Module 8 - Chapter 12: Abuse and Violence

A mental health nurse presenting an educational program on rape for high school students responds to the statement, "Women cry rape often times just to get even with the guy," by offering which answer? "Actually, fewer than 2% of all reported rapes are found to be false." "I'm not sure where you heard that but statistically it isn't true." "I don't believe that's true but even if it were it doesn't excuse the real rapes that occur." "If a man is falsely accused, the woman is prosecuted by the law."

"Actually, fewer than 2% of all reported rapes are found to be false."

Which question does the nurse include when assessing a client for physical violence associated with intimate partner abuse (IPV)? "Does your partner criticize or insult you?" "Does your partner ever strike or kick you?" "Does your partner humiliate you in public settings?" "Does your partner destroy your property?"

"Does your partner ever strike or kick you?"

The nurse can assess potential victims of domestic violence by asking which question? "Has a past or current partner ever caused you to be afraid?" "Do you need the number of a shelter?" "What is your history of physical injuries?" "What did you do right before your partner hit you?"

"Has a past or current partner ever caused you to be afraid?"

A nurse is assessing a client in a community clinic who reports feeling anxious lately because she is considering leaving her marriage. The client describes a long history of partner abuse associated with this relationship. How should the nurse respond to this client? "I am here to help you through every step of this process." "I wonder if your perceptions of the relationship are accurate." "Relationship counseling can be very helpful." "You have the right to be safe and respected."

"You have the right to be safe and respected"

What percentage of women can expect to be a victim of an ongoing unwanted pursuit from stalking? 12-32% 50-60% 5-10% 40-48%

12-32%

Approximately what percentage of women rape victims are raped by someone they know? 65% 45% 35% 55%

65%

A nursing student learning about intimate partner violence (IPV) correctly identifies the percentage of deaths attributed to IPV to be what? 70% women and 30% men 70% men and 30% women 90% women and 10% men 50% women and 50% men

70% women and 30% men

Which type of elder abuse involves leaving an older adult and no longer providing care for the individual? Neglect Abandonment Physical Emotional

Abandonment

The nurse is legally obligated to report suspected child abuse to local authorities. Which information is essential? Proof that the child has been recently abused Child's current school, grade, and teacher Child's name, location, age, and suspected perpetrator Therapist's name and client address

Child's name, location, age, and suspected perpetrator

A female client states that she has been receiving numerous text and phone messages from a co-worker. Which type of harrassment should be documented in the nurse's notes? Isolation Jealousy Cyberstalking Harassment

Cyberstalking

Which are forms of psychological abuse? Select all that apply. Insulting Rape Humiliating isolating a person from family Incest

Insulting Humiliating isolating a person from family

An 8-month-old infant has been brought to the emergency department by the infant's teenage parent. The infant is unresponsive, and after initial assessment, the care team suspects shaken baby syndrome. When providing care for this infant, the nurse should prioritize which assessment? Neurological assessment Genitourinary assessment Cardiac assessment Respiratory assessment

Neurological assessment

A nurse who provides care in a large, urban emergency department has worked with numerous victims of various forms of abuse as well as those who are abusers. The nurse recognizes that persons who commit abuse are most likely what? Delusional and/or psychotic Of low socioeconomic means Over 50 years of age Past victims of abuse themselves

Past victims of abuse themselves

A nurse is working on developing a safety plan with a client who is a survivor of violence. Which aspect of the plan would the nurse address first? Recognizing the signs of danger Identifying a signal to indicate that it is safe to leave Identifying a safe place to hide Devising an escape route

Recognizing the signs of danger

In a toddler, which injury is most likely the result of child abuse? A hematoma on the occipital region of the head A 1-inch forehead laceration Several small, circular burns on the child's back A small, isolated bruise on the right lower extremity

Several small, dime-sized circular burns on the child's back

The psychiatric nurse recognizes that a male rape victim is less likely to report the crime due to which reason? Fear of being accused of engaging in socially inappropriate or illegal activities leading to the rape The belief that his masculinity will be in question The social ramifications of possibly contracting AIDS The impact it will have on his family

The belief that his masculinity will be in question

A nurse is caring for a family in which the older adult parent has been a victim of abuse and neglect by a middle-aged adult child. Which element should the nurse to keep in mind before interviewing the family? The main focus of the nurse's actions should be on improving the older adult client's self-esteem. A top nursing priority would be to legally remove the adult child from the home. The nurse must allow the older adult client to decide whether to leave the situation. Placement of the older adult client in a nursing home within the community is crucial.

