Deck 7: Domestic Violence Assessment

Question 1

As a mandatory reporter of elder abuse,which of these must be present before a nurse notifies the authorities?

A) Statements from the victim
B) Statements from witnesses
C) Proof of abuse and/or neglect
D) Suspicion of elder abuse and/or neglect

Answer 1

Suspicion of elder abuse and/or neglect

Question 2

Which term refers to a wound produced by the tearing or splitting of body tissue,usually from blunt impact over a bony surface?

A) Abrasion
B) Contusion
C) Laceration
D) Hematoma

Answer 2

Laceration

Question 3

The nurse suspects abuse when a 10-year-old child is taken to the urgent care center for a leg injury.The best way to document the history and physical findings is to:

A) write what the child's caregiver tells the nurse.
B) use the words the child has given to describe how the injury occurred.
C) write what the nurse observes during the conversation.
D) rely on photographs of the injuries.

Answer 3

use the words the child has given to describe how the injury occurred.

Question 4

The nurse is aware that intimate partner violence (IPV)screening should occur with which situation?

A) When IPV is suspected
B) When a woman has an unexplained injury
C) As a routine part of each health care encounter
D) When there is a known history of abuse in the family

Question 5

When documenting intimate partner violence and elder abuse,the nurse should include:

A) photographic documentation of injuries.
B) a summary of the abused patient's statements.
C) verbatim documentation of every statement made.
D) a general description of injuries in the progress notes.

Question 6

The nurse is assessing an elderly woman and suspects abuse.Which questions are appropriate for screening for abuse? Select all that apply.

A) "Has anyone ever physically hurt you?"
B) "Are you being abused?"
C) "Are you alone a lot?"
D) "Are you afraid of anybody at home or anyone who enters your home?"
E) "Has anyone ever failed to help you take care of yourself when you needed help?"

Question 7

During an examination,the nurse notices a patterned injury on a patient's back.Which of these would cause such an injury?

A) Blunt force
B) Friction abrasion
C) Stabbing from a kitchen knife
D) Whipping from an extension cord

Question 8

The nurse is examining a 3-year-old child who was brought to the emergency room after a fall.Which bruise,if found,would be of most concern?

A) A bruise on the knee
B) A bruise on the elbow
C) Bruising on the abdomen
D) A bruise on the shin

Question 9

The nurse is using the danger assessment (DA)tool to evaluate the risk of homicide.Which of these statements best describes its use?

A) The DA tool is to be administered by law enforcement personnel.
B) The DA tool should be used in every assessment of suspected abuse.
C) The number of yes answers indicates the woman's understanding of her situation.
D) The higher the number of yes answers, the more serious the danger of the woman's situation.

Question 10

During a home visit,the nurse notices that an elderly woman is caring for her bedridden husband.The woman states that this is her duty,she does the best she can,and her children come to help when they are in town.Her husband is unable to care for himself,and she appears thin,weak,and exhausted.The nurse notices that several of his prescription medication bottles are empty.This situation is best described by the term:

A) physical abuse.
B) financial neglect.
C) psychological abuse.
D) unintentional physical neglect.

Question 11

During a home visit,the nurse notices that an elderly woman has very little food in her cabinets or refrigerator and that most of her prescription bottles are empty.She says that she has enough money,but her nephew has her checkbook and he "takes care of everything." She says,"Oh,my nephew will get around to getting groceries and my medicine when he can.He's very busy." This is an example of:

A) financial abuse.
B) financial neglect.
C) psychological neglect.
D) physical abuse.

Question 12

The nurse is assessing bruising on an injured patient.Which color indicates a new bruise that is less than 2 hours old?

A) Red
B) Purple-blue
C) Greenish-brown
D) Brownish-yellow

Question 13

A female patient has denied any abuse when answering the Abuse Assessment Screen,but the nurse has noticed some other conditions that are associated with intimate partner violence.Examples of such conditions include:

A) asthma.
B) confusion.
C) depression.
D) frequent colds.

Question 14

Which statement is best for the nurse to use when preparing to administer the Abuse Assessment Screen?

A) "We are required by law to ask these questions."
B) "We need to talk about whether you feel you have been abused."
C) "We are asking these questions because we suspect that you are being abused."
D) "We ask the following questions because domestic violence is so common in our society."

Question 15

During an interview,a woman has answered "yes" to two of the Abuse Assessment Screen questions.What should the nurse say next?

A) "I need to report this abuse to the authorities."
B) "Tell me about this abuse in your relationship."
C) "So you were abused?"
D) "Do you know what caused this abuse?"