Deck 5: Violence Against Women

Question 1

A woman who is 6 months pregnant has sought medical attention,saying she fell down the stairs.What scenario would cause an emergency department nurse to suspect that the woman has been a victim of IPV?

A) The woman and her partner are having an argument that is loud and hostile.
B) The woman has injuries on various parts of her body that are in different stages of healing.
C) Examination reveals a fractured arm and fresh bruises.
D) She avoids making eye contact and is hesitant to answer questions.

Answer 1

The woman has injuries on various parts of her body that are in different stages of healing.

Question 2

A young woman arrives at the emergency department and states that she thinks she has been raped.She is sobbing and expresses disbelief that this could happen because the perpetrator was a very close friend.Which statement is most appropriate at this time?

A) "Rape is not limited to strangers and frequently occurs by someone who is known to the victim."
B) "I would be very upset if my best friend did that to me; that is very unusual."
C) "You must feel very betrayed. In what way do you think you might have led him on?"
D) "This does not sound like rape. Didn't you just change your mind about having sex after the fact?"

Answer 2

"Rape is not limited to strangers and frequently occurs by someone who is known to the victim."

Question 3

Which nursing diagnoses would be most applicable for battered women?

A) Loss of trust
B) Ineffective family coping
C) Situational low self-esteem
D) Risk for self-directed violence
E) Enhanced communication

Answer 3

Loss of trust
Ineffective family coping
Situational low self-esteem
Risk for self-directed violence

Question 4

The nurse who is evaluating the client for potential abuse should be aware that IPV includes a number of different forms of abuse,including which of the following?

A) Physical
B) Sexual
C) Emotional
D) Psychologic
E) Financial

Question 5

Nurses must remember that pregnancy is a time of risk for all women.Which condition is likely the biggest risk for the pregnant client?

A) Preeclampsia
B) IPV
C) Diabetes
D) Abnormal Pap test

Question 6

What is the primary theme of the feminist perspective regarding violence against women?

A) Role of testosterone as the underlying cause of men's violent behavior
B) Basic human instinctual drive toward aggression
C) Male dominance and coercive control over women
D) Cultural norm of violence in Western society

Question 7

Which trait is least likely to be displayed by a woman experiencing intimate partner violence (IPV)?

A) Socially isolated
B) Assertive personality
C) Struggling with depression
D) Dependent partner in a relationship

Question 8

Which statement is the most comprehensive description of sexual violence?

A) Sexual violence is limited to rape.
B) Sexual violence is an act of force during which an unwanted and uncomfortable sexual act occurs.
C) Sexual violence encompasses a number of sexual acts.
D) Sexual violence includes degrading sexual comments and behaviors.

Question 9

Nurses who provide care to victims of IPV should be keenly aware of what?

A) Relationship violence usually consists of a single episode that the couple can put behind them.
B) Violence often declines or ends with pregnancy.
C) Financial coercion is considered part of IPV.
D) Battered women are generally poorly educated and come from a deprived social background.

Question 10

Women with severe and persistent mental illness are likely to be more vulnerable to being involved in controlling and/or violent relationships; however,many women develop mental health problems as a result of long-term abuse.Which condition is unlikely to be a psychologic consequence of continued abuse?

A) Substance abuse
B) Posttraumatic stress disorder (PTSD)
C) Eating disorders
D) Bipolar disorder

Question 11

Documentation of abuse can be useful to women later in court,should they elect to press charges.It is of key importance for the nurse to document accurately at the time that the client is seen.Which entry into the medical record would be the least helpful to the court?

A) Photographs of injuries
B) Clear and legible written documentation
C) Summary of information (e.g., "The client is a battered woman.")
D) Accurate description of the client's demeanor

Question 12

Nurses are often the first health care professional with whom a woman comes into contact after being sexually assaulted.Which statement best describes the initial care of a rape victim?

A) All legal evidence is preserved during the physical examination.
B) The victim appreciates the legal information; however, decides not to pursue legal proceedings.
C) The victim states that she is going to advocate against sexual violence.
D) The victim leaves the health care facility without feeling re-victimized.

Question 13

Historically,what was the justification for the victimization of women?

A) Women were regarded as possessions.
B) Women were the "weaker sex."
C) Control of women was necessary to protect them.
D) Women were created subordinate to men.

Question 14

Which statement regarding human trafficking is correct?

A) Human trafficking is a multibillion-dollar business that primarily exists in the United States.
B) Victims often experience the Stockholm syndrome.
C) Vast majority of the victims are young boys and girls.
D) Human trafficking primarily refers to commercial sex work.

Question 15

In the 1970s,the rape-trauma syndrome (RTS)was identified as a cluster of symptoms and related behaviors observed in the weeks and months after an episode of rape.Researchers identified three phases related to this condition.Which phase is not displayed in a client with RTS?

A) Acute Phase: Disorganization
B) Outward Adjustment Phase
C) Shock/Disbelief: Disorientation Phase
D) Long-Term Process: Reorganization Phase

Question 16

When the nurse is alone with a battered client,the client seems extremely anxious and says,"It was all my fault.The house was so messy when he got home,and I know he hates that." What is the most suitable response by the nurse?

A) "No one deserves to be hurt. It's not your fault. How can I help you?"
B) "What else do you do that makes him angry enough to hurt you?"
C) "He will never find out what we talk about. Don't worry. We're here to help you."
D) "You have to remember that he is frustrated and angry so he takes it out on you."

Question 17

In 1979,Lenore Walker pioneered the cause of women as victims of violence when she published her book The Battered Woman.While Walker conducted her research,she found a similar pattern of abuse among many of the women.This concept is now referred to as the "cycle of violence." Which phase does not belong in this three-cycle pattern of violence?

A) Tension-building state
B) Frustration, followed by violence
C) Acute battering incident
D) Kindness and contrite, loving behavior

Question 18

What are some common characteristics of a potential male batterer?

A) High level of self-esteem
B) High frustration tolerance
C) Substance abuse problems
D) Excellent verbal skills
E) Personality disorders

Question 19

Intervention for the sexual abuse survivor is often not attempted by maternity and women's health nurses because of the concern about increasing the distress of the woman and the lack of expertise in counseling.What initial intervention is appropriate and most important in facilitating the woman's care?

A) Initiating a referral to an expert counselor
B) Setting limits on what the client discloses
C) Listening and encouraging therapeutic communication skills
D) Acknowledging the nurse's discomfort to the client as an expression of empathy

Question 20

Which statement is most accurate regarding the reporting of IPV in the United States?

A) Asian women report more IPV than do other minority groups.
B) Caucasian women report less IPV than do non-Caucasians.
C) Native-American women report IPV at a rate similar to other groups.
D) African-American women are less likely to report IPV than Caucasian women.

Question 21

What are the responsibilities of the nurse who suspects or confirms any type of violence against a woman?

A) Report the incident to legal authorities.
B) Provide resources for domestic violence shelters.
C) Call a client advocate who can assist in the client's decision about what actions to take.
D) Accurately and concisely document the incident (or findings) in the client's record.
E) Reassure and support the client.

Question 22

A thorough abuse assessment screen should be completed on all female clients.This screen should include which components?

A) Asking the client if she has ever been slapped, kicked, punched, or physically hurt by her partner
B) Asking the client if she is afraid of her partner
C) Asking the client if she has been forced to perform sexual acts
D) Diagramming the client's current injuries on a body map
E) Asking the client what she did wrong to elicit the abuse