The nurse must allow the older adult client to decide whether to leave the situation.

Which is an inaccurate picture of the cycle of abuse that occurs over time? Violent episodes are less frequent Severity of the injuries worsen The period of remorse disappears Violent episodes are more frequent

Violent episodes are less frequent

When assessing a 6-year-old child believed to be a victim of emotional abuse, the possibility is supported when the child is ... attending day care 5 days a week. parented by a single parent. showing signs of developmental delays. observed to be anxious and rejecting adult attention.

observed to be anxious and rejecting adult attention.

Which assessment question should the nurse ask of a client suspected of being ostracized by a school bully? "Do you feel like a part of a group in school?" "Can you go to the school principal with personal problems?" "Do you smoke or use drugs?" "Have you talked to your parents about your problems at school?"

"Do you feel like a part of a group in school?"

The nurse provides care for a client who presents to the emergency department (ED) with injuries sustained due to intimate partner violence (IPV). Which question does the nurse include to determine the client's risk for danger when conducting the interview portion of the assessment process? "When did the physical violence with your partner begin?" "Is there a possibility that you are pregnant and that is what caused the incident?" "Have you ever tried to leave your partner after an episode of physical violence?" "Have you ever tried to leave your partner after an episode of physical violence?"

"Have you ever tried to leave your partner after an episode of physical violence?"

Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? "I don't know what else I can do to keep him from getting angry at me." "His father physically abused his mother for years." "He was so much nicer when we started dating." "He doesn't like it when I go out with my girlfriends."

"I don't know what else I can do to keep him from getting angry at me."

A client present to the emergency department (ED) with a rib fracture and states, "I am so clumsy! My spouse always tells me that I need to be more careful." The client's spouse is asked to leave the exam room for the assessment. When the spouse is gone the client states, "My spouse doesn't mean to hurt me. I usually push too hard, and they just loses control!" Which response by the nurse is appropriate? Select all that apply. "I am glad that you told me." "I am required to report this abuse." "You should really leave your spouse." "It is not your fault." "I am really sorry this happened to you."

"It is not your fault." "I am glad that you told me." "I am really sorry this happened to you."

An emergency department nurse is assessing a client with traumatic injuries. To assess whether or not the client's injuries have resulted from abuse, which question would be most appropriate for the nurse to ask the client? "Is your partner being mean to you?" "Why do you think your partner has beaten you?" "It looks like someone has hurt you. Tell me about it." "Can you describe the person who did this to you

"It looks like someone has hurt you. Tell me about it."

A nurse is working in the emergency department. Which situation would lead the nurse to suspect possible abuse of a client? Select all that apply. A baby with contrecoup injuries to the brain A 6-year-old is being seen for the 5th time for a urinary tract infection A 3-month-old with a fractured femur A 15-month-old with shortness of breath after peanut ingestion A 3-year-old with a deep finger laceration

A 6-year-old is being seen for the 5th time for a urinary tract infection A baby with contrecoup injuries to the brain A 3-month-old with a fractured femur

A nurse is aware of the high incidence of intimate partner violence (IPV) and actively seeks opportunities to screen women for IPV. Which female client represents the best opportunity for assessing for IPV? A client who expressed interest in joining a grief support group following the death of her husband A client who is currently exploring long-term care options for her elderly father A client who has brought her young son to the emergency department because he fell at the playground and may have an arm fracture A client who is in the third trimester of pregnancy and who is having biweekly prenatal appointments at a clinic

A client who is in the third trimester of pregnancy and who is having biweekly prenatal appointments at a clinic

A nurse is aware of the high incidence of intimate partner violence (IPV) and actively seeks opportunities to screen women for IPV. Which female client represents the best opportunity for assessing for IPV? A client who is in the third trimester of pregnancy and who is having biweekly prenatal appointments at a clinic A client who is currently exploring long-term care options for her elderly father A client who has brought her young son to the emergency department because he fell at the playground and may have an arm fracture A client who expressed interest in joining a grief support group following the death of her husband

A client who is in the third trimester of pregnancy and who is having biweekly prenatal appointments at a clinic

Which characteristics are found in violent families? Select all that apply. Alcohol use disorder Social isolation Adequate support systems Abuse of power and control

