Deck 15: Domestic Violence: Changing Theory, Changing Practice

Question 1

Increased interest in the problem of domestic violence is demonstrated by the ACA's requirement for __________ in health plans.

Answer 1

screening and brief counseling

Question 2

__________ and the need to feel confident can affect the way physicians deal with domestic violence.

Answer 2

Professional socialization

Question 3

When complex social problems are reduced to clinical diagnoses, it is called the __________ of social problems.

Answer 3

medicalization

Question 4

Clinicians lose sight of the larger social dynamics of domestic violence when it is classified as __________

Question 5

Trauma theory is limited in addressing domestic violence because it focuses on __________

Question 6

__________ contributes to the lack of care for men abused by female partners.

Question 7

When a physician takes a control position in addressing domestic violence, he/she may inadvertently __________ the patient.

Question 8

The complexity of domestic violence situations may require more time during an office visit. This issue may cause providers to be __________ for taking too much time.

Question 9

__________ training on domestic violence can raise awareness, but feedback in support sustained change.

Question 10

Reimbursement for healthcare requires a diagnosis. However, receiving a diagnosis may __________ the dangers for domestic violence survivors.

Question 11

Domestic violence is a social problem that requires medical, psychiatric, and support services. Using the information in Chapter 15, give three reasons why treating domestic violence is difficult for healthcare providers.

Question 12

Because clinicians have to deal with the complex issues related to domestic violence, should they be given more training? Using the information from Chapter 15 and the principles of ethics, discuss three reasons why, including domestic violence in the curriculum is ethical.

Question 13

Domestic terrorism has been compared to a hostage situation. Using the information in Chapter 15, explain how these situations are similar. What is the health care providers' ethical duty in this situation?

Question 14

A nurse denies feelings of non-empathy for a victim of domestic assault because she, too, was victim of domestic assault that she retracted herself from. What is this considered in terms of self-protection?

A) Givens
B) Societal
C) Assumptive
D) Cultural

Question 15

Dealing with domestic assault situations are which type of medical care?

A) Clinical
B) Psychosocial
C) Cultural
D) Societal

Question 16

Why are some clinicians unable to be empathetic to abuse?

A) They are unable to relinquish power to others.
B) They are unable to recognize abuse in their own lives.
C) Clinicians are not trained to consider their patients' domestic situations.
D) Clinicians are more about helping people medically rather than socially.

Question 17

Why is it important for nurses to not only assess a patient clinically, but also need to assess a patient's personal background?

A) Normally, a patient's clinical diagnosis is more urgent.
B) Over time, a patient's home life tends to disintegrate.
C) Often, a patient's clinical problems are caused by the patient's psychosocial situation.
D) Situationally, it depends on the patient and what he or she is seeking clinical help for.

Question 18

A patient presents with bruises but is only complaining about her stomach hurting. Her diagnosis is appendicitis and a nurse trainee does not inquire about the bruises. Why not?

A) The nurse has not been fully trained to recognize signs of abuse.
B) The nurse does not consider domestic violence as a clinical problem.
C) The nurse is not ready to be empathetic to the needs of the patient.
D) The nurse does not know the resources available for the patient.

Question 19

A patient tells a nurse that her husband does such things as give her a grocery list and the exact amount of money needed to purchase only the items on the grocery list, but has never hit her. Which battering term fits this situation?

A) Potential violence
B) Control
C) Threatening
D) Hostage situation

Question 20

Why do some domestic violence victims refuse to report the violence to their health care provider?

A) They have been retraumatized through their medical interactions in the past.
B) They are afraid to admit they are under someone else's control.
C) The victim is afraid of their abuser.
D) The victim is afraid of being treated like they deserve the violence.

Question 21

What is the problem in using therapies that claim the victim is codependent?

A) It makes the victim feel responsible for their partner's behavior.
B) It tells the victim that he or she is helpless.
C) It further impairs the victim from getting out of the violent situation.
D) It could endanger the victim for further abuse.

Question 22

What is one of the barriers to primary care providers in providing resources to victims of domestic violence?

A) Cost containment requirements
B) Lack of services available
C) Misunderstanding of the victims needs
D) Denial of services by the victim

Question 23

Why is a low-income woman who seeks help for domestic violence unlikely to receive the services she needs?

A) The system does not pay for those services.
B) The woman does not want the services suggested.
C) The choices for this woman are lacking.
D) The healthcare system does not provide mental health services.

Question 24

Why do domestic violence victims often not seek mental health services?

A) They cannot afford those services.
B) They do not believe they need mental health services.
C) They may further endanger them by labeling them as "crazy."
D) They do not have easy access to these services.

Question 25

How has the handling of mental health medical bills changed to benefit survivors?

A) HIPAA now allows bills to be sent to a secure address.
B) The mental health services are no longer recorded in the survivor's health record.
C) The bills can only be sent to the person who sponsors the coverage.
D) Mental health medical bills are no longer sent in the mail.

Question 26

What occurs when a patient presents with a fractured ulna and the nurse does not inquire about domestic violence?

A) Increased chance for further abuse
B) Decreased isolation
C) Decreased chance of for further abuse
D) Increased isolation

Question 27

A survivor of domestic violence presents and the nurse opens a conversation about the patterns of her abuse. How is the nurse's questions providing help to the survivor?

A) The survivor is a listening to options available.
B) The nurse is providing a safe place for the survivor.
C) The survivor can escape from her abuse.
D) The nurse is doing what is expected of all healthcare providers.

Question 28

How can models for providing care to domestic violence situations be changed most effectively to provide better care?

A) They should overhaul the entire system of providing services to victims of domestic violence.
B) They need to include more reimbursement for services.
C) They need to include collaborative care between several agencies dealing with resulting effects of domestic violence.
D) They should allow victims to be free about speaking of his or her situation.

Question 29

Why should training of healthcare providers about domestic violence be ongoing?

A) They can easily forget about domestic violence being a problem for their patients.
B) They need the support and feedback to continually respond to potential victims.
C) They will learn new strategies in dealing with patients who are victims.
D) They are required to attend for health insurance purposes.

Question 30

Why should clinicians be aware of services available in their communities for victims of domestic violence?

A) It is part of their position as a clinician.
B) They will better understand the issues survivors face.
C) Because the survivor does not know options available.
D) It is part of all healthcare systems.

Question 31

What are the personal and social barriers clinicians face when dealing with a domestic violence survivor?

A) They have too many patients on their roll.
B) They already have enough questions to ask their patients.
C) They are not properly trained to deal with victims.
D) They do not want to emotionally deal with victims.

Question 32

What has traditionally been the way clinicians treat domestic violence survivors?

A) They have consistently asked all patients about abuse within their home.
B) They have treated the survivor based on the own experiences.
C) They have provided the survivor with resources available within the community.
D) They have used best practices in treating the survivor.

Question 33

Medical training is lax in equipping physicians to deal with difficult social and personal issues.