Maternity Prep-U

The nurse is assisting a woman who is a victim of intimate partner violence in preparing a plan for leaving the relationship. Which instructions would the nurse include? Select all that apply.

"Be sure to have some type of identification, like a photo ID or driver's license." "Take the deed to the house or your apartment lease with you." "Set up a specific plan for leaving and then practice it."

After teaching a class about intimate partner violence to a group of young adults, the nurse determines that additional teaching is needed based on which statement by the group?

"Women who are battered typically come from lower socioeconomic groups."

A nurse is about to start a shift in the emergency department and is receiving report about a client who was a victim of statutory rape. The nurse understands that for this situation the client must be under which age?

18 years

The nursing student is studying violence and abuse against the older woman. While researching it, she learns that laws require health care professionals to report elder or vulnerable person abuse. How many states currently have these laws?

50

A nurse is assessing a victim of rape. Further assessment reveals that the client received rohypnol. The nurse understands that this drug can lead to memory loss for up to how many hours?

8

A nurse is preparing a presentation for a local community group about intimate partner violence. Which statement would be most appropriate for the nurse to include in the presentation?

Abuse in homosexual relationships may go unreported for fear of harassment.

What are the best ways to prevent abuse in a community? Select all that apply.

Develop and teach high school courses on parenting and normal child growth and development. Promote activities that encourage self-esteem in young adults. Role-model for caregivers caring behaviors with children. Educate those who were abused as children, and offer them professional help to break the pattern of violence. Help parents and caregivers find local support in their community.

To properly assist a victim of abuse, which action would be most appropriate for the nurse to do?

Document the details.

A client who is abused fails to report the abuse primarily because of which reason?

She feels responsible for causing the incident.

A nurse is using the SAVE model to assess a client for possible violence. When validating the client, which action would the nurse most likely perform?

Tell her that the nurse believes her story.

The nurse is assessing a woman who is a victim of intimate partner violence and recognizes a belief that is common among victims of abuse. Which belief would the nurse most likely identify?

The woman is inadequate in some way.

A nurse is caring for a client who was raped at gunpoint. The client does not want any photos taken of her injuries. The client also does not want the police to be informed about the incident even though state laws require reporting life-threatening injuries. Which intervention should the nurse perform to document and report the findings of the case?

Use direct quotes and specific language.

A nurse is conducting a presentation on violence and abuse for a community health program. When describing this concept, which information would the nurse include? Select all that apply.

Violence against women often goes unrecognized and unreported. Violence against women in some countries is considered acceptable behavior.

A nurse is conducting a discussion group at a local women's health center about violence and women. The nurse would include that women are at a higher risk for violence at which time?

during pregnancy

The nurse who counsels women who suffer from abuse understands that abuse can come in which different forms? Select all that apply.

emotional abuse sexual abuse financial abuse physical abuse

Which occurrence is a biologic indicator of posttraumatic stress disorder (PTSD)?

flashbacks

A victim of rape is exhibiting symptoms of PTSD which the nurse interprets as indicative of intrusion. Which symptoms would the client be exhibiting? Select all that apply.

nightmares recurrent thoughts flashbacks

The nurse working in the obstetrics clinic has been trained to pick up on warning signs of abuse during pregnancy. These include which signs? Select all that apply.

poor attendance at prenatal visits unrealistic fears weight fluctuations difficulty with physical exams noncompliance with treatment

Place the three phases of intimate partner violence in the order in which they occur. All options must be used.

tension-building phase acute violence phase honeymoon phase

A nurse is caring for a rape victim who was just brought to the local emergency care facility. Which intervention should the nurse perform to minimize risk of pregnancy in this client?

Administer prescribed emergency contraceptive pills.

The generation-to-generation continuum of violence refers to the fact that:

violence is a learned behavior, and children who witness abuse are more likely to become abusers themselves.

A victim of rape is prescribed emergency contraception. After teaching the client about this therapy, the nurse determines that the teaching was effective based on which client statement?

"It contains high doses of a typical birth control pill"

A nurse has just finished a presentation about intimate partner violence at a local group meeting. The nurse determines that more teaching is needed based on which group statement?

"It's only women that get hurt. Men are the ones doing all the hurting."

A nurse is a guest speaker for a local college campus group discussing violence and rape. After discussing rape with the group, the nurse determines that additional discussion is needed when the group states which information?

"Most rape victims tell someone about the rape."

A nurse is developing a plan of care for a woman who is a victim of abuse. Which action would be most appropriate for the nurse to include in the plan?

