Maternity CH 8

"Some men use drugs mixed into a drink to subdue a potential victim prior to a rape."

A client comes to the reproductive health clinic and reports that she woke up in a strange room this morning, her perineal area is sore, and she can't clearly remember what happened the previous evening. The client says that she is afraid that she was a victim of a drug-facilitated sexual assault. Which statement should the nurse include when discussing this possibility with the client?

Assist in getting the client and her baby to a safe situation.

A home health nurse is making a home visit to a new mother who is diabetic and requires some follow-up to make sure her baby is doing well and that her diabetes is in control while she is breastfeeding. The client meets her at the door, crying, with bruises on her face and legs. The nurse knows the client has been in a questionable relationship. What is the first responsibility of the nurse for this client at this time?

1. Emotionally immature 2. Tend to express their overwhelming feelings of inadequacy through violence 3. Feelings of insecurity and inferiority

A nurse in the emergency department recognizes in the husband of a client one of which of the following common characteristics of batterers? Select all that apply.

The client is hesitant to provide details about how the injuries occurred.

A woman has come to the emergency department with multiple bruises over her body and a small laceration over her upper lip. She says she fell down the stairs while doing her housework. Which observation would most likely cause the nurse to suspect that she has been a victim of battering?

"Women who are abused often have injuries like yours."

A woman is seen in the prenatal clinic. The nurse notices that the woman has a swollen eye and a bruise on her cheek. Which statement is most appropriate for the nurse to make?

Assist the client to develop a safety plan.

A woman who has been abused for a number of years asks the nurse for assistance in leaving the relationship. What response by the nurse is most appropriate?

Interview the woman in private.

A woman with multiple bruises on her face and arms is seen in the emergency department. Her significant other is with her. When asked about her injuries, the woman states, "I ran into a door." Which action by the nurse is of highest priority?

1. Bacterial vaginosis 3. Chlamydia 5. Gonorrhea

Among women who have been sexually assaulted, which of the following are the most frequently diagnosed sexually transmitted infections (STIs)? Select all that apply.

1. Identify friends and family who know about the situation and will help her. 3. Pack a change of clothes for herself and the children. 4. Have a plan for where she will go. 5. Have a planned escape route.

If a woman returns to an abusive situation, the nurse should encourage her to develop an exit, or safety, plan for herself and her children, if she has any. What should the plan include? Select all that apply

2. Rape is universal, and all societies have rape. 4. If the woman just relaxes, it will be over, and she might even like it. 5. Women lie about rape as an act of revenge.

In educating a group of women at a community center, the nurse talks about the myths surrounding sexual assault. What topics would the nurse include? Select all that apply

Take pleasure from the victim's struggle and pain

The client has been a victim of a violent, sadistic rape. She is crying, and asks the nurse "Why would someone do something like that?" The nurse should explain that which of the following is the primary purpose of sadistic rape?

Ask the husband to step out of the room, and obtain an interpreter

The client with limited English language skills has a black eye, and bruises across her face and arms. The client's husband has been acting as an interpreter for her, and answers all of the questions the nurse asks, often without talking to his wife first. The nurse suspects the client has been a victim of domestic abuse. What should the nurse do next?

Battering will not stop or decrease if the woman becomes pregnant.

The nurse at a shelter is counseling a group of battered women. What will the nurse will emphasize?

"During this time, I will repeatedly replay the role of the victim until I come to terms with the experience."

The nurse has been talking to a woman about the reorganization phase following a rape. Which response would indicate that the client understands this phase?

The husband could have battered her and possibly caused her to fall down the stairs.

The nurse in the emergency department is caring for a pregnant woman who presents with bruised breasts and abdomen. When asked how this happened, she states she fell down the stairs. The husband stays very close to his wife and does most of the talking. Of what is the nurse aware?

The American Nurses Association advocates client advocacy for all nurses to help identify and prevent violence against women.

The nurse is addressing a college class on the topic of domestic violence. Which information would the nurse be sure to convey to her students?

1. Letting the woman tell her story at her own pace 2. Anticipating ambivalence toward the batterer 3. Acknowledging the woman's feelings as reasonable

The nurse is caring for a battered woman in the emergency department. Which nursing guidelines are used in the care of this client? Select all that apply.

Work with community services to have the client and her baby go to a safe place, complete paperwork to obtain financial assistance, and obtain some temporary assistance.

The nurse is caring for an abused mother in the postpartum department. The client is afraid to go home, but has no money to do anything else. What can the nurse do to assist this individual and her baby?

1. Swabs of body stains and secretions 2. Samples of pubic hair 4. Samples of head hair

The nurse is conducting a rape exam on a client in the emergency department after a sexual assault. What specimens will the nurse collect? Select all that apply.

"I don't know when it started, really. It was gradual. First, just yelling, blaming, and shoving. Then the beatings started; and now they're more frequent."

The nurse is interviewing a client who has admitted to being a victim of domestic violence. What is the most typical description of how the domestic violence developed in a relationship?

Battered women are at greatest risk for severe violence when they leave the batterer

The nurse is planning a community education presentation on battering. Which statement about battering should the nurse include?

"Everyone experiences anger and hitting in a relationship."

The nurse is presenting a session on intimate partner violence. Which statement by a client indicates a need for further education?

4. These women might return to the abusive situation. 5. Women often believe that they are the cause of the abuse.

The nurse is teaching an in-service educational presentation about working with battered women. The nurse should explain that it is often frustrating for nurses to work with battered women for which reasons? Select all that apply.

"My boyfriend says he will never hurt me again."

The nurse suspects that a client has been physically abused, but the woman refuses to report the abuse to the police. Which statement by the client suggests to the nurse that the relationship might be in the "honeymoon period" of the cycle of violence?

1. Gives an inappropriate explanation for the injuries 2. Hesitates in providing detailed information about the injury 4. Allows her partner to answer the nurse's questions 5. Frequently calls to change appointment times

The nurse suspects that a pregnant client might be experiencing abuse when the client does which of the following? Select all that apply.

1. Batterer demonstrates power and control 2. Active battering from some event 3. A loving, contrite period

The nurse working in the emergency department is admitting a woman who has been battered for a second time, and recognizes that the woman is again in the cycle of violence. The nurse knows that which of the following are characteristics of the phases of the cycle of violence? Select all that apply.

The abuser alternates episodes of unmerciful beatings with periods of remorse and loving attention.

The nurse working in the emergency department knows that many batterers have feelings of ambivalence. In what way might this be evident?

1. Experiencing or witnessing abuse as a child 2. Strong patriarchal family traditions 3. Linking masculinity to male honor

The nurse working in the emergency department of a hospital is caring for a woman whom the nurse suspects is the victim of domestic violence. The nurse knows that which of the following are contributing factors to domestic violence? Select all that apply.

Reduced sense of accomplishment Questioning of personal belief systems

Vicarious trauma is a phenomenon nurses might experience. What are the signs indicating this problem that the nurse should be aware of? Select all that apply.

Ensuring privacy and confidentiality

What is the most important aspect of care for the nurse to remember when screening a woman for partner abuse?

1. Defensive injuries 3. Lack of eye contact 5. Vague complaints without accompanying pathology

When a woman seeks care for an injury, the nurse should be alert to which clues of abuse? Select all that apply.

Creating a safe, secure environment for her

When a woman who has been raped is admitted to the emergency department, the nurse caring for the woman knows that which of the following is the priority nursing intervention?

1. Compassionate, respectful care was delivered. 2. The woman has the necessary information to make decisions. 5. The woman identifies culturally appropriate resources

When evaluating the care given a battered woman, the nurse analyzes care plan components to determine which of the following? Select all that apply