Abuse of power and control Alcohol use disorder Social isolation

Nurses at an urban emergency department seek to develop a plan to help women involved in abusive relationships. Which component is critical to the success of the plan? Written educational materials Access to community resources for referral An intimate partner violence (IPV) counselor A quality of life assessment tool

Access to community resources for referral

A client is brought to the Emergency Department by a family member that reports being sexually assaulted while leaving work. What action by the nurse would best promote placing control back to the client? Allow the client to make decisions regarding care whenever possible Inform the client that charges will have to be pressed against the perpetrator Inform the client that the assessment must be completed as soon as possible Educate the client about attending a support group as soon as possible

Allow the client to make decisions regarding care whenever possible

A nurse is caring for a child who had experienced sexual abuse. Which are expected behaviors of a child who has experienced sexual abuse? Select all that apply. Open and honest discussion about history Distorted view of sex High self-esteem Avoidance of sexually related content Secretiveness of behaviors

Avoidance of sexually related content Secretiveness of behaviors Distorted view of sex

When noted in an assessment of a child, the nurse should suspect child abuse if which common physical findings signaling abuse are present? Bruises, burns, lacerations, missing teeth, and skeletal injuries Missing teeth, scars on genitalia, loose bones, broken legs, and burn marks Broken bones and finger joints, bruises, scars, and eye injuries Eye, head, and skeletal injuries; swollen glands; and breaks in skin

Bruises, burns, lacerations, missing teeth, and skeletal injuries

A psychiatric-mental health nurse is conducting a program for a women's group. When describing psychological abuse, which information would the nurse address? Select all that apply. Public ridicule Uncontrollable spending Criticism Insults Isolating a person from family

Criticism Insults Public ridicule Isolating a person from family

What are some types of behavior that the nurse would recognize as qualifying as psychological abuse? Select all that apply. Criticizing Ridiculing Asking for time alone when frustrated Threatening a victim's dog Using assertive language

Criticizing Ridiculing Threatening a victim's dog

When attempting to preserve evidence from a possible rape with no report of oral sex, the female victim should be instructed that which self-care activities are permitted? Douching Showering Changing clothes Drinking a glass of water

Drinking a glass of water

A 33-year-old client has been treated for a periorbital hematoma and a broken nose that the client suffered when the client's spouse struck the client. The client does not know where the spouse currently is, and the client is scheduled for discharge. What action should the care team prioritize in this client's care? Teaching the client improved coping and conflict-resolution skills Ensuring that the client knows how to change the client's nasal dressings Educating the client about the dynamics of domestic violence Ensuring that the client goes to a safe place

Ensuring that the client goes to a safe place

A nurse is gathering information about a health history of a person who has experienced violence. Which are important caring behaviors a nurse should implement during the interview? Select all that apply. Ask questions regarding religious background and preference. Secure open communication. Establish trustworthiness. Maintain a nonjudgmental attitude. Discuss the nurse's personal feelings on victims of violence.

Establish trustworthiness. Maintain a nonjudgmental attitude. Secure open communication.

A group of nursing students is reviewing information about the types of abuse. The students demonstrate understanding of the information when they identify stalking as a crime of which of the following? Violence Fear Harassment Jealousy

Harassment

A frightened young woman calls the emergency department and tearfully tells the nurse, "I've been raped! Please help me!" Before telling the client what to do, the nurse would need to know if If she has insurance, if she could get to the hospital by herself, and if pregnancy is a possibility If she had bathed, douched, or changed clothes If the client knew her assailant, knew her location, and had notified the police If the client was injured, was in a safe place, and had transportation available

If the client was injured, was in a safe place, and had transportation available

A frightened young woman calls the emergency department and tearfully tells the nurse, "I've been raped! Please help me!" Before telling the client what to do, the nurse would need to know if If she has insurance, if she could get to the hospital by herself, and if pregnancy is a possibility If the client knew her assailant, knew her location, and had notified the police If she had bathed, douched, or changed clothes If the client was injured, was in a safe place, and had transportation available

If the client was injured, was in a safe place, and had transportation available

A nurse manager is working with the nursing staff of a busy community-based walk-in clinic that provides care to a large number of survivors of domestic violence. When helping the staff provide care, which information would be most important for the nurse manager to convey to the staff? Importance of measuring the clients' progress in small steps Expectation that survivors will accept change right away Encouragement for staff discussion about specific clients to gain support Identification of consequences from changes made by survivors as minimal

