Deck 12: Injury and Violence

Question 1

A group of nurses is looking to design a home visitation program for parents who are at high risk for child maltreatment. What factors should the nurses focus on?

A)Parenting skills and access to educational support
B)Promoting family relationships and increasing child monitoring
C)Increasing access to nutrition and wellness programs
D)Assisting with parental education and financial assistance programs as needed

Answer 1

Promoting family relationships and increasing child monitoring

Question 2

A nurse is working at a high school when a young woman comes down to the nursing office concerned about her boyfriend whom she states is making suicidal comments. How does the nurse proceed?

A)Counsel the young woman about relationship issues.
B)Call the young woman's parents about her concerns.
C)Inform the school psychologist immediately and notify the boyfriend's parents.
D)Call the young man down to the nurse's office for a mental health evaluation.

Answer 2

Inform the school psychologist immediately and notify the boyfriend's parents.

Question 3

A nurse is teaching a class about emergency preparedness and violence. Which of the following factors are associated with an increased risk of being the victim of violence or intentional harm? Select all that apply.

A)Age between 15 and 44
B)Poor mental health
C)Substance use
D)Male gender
E)Low socioeconomic status

Answer 3

Age between 15 and 44
Poor mental health
Substance use

Question 4

A nurse is reviewing car accident data to see how a city's statistics compare with state and national data. Which of the following would provide the most comprehensive database of information?

A)National Violent Death Reporting System
B)Vital Statistics
C)Department of Motor Vehicles
D)Department of Transportation

Question 5

A nurse is working at a suicide prevention hotline and is training new staff members. He or she informs the new nurses that the most important questions to ask callers include:

A)Whether they have a means or a plan to commit suicide, including whether they have access to a weapon, such as a gun.
B)If they have been diagnosed with a mental illness.
C)If they suffer from addiction substance use disorder.
D)None of the above.

Question 6

A nurse is performing a home visit for a young mother that lives in the projects in Brooklyn, New York. There is a young child who is 3 years old living in the apartment as well. The nurse notices that the window guards on the bedroom window are hanging off the building. How should the nurse proceed?

A)Encourage the woman to call the landlord after the nurse leaves.
B)Call Child Protective Services to report an unsafe living situation.
C)Call the landlord directly to ensure the timely repair of the window guards and encourage the woman to keep the windows closed in the meantime.
D)Call the city to report a bad landlord and complete the paper work to support evidence of the event.

Question 7

A nurse is caring for a young woman who has presented to the emergency department with vague injuries. The nurse has performed routine screening for intimate partner violence (IPV) and the screen was positive. What should be the nurse's next step using the RADAR guide?

A)Inform the physician.
B)Give her a pamphlet about escaping domestic violence.
C)Ask direct questions.
D)Review patient options and provide referrals.

Question 8

A nurse is educating new staff in the emergency department about the types of injuries and illness they might be treating. The nurse mentions that which population is at greatest risk for unintentional injuries?

A)Women under the age of 45
B)Women over the age of 45
C)Men under the age of 45
D)Men over the age of 45

Question 9

A nurse is performing a community assessment of an inner city neighborhood. The nurse is looking for physical risk factors in the community to determine if they might be contributing to the high level of violence and drug use in the neighborhood. Which of the following factors should be evaluated?

A)Youth activity
B)Dwelling types
C)Physical layout of the community
D)All of the above

Question 10

A nurse is providing fire prevention education to families in the community. Which of the following groups in the United States is not at a higher risk for suffering burns from a fire at home?

A)Men
B)Women
C)Children
D)Older adults

Question 11

A nurse is presenting a lecture about providing nursing and medical care during wars and in conflict areas. The nurse is discussing how war has changed in the last few decades. Which of the following statements is correct?

A)There are more wars currently than in the past.
B)War-related deaths have increased in the past decade.
C)Fewer countries have weapons of mass destruction due to increased world condemnation of such weapons.
D)Reporting of wars and war crimes has increased.

Question 12

A nurse has volunteered with an organization treating women who were the victims of rape as a weapon of war in the Congo. This violence is considered:

A)Community violence.
B)Collective violence.
C)Stranger violence.
D)Interpersonal violence.

Question 13

A nurse is looking to implement new preventative measures to address the rate of drowning in young children in the community. All of the following policies are examples of primary prevention, except:

A)Swimming instruction for every child.
B)Mandatory installation of locked child-safety fences around all community and private pools.
C)Community-wide CPR instruction.
D)Mandatory use of life jackets for all children on boats.

Question 14

A young woman presents to a community clinic. She states that she is having severe anxiety and insomnia after suffering an acquaintance rape at school last year. She is unable to go back to college and her grades are suffering as a result. What does the nurse suspect that this young woman is suffering from?

A)Post-traumatic stress disorder
B)Generalized anxiety disorder
C)Major depression
D)Personality disorder

Question 15

A nurse has seen an increase in infant injuries during motor vehicle accidents due to poor car seat installation. The nurse wants to consider upstream policies at the population level to address this issue but doesn't have the time to take on the project. How should the nurse proceed?

A)Reconsider the project at a different time when the workload at his or her primary job lightens.
B)Delegate some of the project tasks to an unlicensed assistive personnel (UAP).
C)Quit the job to dedicate all of his or her time to the project.
D)Consider a collaborative relationship with the public health department and fire and police departments.

Question 16

A nurse is reviewing the safety procedures and protections in place at the community center. Which of the following show compliance with policies that were put in place to prevent fire-related deaths and injuries?

A)Presence of two regular doors next to the revolving door
B)Brightly lit exit signs
C)Absence of decorations on the walls
D)All of the above

Question 17

A nurse is teaching water safety at the local community pool and mentions that which of the following is the most significant risk factor for drowning?

A)Gender
B)Income
C)Education
D)Age

Question 18

A nurse is working with parents and community members to develop a chemical and medication safety class in their community. Techniques that they should discuss include which of the following? Select all that apply.

A)Proper labeling of all household chemicals and medications
B)Keeping household chemicals outside
C)Storing all cleaning materials and medications out of the reach of children
D)Encouraging disposal of medications into the toilet
E)Informing parents not to share any medications with anyone for whom the medication is not prescribed