Deck 22: Victims of Abuse and Violence

Question 1

The difference between child abuse and child neglect is:
1)Abuse is done on purpose; neglect is accidental.
2)Abuse is an act of commission; neglect is an act of omission.
3)Abuse is a crime; neglect is not.
4)Children are often afraid to report abuse, but are willing to report neglect.

Answer 1

2

Question 2

Which of the following is NOT a risk factor for becoming a child abuser?
1)Abused as a child
2)Having a chronic disease
3)Heavy drinker
4)Poor coping mechanisms to deal with frustration

Answer 2

2

Question 3

Your patient, who has reported domestic violence, now tells you she is going home with her husband because he has apologized and says he is taking her to Hawaii on a romantic vacation. Which statement best helps you understand her actions?
1)Her husband has received treatment for anger management.
2)This is the honeymoon phase of the abuse cycle.
3)This is the resolution phase of the family crisis.
4)She mistakenly reported domestic violence.

Answer 3

2

Question 4

A battered woman in the women's shelter states that she "is afraid to go home because he drinks. That's when he gets violent and he beats me." Which of the following reflects accurate knowledge about domestic violence and alcohol use?
1)"If you can get him to quit drinking, the beating will stop."
2)"Alcohol use can increase the chances of abuse."
3)"People who use alcohol almost always end up as abusers."
4)"He's just using the alcohol as an excuse to beat you."

Question 5

Which of the following statements about sexual abuse of children are true (select all that apply)?
1)The abuser is most often someone the child knows and trusts.
2)The nurse must confront the abuse victim to make him or her admit to the abuse.
3)Abused children often act out the abuse in their own play behaviors.
4)The abused child is confused about whether the acts are right but believes the abuser would not do anything wrong.
5)Because children are resilient, they tend to get over acts of sexual abuse fairly easily with minimal intervention.

Question 6

You are caring for a middle-aged man who is under medical and psychiatric care for molesting a 7-year-old girl. You inform him that dinner is being served in the dining room. He tells you to leave and that he does not want anyone to see him or "know what I did." You respond:
1)"You will need to face people sooner or later."
2)"You are here for treatment of an illness, not judgment of an action."
3)"I guess I wouldn't want to been seen either. You may stay here."
4)"Only the staff knows the reason for your admission."

Question 7

You are caring for a 6-year-old boy who allegedly has been abused by his mother. During his mother's visits, which of the following is most associated with her being an abuser?
1)A strong and loving relationship with her parents
2)Single-parent home
3)A history of being abused as a child
4)Unemployed

Question 8

A 90-year-old patient is admitted with a broken wrist and multiple bruises. The caregiver reports the patient falls when she wanders. Which of the following would lead you to suspect elder abuse?
1)Inconsistent explanations about the details of the falls.
2)The patient tells you she doesn't like the caregiver.
3)The patient begins crying when her daughter arrives.
4)The patient has a urinary tract infection (UTI).

Question 9

Which of the following are actions the nurse can take to help adult victims of abuse (select all that apply)?
1)Reassure the patient that everything possible is being done to ensure his or her safety.
2)Don't show empathy to the abuser.
3)Know your own thoughts and feelings about abuse.
4)Take the burden of deciding about notifying authorities off the patient and do it yourself.
5)Remain nonjudgmental.

Question 10

Because a woman who is being hurt by her partner may try to keep the abuse private, which of the following is known to be an indirect source to identify the abuse?
1)Pediatric clinics
2)Emergency departments
3)Women's shelters
4)Mental health clinics

Question 11

Annie is a 5-year-old who has been the victim of sexual abuse by a family member. Which of the following therapeutic techniques would be especially useful in helping Annie express her feelings?
1)Individual psychotherapy
2)Behavior modification
3)Family therapy sessions
4)Drawing

Question 12

Your new patient in the emergency department states that she was been beaten and raped. What should you do first?
1)Ask for a psychiatric consult.
2)Stay with her and provide support.
3)Wash and dress her wounds before the "rape kit" is performed.
4)Encourage her to tell you the details of what happened.

Question 13

Who is the most likely perpetrator of child abuse?
1)Parent
2)Other relative
3)Hired babysitter
4)Teacher