Allow the woman to participate in her care.

A woman comes to a local community health care facility with her partner. She has a broken arm and bruises on the face that she reports were caused by a fall. The nature of the injuries, however, causes the nurse to be convinced that this is a case of physical abuse. Which intervention should the nurse perform?

Attempt to interview the woman in private.

A nurse is providing care to a woman who is a victim of abuse. Applying the ABCDEs of care, place the actions in the order that reflects this framework from first to last. All options must be used.

Reassure the woman that she is not alone. Express the belief that violence against women is not acceptable. Ensure confidentiality of information. Document the findings. Provide education about the cycle of violence. Ensure that she has resources and a plan of action for when she decides to leave.

While interviewing a client, the client tells the nurse, "Our budget is tight. My husband controls how all the money is spent. And he won't let me get a job either." The nurse suspects that the client may be experiencing which type of abuse?

financial

A nurse is assessing a victim of rape. The victim tells the nurse, "It felt like I was outside my body looking down and watching the whole thing." The nurse suspects that the client received which substance?

gamma hydroxybutyrate

The nurse who counsels women who suffer from abuse understands that abuse can come in which different forms? Select all that apply.

sexual abuse financial abuse emotional abuse physical abuse

Nurses sometimes have difficulty assessing women for violence. Which model refers to the screen protocol used to be the most thorough when assessing for violence?

the SAVE model

While assessing a woman who underwent a female circumcision for cultural reasons when she was 9 years old, the nurse observes that the prepuce and a portion of the clitoris have been removed. The nurse identifies this as which type of female genital mutilation procedure?

type I

The nurse has just finished a presentation about intimate partner violence at a local group meeting and realizes more teaching is needed when one person comments:

"That was interesting, but it will never happen here. It only happens in the poor side of town."

A client is receiving treatment for injuries sustained during a fight with her partner. The nurse observes that the partner visits her daily in the hospital and appears very solicitous and contrite. When questioned, the client tries to convince the nurse that her partner always apologizes and brings gifts after a fight. Which information should the nurse provide this client?

"Although your partner seems sorry, often they will repeat this behavior in the future."

When teaching a group of young adult women about the cycle of violence, the nurse would describe which behavior as eventually disappearing as the violence becomes accelerated over time?

apologies for the pain and abuse

A nurse is assigned to care for a client who was brought to the emergency department. The client was a victim of human trafficking. When providing care to this client, which intervention would have priority?

building trust

A nurse is assigned to care for a client who was brought to the emergency department. The client was a victim of human trafficking. When providing care to this client, which intervention would have priority?

laws

A nurse is conducting an in-service program for the staff of a local emergency department. The nurse is explaining IPV in men and discussing the possible risk factors. Which information would the nurse most likely include when describing individual factors? Select all that apply

low income desire for control experience of violence as a child

A nurse is working with a woman who is a victim of violence. The woman has decided that she is going to leave the relationship. Which instructions by the nurse would be most appropriate? Select all that apply.

I can offer you choices, but you are the one who has to choose." "Remember, it might take you several tries before you succeed." "Let's work on a safety plan so that it is ready for when you leave."

A client comes to the clinic with her partner. The client has multiple bruises on her arm and neck. The nurse suspects that the client is a victim of abuse. Which action would the nurse do first?

Move the client to an area away from the partner.

Which of the following is FALSE regarding screening for intimate partner violence in women?

Women tend to fit a profile of abuse, and victims tend to share similar physical characteristics.

A nursing student attending a lecture on sexual violence learns that sexual violence is a public health problem. It is also considered to be:

a human rights violation.

Which type of elder abuse involves harm of self-worth?

emotional

The nurse is talking to a female client who is a survivor of intimate partner violence. The woman relates that her husband has been told that he has the characteristics of an antisocial personality disorder. The woman also informs the nurse that her husband has an extensive criminal record. The nurse interprets this information and suspects that the woman's husband would demonstrate which behavior?

moderate to severe violence with people both within and outside his family

A group of nursing students are preparing a talk on violence against women and how to prevent it. They want to list characteristics of intimate partner violence and should include which characteristics? Select all that apply.

use and abuse of substances such as alcohol negative affect (hostility and depression) history of childhood abuse current unemployment history of antisocial behavior

A nurse is screening a client for abuse using indirect questions. Which question would the nurse most likely ask?

"Women with your injuries are often abused. Is anything like this happening now?"