Deck 61: Intimate Partner Violence Domestic Violence

Question 1

Which of the following would not be defined as intimate partner violence (IPV):

A) A pattern of behavior intended to intimidate a same-sex partner into thinking they are in imminent danger
B) A pattern of behavior with the intent of controlling a heterosexual partner through fear of bodily injury
C) A pattern of risk-taking behavior between two consenting adults that causes inadvertent injury to a partner without a pattern of aggressive or intimidating behavior.
D) A pattern of reckless behavior causing harm to a person who is in a dating relationship that does not include sexual intimacy
E) A pattern of behavior intended to harm a married spouse who immigrated from a culture that allowed husbands to physically reprimand wives based on religious belief in male dominance

Answer 1

C

Question 2

A 31-year-old married woman is brought into your clinic by her husband, and appears disheveled, nervously avoids eye contact, constricted affect, with a chief complaint of persistent headaches. Her husband insists on being with her for the office visit, to which she passively consents. Which of the following factors would decrease the likelihood of IPV?

A) The patient is HIV positive.
B) The patient is a transgender female.
C) The patient is moderately cognitively impaired.
D) The patient is third generation born in the United States.

Answer 2

D

Question 3

The patient discloses that her partner controls all finances and restricts her from purchasing anything without his direct consent over an allowance of $10/week, yet he expects her to prepare three meals per day at circumscribed times within these means. Any additional funds if approved are accompanied by belittling attacks on her character and value. Without further information, these allegations suggest that the patient is experiencing:

A) Sexual and economic abuse
B) Economic and emotional abuse
C) Physical and economic abuse
D) Economic and psychological abuse

Answer 3

B

Question 4

Providers at a primary care clinic that serves all ages and genders adhere to the recommendations from the U.S. Preventive Services Task Force when screening which of these patients:

A) Women of childbearing age
B) Elderly or vulnerable adult populations
C) Men
D) All of the above

Question 5

A 20-year-old transgender patient presents to the office with multiple bruises and periorbital hematoma. You notice in the chart that there were three other reported injuries during the past 6 months. Universal steps in all 50 U.S. states for assessing possible IPV include all the following except:

A) Provide confidential space for patient interview
B) Ask simple, direct, nonjudgmental questions
C) Use patient's words to record the identity of the alleged assailant and details about the event
D) Report the alleged incident and past history to law enforcement

Question 6

Although routine screening for IPV is not be recommended for all populations, the clinician must be vigilant to identify risks associated with all populations that would warrant further evaluation and referral to resources. Examples of these include:

A) Heightened attention to health-seeking behaviors
B) History of suicide attempt
C) Inconsistent descriptions of injuries
D) Patient recently became homeless
E) Patient is an incarcerated lesbian, gay, bisexual, or transgender individuals

Question 7

In 2014 the National Intimate Partner and Sexual Violence Survey (NIPSVS) released its first report on intimate partner violence, sexual violence, dating violence, and stalking victimization. The report stated that:

A) 1 in 5 people are victims of intimate partner violence
B) 1 in 10 people are victims of intimate partner violence
C) 1 in 15 people are victims of intimate partner violence
D) 1 in 20 people are victims of intimate partner violence

Question 8

A 36-year-old female patient presents to your clinic with abdominal pain, chills, tremor, fever, and anxiety. She is pale, thin, and avoids eye contact. A thorough history is taken and she reports that she drinks with her husband and he gives her pills, which she takes most every day. She is not sure what they are for but she feels better when she wakes up. Her husband is not with her but will return to pick her up at the clinic.
-You suspect IPV. Given your suspicion what are her risk factors?

A) Death due to injury
B) Pregnancy
C) Suicide
D) All of the above

Question 9

A 36-year-old female patient presents to your clinic with abdominal pain, chills, tremor, fever, and anxiety. She is pale, thin, and avoids eye contact. A thorough history is taken and she reports that she drinks with her husband and he gives her pills, which she takes most every day. She is not sure what they are for but she feels better when she wakes up. Her husband is not with her but will return to pick her up at the clinic.
-You specifically suspect a possibility of sexual abuse given her presentation. You decide you need to do a physical exam, lab work, and discuss a safety plan. What is your biggest priority given her husband may arrive at any moment?

A) A pelvic exam
B) Safety planning discussion identifying safety risk)
C) Making a mandated report
D) None of these are a priority at this time

Question 10

You are a new graduate and are not comfortable assessing intimate partner violence. You realize that you need help in order to fully assess IPV in a patient that you suspect may be at risk. Choose the best answer from the following:

A) Print the online screening questionnaire HITS and hand it to the patient to fill out.
B) Use the victimization scale to inform questions you would ask in an assessment.
C) Consult your state's penal code to be informed about mandatory reporting in the event of adult abuse.
D) All of the above