Deck 18: Violence Against Women: an Epidemic and a Health Issue

Question 1

A woman has screened positive for intimate partner violence (IPV).The nurse should also assess for: (Select all that apply.)

A) depression and anxiety.
B) mania and binge behavior.
C) persistent sleep disturbances.
D) posttraumatic stress disorder (PTSD).
E) psychosis and schizophrenia.

Answer 1

depression and anxiety.
persistent sleep disturbances.
posttraumatic stress disorder (PTSD).

Question 2

A nurse has assessed an Asian woman for intimate partner violence (IPV)using the Abuse Assessment Screen (AAS).The woman has screened negative.What can the nurse conclude from this screening result?

A) The tool may not be reliable for this patient.
B) The woman is not a victim of IPV.
C) The woman is not at risk for future IPV.
D) The woman may be being deceitful.

Answer 2

The tool may not be reliable for this patient.

Question 3

A nurse is working with a woman who is experiencing intimate partner violence (IPV).The woman states, "At least my children aren't getting hurt." The best response by the nurse is,

A) "Children who witness violence have many indirect injuries."
B) "It's just a matter of time before one of them really does get hurt."
C) "Many children get hurt when they try to intervene in the situation."
D) "Yes, you are right.You are lucky they haven't been hurt."

Answer 3

"Children who witness violence have many indirect injuries."

Question 4

A nurse is talking to a friend who thinks the importance of intimate partner violence (IPV)is overrated because only a small percentage of the population is affected.The best response by the nurse is,

A) "Although few in number, victims take enormous time and resources."
B) "It is a legal requirement that all nurses screen all women for abuse."
C) "About 25% to 33% of women are affected by IPV, and they often experience poor health outcomes."
D) "This still is a significant number when considering the population."

Question 5

The nurse can expect to find that what percentage of women encountered during practice will be victims of violence?

A) 10%
B) 25%
C) 35%
D) 40%

Question 6

The nurse working with female patients assesses each for exposure to the many forms of violence against women, which include: (Select all that apply.)

A) femicide.
B) fraud.
C) isolation.
D) name calling.
E) sexual coercion.

Question 7

A nurse manager in the emergency department (ED)wants to ensure that the staff conducts thorough and consistent screens for intimate partner violence (IPV)on every woman but is concerned about privacy.The best intervention by the manager would be to formulate a policy that:

A) all female patients must be assessed by the nurse before having others present.
B) creates a "survey" with a check-off box indicating the patient needs help with IPV.
C) each patient, male or female, is given a short questionnaire to complete on IPV.
D) allows only the patient into the ED until the nurse has done a complete assessment.

Question 8

The nurse taking a continuing education course in intimate partner violence (IPV)learns what information about the roots of this violence? (Select all that apply.)

A) Female subservience
B) Male dominance
C) Money imbalances
D) Societal gender attitudes
E) Unequal social power balance

Question 9

A nursing student asks the clinic nurse why it is important to find out whether a woman in a violent relationship feels safe leaving the clinic.The best response by the nurse would be to tell the student that:

A) femicide is a major cause of death, especially in African-American women.
B) if the woman is not safe, the nurse can have the police escort her.
C) the law requires asking about patient safety in this situation.
D) women who are not safe need to be given referral information.

Question 10

A nurse in the emergency department (ED)wants to screen a patient for intimate partner violence (IPV), but the woman's partner will not leave her side.Which intervention by the nurse would be best?

A) Ask the patient the questions with the partner present, because he will not leave.
B) Bluntly tell the partner he has to leave, so the nurse can assess the patient.
C) Have security escort the partner to the ED waiting room.
D) Tell the patient she will help her collect a urine specimen in the restroom.

Question 11

A married woman being seen in the clinic has symptoms of a sexually transmitted infection (STI).The best action by the nurse is to:

A) ask the woman whether she feels safe to leave the clinic now.
B) find out whether the woman is cheating on her husband.
C) gently suggest that she ask her husband whether he is cheating.
D) teach how STIs are transmitted and can be prevented.

