Question 1

The husband was worried about losing his job and had been very tense all week.His wife was surprised when that night he picked up his supper plate and threw it against the wall.He screamed,"You can't even cook decently!" What might the wife expect her husband to do next?

Accepted Answer

Domestic violence occurs in a classic cyclic pattern known as the cycle of violence.The cycle consists of tension-building (being tense all week),battering (yelling and throwing the plate),and apologizing.

Question 2

A nurse working in obstetrics helps new mothers bond with their children.Which of the following observations would be of concern to the nurse? (Select all that apply.)

Accepted Answer

Parental behaviors consistent with strong bonding with the newborn include making good eye contact;caring,gentle handling;talking to the infant;giving positive feedback with praising remarks;and showing affection with hugs,smiles,and pats.Poor bonding behaviors include having little contact,handling the infant roughly or carelessly,avoiding physical contact,and leaving the child alone.

Question 3

A woman returns to an abusive relationship despite being referred to a shelter by the community/public health nurse.Which of the following explains why the client would not accept this referral? (Select all that apply.)

Accepted Answer

Women have many reasons for staying,including hopes that the man will reform,there being no other place to go,having children (which makes it harder to find adequate financial resources or appropriate housing),and a belief that divorce is shameful.The woman may be emotionally dependent on the abusive spouse or may fear living alone.Finally,reprisals may indeed be worse,since women are at greater risk of being killed when they leave an abusive partner.Thus,the fear of not being safe when she moves to the shelter is valid.

Question 4

A home care nurse cared for an elderly client who lived with her daughter and was incontinent and sometimes confused.The nurse found her lying in wet linens.The elderly woman asked the nurse to change the sheets and not worry about it.Why would the elderly woman sound so unconcerned?

Accepted Answer

Many elderly persons who are abused are afraid of the caretakers,ashamed of the problem,or have limited alternatives.If they have nowhere else to live or feel that they will die in a nursing home,they will not complain about the abuse.Health professionals sometimes do not report incidents because of concern that alternative living arrangements might be less tolerable than the current one.

Question 5

What is the relationship between socioeconomic class and intimate partner abuse?

Accepted Answer

Abuse is prevalent at all income levels.There is,however,greater risk among poverty-level families.Risk factors for abuse include low income,low self-esteem,poor academic achievement,and alcohol use.

Question 6

What is the most common form of elder abuse?

Accepted Answer

Financial exploitation of vulnerable elderly persons is identified as the most common form of elder abuse.

Question 7

The nurse was caring for an elderly gentleman who lived with his son.The nurse is concerned about elder abuse.Which of the following would be the most important intervention to be implemented by the nurse?

Accepted Answer

Any and all of the options might be useful because all are aspects of counseling and supporting the son in relation to his caregiving.However,the most useful intervention is to obtain respite care in order to reduce stress on the caregiver.

Question 8

The teenage mother's behavior seemed consistent with a fantasy that the newborn was rather like a doll who would love her forever.Which of the following would be the most appropriate nursing intervention? (Select all that apply.)

Accepted Answer

The new mother will need social support and information,which may be successfully implemented through foster grandmother programs,mother support groups,and nursing visits every 3 months during early life.Books might be useful for some women;however,in view of the low literacy rate,there is a strong possibility that the books would not be read or understood.Although the nurse's explaining appropriate behavior in the hospital might seem helpful,new mothers are under a high level of adjustment and stress,and this is not the best time for learning.Furthermore,new mothers are rarely in the hospital more than 2 days after a normal delivery.Screaming at an infant is an at-risk behavior and not an appropriate behavior for a new mother.

Question 9

Which of the following has been successfully used to combat abuse and stalking? (Select all that apply.)

Accepted Answer

New initiatives include training health care providers,encouraging men to teach nonviolence to the next generation,and improving crisis services for victims of rape and sexual assault.The federal Violence Against Women Act,reauthorized in 2005,also includes improving supportive services such as transitional housing.

Question 10

What conclusions concerning firearms in the United States can be drawn? (Select all that apply.)

