Deck 7: Domestic Violence Assessment

Question 1

When assessing bruising,which color indicates a new bruise that is less than 2 hours old?
1)Red
2)Purple-blue
3)Greenish-brown
4)Brownish-yellow

Answer 1

1
A new bruise is usually red and will often develop a purple or purple-blue appearance 12 to 36 hours after blunt-force trauma.The color of bruises (and ecchymoses)generally progresses from purple-blue to bluish-green to greenish-brown to brownish-yellow before fading away.

Question 2

During an examination,the nurse notices a patterned injury on a patient's back.Which of the following would cause such an injury?
1)Blunt force
2)Friction abrasion
3)Stabbing from a kitchen knife
4)Whipping from an extension cord

Answer 2

4
A patterned injury is an injury caused by an object that leaves a distinct pattern on the skin and/or organ.

Question 3

During an interview,a woman has answered "yes" to two of the Abuse Assessment Screen questions.What should the nurse say next?
1)"I need to report this abuse to the authorities."
2)"Tell me about this abuse in your relationship."
3)"So you were abused?"
4)"Do you know what caused this abuse?"

Answer 3

2
If a woman answers yes to any of the Abuse Assessment Screen questions,the nurse should ask questions designed to assess how recent and how serious the abuse was.Asking the woman to "tell me about this abuse in your relationship" is a good way to start.

Question 4

As a mandatory reporter of elder abuse,which of the following must be present before a nurse notifies the authorities?
1)Statements from the victim
2)Statements from witnesses
3)Proof of abuse and/or neglect
4)Suspicion of elder abuse and/or neglect

Question 5

When documenting intimate partner violence and elder abuse,the nurse should include:
1)photographic documentation of injuries.
2)a summary of the abused patient's statements.
3)verbatim documentation of every statement made.
4)a general description of injuries in the progress notes.

Question 6

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:
1)asthma.
2)confusion.
3)depression.
4)frequent colds.

Question 7

The nurse is assessing an elderly woman and suspects abuse.Which questions are appropriate for screening for abuse?
1)Has anyone ever physically hurt you?
2)Are you being abused?
3)Are you alone a lot?
4)Are you afraid of anybody at home or who enters your home?
5)Has anyone ever failed to help you take care of yourself when you needed help?

Question 8

The nurse is using the danger assessment (DA)tool to evaluate the risk of homicide.Which of the following statements best describes its use?
1)The DA tool is to be administered by law enforcement personnel.
2)The DA tool should be used in every assessment of suspected abuse.
3)The number of yes answers indicates the woman's understanding of her situation.
4)The more yes answers there are,the more serious the danger of the woman's situation.

Question 9

The nurse is aware that intimate partner violence (IPV)screening should occur with which situation?
1)When IPV is suspected
2)When a woman has an unexplained injury
3)As a routine part of each health care encounter
4)When there is a known history of abuse in the family

Question 10

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:
1)financial abuse.
2)financial neglect.
3)psychologic neglect.
4)physical abuse.

Question 11

Which term refers to a wound produced by the tearing and/or splitting of body tissue,usually from blunt impact over a bony surface?
1)Abrasion
2)Contusion
3)Laceration
4)Hematoma