide reported being physically abused by an intimate partner at some point in their lives." B) "A woman's risk of intimate partner violence decreases during pregnancy, but increases once the baby is born." C) "Intimate partner violence is a leading cause of morbidity and mortality in women worldwide." D) "Intimate partner violence is a private matter and not a public health issue."

C

Which statement about primary prevention for family violence is most accurate? A) The cycle of violence within the family cannot be interrupted. B) Persons who have been victims of family violence will repeat the behavior with others. C) Primary prevention includes planned activities undertaken by the nurse to prevent an unwanted event from occurring. D) It is not possible for the community health nurse to foster healthful practices that will counteract unhealthful influences.

C

Which would a community health nurse expect to assess in a perpetrator of intimate partner violence? A) Occasional marijuana use B) High academic achievement C) Belief in male dominance D) Desire for complacency

C

A community health nurse is designated as a "mandated reporter." Which best describes this designation? A) The nurse must witness abuse and neglect before being mandated to report. B) The nurse commands that battered women report the abuse. D) The nurse must report any case of known or suspected abuse and neglect in children or elders. C) The supervising community health nurse is responsible for reporting only known cases of elder abuse.

D

A community health nurse is developing a plan of care for families in crisis. Which action would be most appropriate for the nurse to include? A) Encourage clients to suppress feelings to minimize pain B) Avoid correcting distorted facts to reduce stress C) Allow clients to blame others for the crisis D) Help clients confront crisis

D

A community health nurse is providing a community education program about suicide. Which would the nurse teach the group as being a common method used by women? A) Hanging B) Firearms C) Vehicle crash D) Overdose

D

When describing the cycle of violence to a group of students, the instructor includes which as occurring as the cycle continues? A) Frequency of the cycle slows. B) Tension building occurs less often. C) Loving reconciliation lasts longer. D) Acute battering occurs more often.

D

Which action would be least appropriate for a community health nurse to include when developing plan of care at the secondary prevention level for families who may need to respond in a case of crisis in the future? A) Teaching social problem-solving skills B) Helping women develop assertiveness skills C) Providing parenting classes D) Helping to reestablish as sense of safety

D