Question 12

What information about intimate partner violence (IPV)should the nurse understand? (Select all that apply.)

A) A large number of women are sexually assaulted by their partners.
B) Annually, up to 12% of women are assaulted by their partners.
C) Coercive, controlling behavior is often seen in lesbian relationships.
D) Male homosexuals have the same rates of IPV as do heterosexuals.
E) Most IPV is done by men against women, but men can be victims, too.

Question 13

A nurse is evaluating the plan of care for a woman who has experienced intimate partner violence (IPV).The nurse would evaluate that goals had been met when the woman:

A) articulates her choices.
B) leaves the abuser safely.
C) phones the abuse hotline.
D) presses criminal charges.

Question 14

A nurse wants to begin screening all women encountered during clinic visits for intimate partner violence (IPV)but is uncomfortable and worried about making the women uncomfortable, too.The nurse manager should teach this nurse to say,

A) "All women should be able to tell someone if they are in an abusive relationship."
B) "I ask all my female patients if they are getting hurt or are afraid of their partners."
C) "I need to ask you some questions about domestic abuse if that is OK with you."
D) "This clinic has a policy of assessing women for being in abusive relationships."

Question 15

The nurse using standardized assessment tools to screen for intimate partner violence (IPV)knows what facts about the tools? (Select all that apply.)

A) The Abuse Assessment Screen (AAS)has a body drawing to mark injuries.
B) The Abuse Assessment Screen (AAS)includes a question about pregnancy.
C) The Woman's Experience with Battering (WEB)scale has been updated to include strangulation.
D) The Woman's Experience with Battering (WEB)scale looks for coercive behaviors.
E) The Woman's Experience with Battering (WEB)scale screens for psychological abuse.

Question 16

A nurse has assessed that a woman is a victim of intimate partner violence (IPV).The woman feels safe to go home from the clinic.The priority action by the nurse would be to:

A) give the woman resources she can keep with her at all times.
B) help the woman create a safety plan for her and her children.
C) let the woman make phone calls from the clinic telephones.
D) tell the woman that the nurse is available to help her if needed.

Question 17

A nurse working in a community clinic usually is consistent about screening women for intimate partner violence (IPV).However, the nursing manager found two charts during an audit in which the nurse did not do the screening.When asked, the nurse stated that the two women were lesbians, so she did not need to screen them.What response by the manager is best?

A) "Lesbians who are in intimate relationships are considered intimate partners."
B) "There is a specific screening tool just for lesbians and homosexuals."
C) "You have to screen all women for IPV regardless of their sexual preference."
D) "You're right; lesbians have a far lower rate of IPV than heterosexuals do."

Question 18

A patient presents to the clinic with a sore throat and sinus pain, but the nurse notices several bruises of different ages, including some on her face.When asked, the patient states she fell down the stairs last week.Which action by the nurse is best?

A) Ask the patient outright whether she is being abused by someone.
B) Call local law enforcement to come and take a crime report.
C) Document the injuries but do not question the patient about it.
D) Explain that these injuries do not seem consistent with a fall.

Question 19

A nurse working in the emergency department explains to a student nurse that the sexual assault nurse examiner (SANE)works with victims of intimate partner violence (IPV)to provide: (Select all that apply.)

A) ongoing counseling.
B) evidence collection.
C) health examinations.
D) psychological counseling.
E) treatment if needed.

Question 20

A new nurse working in an obstetrics (OB)practice questions the rationale for screening all OB patients for intimate partner violence (IPV).The best answer by the nurse's mentor is ,

A) "Battering slows down during pregnancy, so it's an ideal time to intervene."
B) "It should just be a routine part of every nurse's practice to screen for IPV."
C) "Most women seek health care when pregnant, so we can make a big difference."
D) "Pregnant women tend to be more emotional and more willing to confide in us."

Question 21

The nurse assessing women for their risks of becoming victims of intimate partner violence (IPV)knows that which factors increase this risk? (Select all that apply.)

A) Exposure to abuse as a child
B) Harmful use of alcohol
C) Lower educational levels
D) Single-parent family
E) Witnessing IPV between parents