Importance of measuring the clients' progress in small steps

A nurse is working with a child whose parents have subjected him to neglect and emotional maltreatment, which primarily took the form of unavailability and general disinterest in his welfare. The nurse should expect that a child subjected to this type of maltreatment would experience problems in which of the following? Behavioral and emotional functioning Emotional and intellectual functioning Multiple intellectual, physical, behavioral, and emotional arenas Behavioral and physical functioning

Multiple intellectual, physical, behavioral, and emotional arenas

A nurse is working with a child whose parents have subjected him to neglect and emotional maltreatment, which primarily took the form of unavailability and general disinterest in his welfare. The nurse should expect that a child subjected to this type of maltreatment would experience problems in which of the following? Multiple intellectual, physical, behavioral, and emotional arenas Emotional and intellectual functioning Behavioral and physical functioning Behavioral and emotional functioning

Multiple intellectual, physical, behavioral, and emotional arenas

Nurses working with rape trauma victims need to be aware of their own attitudes about rape and sexual assault. Which rationale best explains why? The attitudes of individual nurses reflect on the overall profession. Nurses can learn from the experiences of clients and thus help prevent becoming victims of assault themselves. Nurses need to be able to sympathize with their clients. Giving back the survivor as much control as possible is important.

Nurses need to be able to sympathize with their clients.

Which provides the most appropriate example of neglect according to the definition of the term? Criticizing a child frequently for being overweight and restricting the child's diet Correcting a child in front of the entire class for copying homework Rejecting a 3-year-old who cries and seek affection after falling Disciplining a 6-year-old child for "sassing" by putting tape on the child's mouth

Rejecting a 3-year-old who cries and seek affection after falling

A nurse is caring for a client who arrived at the emergency room with injuries following a physical assault with a baseball bat. The client tells you that their significant other is responsible for the injuries. Place the following nursing actions in order from the highest importance to the lowest importance. All options must be used. Click an option, hold and drag it to the desired position, or click an option to highlight it and move it up or down in the order using the arrows to the left. 1Conduct an assessment of the client. 2Notify the police of the assault. 3Notify the physician of the client's injuries and situation. 4Remove the significant other from the room with the client. 5Call a meeting of the interdisciplinary team

Remove the significant other from the room with the client. Conduct an assessment of the client. Notify the physician of the client's injuries and situation. Notify the police of the assault. Call a meeting of the interdisciplinary team

The nursing student learning about intimate partner violence correctly identifies its prevalence in same-sex couples as what? Half as frequent as in heterosexual couples Three times more frequent as in heterosexual couples Twice as often as in heterosexual couples Same frequency as in heterosexual couples

Same frequency as in heterosexual couples

A 3-year-old who has been seen in the emergency department for various fall-related injuries is being treated for apparent blindness in the left eye as a result of retinal hemorrhage. The nurse should suspect that which form of child abuse is part of the cause of the child's condition? Shaken baby syndrome Munchausen's syndrome by proxy Ineffective supervision Child neglect

Shaken baby syndrome

A client comes to the clinic for a prenatal visit. While the client is in the examining room, her estranged husband appears and insists on seeing the client. The client tells the nurse that they are in the process of getting a divorce and she does not want to be around him. "He's been following me to work and at my home everyday." What should the nurse suspect? Neglect Stalking Sexual assault Intimate partner violence

Stalking

A client comes to the clinic for a prenatal visit. While the client is in the examining room, her estranged husband appears and insists on seeing the client. The client tells the nurse that they are in the process of getting a divorce and she does not want to be around him. "He's been following me to work and at my home everyday." What should the nurse suspect? Stalking Intimate partner violence Sexual assault Neglect

Stalking

The nurse conducts a wellness visit for a pediatric client. Which findings could indicate an increased risk for child abuse and the potential need for an additional assessment? Select all that apply. The parent states, "We use time-out as a form of punishment." The child is diagnosed with a developmental delay. The parent states, "Our child was conceived using in vitro fertilization (IVF)." The child has bruises in various degrees of healing on the buttock and upper legs. The child is average height and weight for chronological age.

The child has bruises in various degrees of healing on the buttock and upper legs. The child is diagnosed with a developmental delay.

