Deck 23: Nursing in a Culture of Violence

Question 1

For what non-accidental injuries in children should nurses assess when looking for signs of physical abuse? (Select all that apply. )

A)Fractures and bruises
B)Spinal injuries
C)Burns
D)Near drowning
E)Head injuries

Answer 1

Fractures and bruises
Spinal injuries
Burns
Head injuries

Question 2

Which worker in the service sector is at greatest risk for violence in the workplace?

A)EMTs
B)Physicians
C)Gas station attendants
D)Mail carriers

Answer 2

Gas station attendants

Question 3

What behavior should the nurse demonstrate when caring for victims of abuse?

A)Distant
B)Authoritarian
C)Nonjudgmental
D)Judgmental

Answer 3

Nonjudgmental

Question 4

As a nurse assessing abused children,the abused child may display which behavioral characteristics? (Select all that apply. )

A)High need for adult contact
B)Attempt suicide or abuse alcohol or drugs
C)Consistently be measured in the 95^th percentile on growth charts
D)Verbalize fault for injuries: "I deserved it"
E)Express violence toward pets

Question 5

What is the result of exposure to violence in the community?

A)Inevitable depression
B)Not a problem outside the poor neighborhoods
C)Mediated by the quality of family and social supports
D)Important only for children

Question 6

As a school nurse evaluating a child after a fight,it is imperative to understand that violent acts committed at school are often associated with which characteristics? (Select all that apply. )

A)Social ostracism
B)Physical bullying
C)Close peer relationships
D)Bullying
E)More at high schools than middle schools

Question 7

Which is true about who perpetrates most intimate partner abuse against whom?

A)By men against other men
B)By men against women
C)By caregivers against elders
D)By adults against children

Question 8

A charge nurse does not like working with new graduates and always assigns them the most complicated patients.What does this exemplify?

A)An appropriate work assignment
B)Bullying
C)Professional development
D)Transactional leadership

Question 9

What must be done when assessing an injured patient? (Select all that apply. )

A)Ensure privacy
B)Be alert for signs of abuse
C)Provide safety
D)Assert personal values
E)Display a nonjudgmental demeanor

Question 10

A person comes into the emergency department with injuries consistent with abuse.In which order should the nurse complete the assessment of this person's injuries?

A)Paresthesia
B)Facial bruising
C)Limited joint mobility
D)Abdominal tenderness
E)Skin tenderness and scars

Question 11

What should the nurse do when caring for a victim of abuse? (Select all that apply. )

A)Ensure the client's safety
B)Support the client
C)Empower the client to take control
D)Avoid the team approach when assessing the patient
E)Provide information regarding available services for the patient

Question 12

An emergency room nurse is caring for a repeated domestic violence victim/client who refuses to leave the abuser.What should the nurse understand as a common reason why victims refuse to leave an abusive relationship?

A)They are economically dependent.
B)They are uneducated.
C)They subconsciously enjoy the abuse.
D)They have a high degree of self-respect.

Question 13

A nurse assesses a client and strongly suspects child abuse.What should the nurse do next?

A)Ask the child to speak to the police.
B)Report the finding to child protection authorities.
C)Provide necessary immediate care and arrange for follow-up care of the injured.
D)Tell the parents that the nurse suspects abuse.

Question 14

What assessment finding indicates that a child is a victim of sexual abuse?

A)Repeated ear infections
B)Hives
C)Genital and/or anal irritation or trauma
D)Early appearance of secondary sex characteristics

Question 15

A nurse discovers that a person is being abused.What should the nurse do to prevent the abuse from continuing? (Select all that apply. )

A)Appropriate assessment
B)Verbalize to the victim that he or she is a good person and the abuser is the bad person
C)Documentation
D)Intervention
E)Know the laws associated with reporting abuse

Question 16

Sibling violence is a form of family violence.Which is correct about sibling violence?

A)It is often unrecognized.
B)It occurs less in the early years and increases with age of the child.
C)Girls are more violent toward their siblings than are boys.
D)Sibling violence leads to less aggressive behavior problems with non-related peers.

Question 17

The nurse interacting with a couple and suspecting domestic abuse should look for what traits commonly found among abusive individuals?

A)Career and goal directed
B)Over-possessiveness and jealousy
C)Economically independent
D)Passivity and withdrawal

Question 18

A home health nurse visits a 78-year-old man in his home.The man is ambulatory and shows no physical distress;however,his clothing appears soiled and smells of urine.What do these findings indicate?

A)Institutional abuse
B)Self-neglect
C)Domestic abuse
D)Emotional abuse

Question 19

When assessing community needs,where should the nurse be aware that domestic violence is found?

A)All strata of society
B)Exclusively among the less well-educated segment of the population
C)Primarily in lower-income families
D)Mostly in the elderly

Question 20

What assessment finding indicates that a client is a victim of shaken baby syndrome?

A)Fractures of the long bones
B)Retinal hemorrhages
C)Abrasions
D)Burns

Question 21

While assessing an older patient in the emergency department the nurse suspects that the patient has been abused.In which order should the nurse approach the care of this patient?

A)Review options for help
B)Provide information for services to help
C)Determine if the patient is in any danger
D)Emphasize that the patient has the right to be safe
E)Explain that the patient is not to blame for any abuse

Question 22

Which are considered weapons of mass destruction?

A)Agricultural,zoological,and robotics
B)Aircraft,ships,and trains
C)Fire,flood,and hurricane
D)Biological,chemical,and nuclear