Accepted Answer

According to a systematic literature review conducted by the National Research Council,no data supported the assertion that gun-control laws had an effect on reducing violence.Firearms are the second leading cause of death among 10- to 19-year-olds.Regulations related to firearms are more lenient in the United States than in other developed countries,and so firearms are accessible.Higher rates of ownership are associated with higher homicide rates.Evaluation of legislation has not demonstrated that legislation reduces firearm violence.

Question 11

Which of the following factors are associated with increased risk of violence? (Select all that apply.)

Accepted Answer

Factors associated with risk of violence are sociologic (such as poverty,drug dealing,access to guns,media exposure),developmental (rigid sex role expectations,peer pressure,high stress level),and family environment (social isolation,history of intergenerational abuse).

Question 12

After a husband slapped his wife,he apologized to her saying that his boss had been giving him impossible tasks and he had stopped for a drink after work.When the woman laughingly shared this story during a routine visit at the clinic,the nurse became concerned.What would have concerned the nurse?

Accepted Answer

Batterers typically refuse to acknowledge responsibility for abuse;instead,they blame anything from alcohol and work problems to stress and the spouse.Abusers blame the victim until the victim actually starts believing that he or she is responsible for the abuse.

Question 13

A woman was at the emergency department with a broken arm and bruises all over her torso.Radiographs showed evidence of previous broken bones.Which behavior exhibited by the woman would be most worrisome to the nurse?

Accepted Answer

With long-term abuse,the victim accepts responsibility for maintaining the relationship and accepts blame for the abusive behavior.

Question 14

A 15-year-old mother brought her 2-month-old infant to the clinic,complaining that he was a bad baby.When she fed him cereal,the infant spit it back out.This frustrated the new mother and then she stated she would spank the infant.What important instructions should this mother receive?

Accepted Answer

Abusive parents often have unrealistic expectations of age-appropriate behavior for children.It is important to review child development so parents can recognize age-appropriate behavior.The nurse can validate realistic expectations for the child with the parent and dispel unrealistic ones.

Question 15

In addition to size and strength differences,what leads men to choose to batter women?

Accepted Answer

Physical violence is primarily aimed at maintaining power and control.

Question 16

Why are colleges establishing programs about appropriate dating behaviors? (Select all that apply.)

Accepted Answer

Violence during dating relationships is quite common during adolescence and the college years.Up to 25% of female college students reported an attempted or complete rape,13% to 20% reported being stalked,and 88% reported at least one incidence of physical or sexual violence.Ninety percent of the assailants were known to their victims.

Question 17

What is the typical effect of a restraining order?

Accepted Answer

Evidence suggests that restraining orders actually are effective in reducing contact,threats,violence,and injury from an abusive partner,although certainly they sometimes do not have these effects.

Question 18

A home care nurse was caring for an elderly gentleman who lived with his son.The client kept falling asleep.Which action is most important for the nurse to take?

Accepted Answer

Overmedication,whether inadvertent or deliberate,may be used to control an elderly person.The nurse should review medications at every visit.The existing supply should be tallied to see whether the remaining medication matches what would be expected if the medication were taken as prescribed.

Question 19

Which of the following are possible reasons for an adolescent to join a gang? (Select all that apply.)

Accepted Answer

Gangs are often the only social option for adolescents,since no employment opportunities are available;peer pressure,protection,companionship,and excitement are also reasons for joining a gang.Gangs offer stability when families may not be stable.

Question 20

The emergency department nurse listened as the woman said,"I know that this sounds stupid,but I was leaning on the door handle and I fell out of the car right into the traffic." The woman had a broken leg in addition to scrapes and bruises.What should the nurse be sure to ask?

Accepted Answer

The nurse should always be alert to possible abuse,particularly when the type of injury and the supposed circumstances under which it occurred are suggestive of abuse.One of the four best questions to ask is,"Within the last year,have you ever been hit,slapped,kicked,or otherwise physically hurt by someone?"

Quiz 23: Violence: A Social and Family Problem