Which is not a risk factor for child sexual abuse? The child suffers from developmental delays. The child is aged 10 years or younger. The child has primary caretaker who is mentally ill. The child lives in a home where substance abuse occurs.

The child is aged 10 years or younger.

Which would not increase the likelihood that an older adult will incur physical abuse? The older adult is independent with activities of daily living. The older adult has difficulty with mobility and can become confused. An older adult reports frequent multiple bruises that are related to falls. The older adult lives with a son who receives financial aid.

The older adult is independent with activities of daily living.

The nurse's suspicion that a child has been sexually abused is supported by what assessment data? Select all that apply. The vulva appears edematous The urinalysis reports a bacterial infection There are frequent ear infections The child reports "itching down there" The anal area is bruised

The vulva appears edematous The urinalysis reports a bacterial infection The vulva appears edematous The urinalysis reports a bacterial infection

The nurse is aware that fewer than half of rapes and sexual assaults are reported. Which are some of the reasons people do not report being sexually assaulted? Select all that apply. They have a fear of being blamed for the incident. The person is concerned about the financial issues associated with the hospitalization. The perpetrator may use coercion or threats to control the victim. The victim is responsible for the attack. The client is embarrassed of the assault.

They have a fear of being blamed for the incident. The client is embarrassed of the assault. The perpetrator may use coercion or threats to control the victim.

A nurse is preparing a presentation for an adolescent and young adult community group about stalking. Which group would the nurse identify as having the highest risk of being stalked? Women, ages 18 to 24 years Men, ages 24 to 28 years Girls and young women, ages 10 to 18 years Boys and young men, ages 12 to 21 years

Women, ages 18 to 24 years

The nurse in the emergency room is assessing a client who was brought in by the police for evaluation after receiving a call from a neighbor. The client reports to the nurse that the person who has been cooking and helping around the house has not been home for days. Which type of abuse does the nurse suspect based on the client's statement? neglect emotional physical abandonment

abandonment

A young adult client female is assessed after being raped. The client reports being tied up and beaten while the perpetrator forced sexual intercourse. She recalls the perpetrator saying, "I will make you pay." What most accurately describes this category of rapist? power reassurance anger retaliation power assertive anger excitement

anger retaliation

A middle-aged client with young children has been the victim of intimate partner violence (IPV). When providing initial care to this family, the nurse should: teach the client life skills for moving on from the relationship. carefully assess the children for signs of trauma. determine what initially caused the violence to begin. reassure the client that this will never happen again.

carefully assess the children for signs of trauma

A client runs to the urgent care center because the spouse is at home drinking and waving a gun around while yelling at the children. Which action should the nurse take first? call for an ambulance for transport to the hospital assess the client for injuries contact the police call a family member to pick up the children

contact the police

The nurse provides care to a 4-month-old infant who presents to the emergency department (ED) with the parents at the advice of the pediatrician due to poor feeding and potential dehydration. Which finding noted by the nurse during the physical examination indicates the need to assess for child abuse? dry mucous membranes ecchymosis to the arms mild diaper rash sunken fontanelle

ecchymosis to the arms

he nurse provides care for a client who reports intimate partner violence (IPV). Which intervention does the nurse include in the client's plan of care to address safety planning? teaching about sleep hygiene techniques initiating the paperwork required for a guardianship educating about perpetrator about behaviors indicative of losing control providing the client with supplies to treat physical injuries

educating about perpetrator about behaviors indicative of losing control

The school health nurse is asked to see a child who has been coming to school with no lunch for the past week. The child tells the nurse, "I don't get a lunch this week, I have been wetting the bed." The nurse identifies that this child is experiencing which type of abuse? psychological sexual neglect physical

neglect

The nurse is teaching a victim of intimate partner violence how to create a safety plan. Which should be included when the nurse is assiting the client in devising an escape? Select all that apply. prepare and hide an escape bag recognize signs of the perpetrator losing control configure a list telephone numbers needed in case of emergency map the house for an escape route don't pick a place to meet the child but improvise later

prepare and hide an escape bag recognize signs of the perpetrator losing control configure a list telephone numbers needed in case of emergency map the house for an escape route

A client who has been victimized repeatedly by a spouse is angry and verbally lashing out on the nurse. Based on the client's behavior, which technique would the nurse use with this client? suggest reenacting the abuse provide stories about survivors of abuse use "I feel" statements instruct in relaxation techniques

use "I feel" statements