Deck 7: Domestic and Family Violence Assessments

Question 1

When documenting IPV and elder abuse,the nurse should include:

A)Photographic documentation of the injuries.
B)Summary of the abused patient's statements.
C)Verbatim documentation of every statement made.
D)General description of injuries in the progress notes.

Answer 1

Photographic documentation of the injuries.

Question 2

The nurse suspects abuse when a 10-year-old child is taken to the urgent care center for a leg injury.The best way to document the history and physical findings is to:

A)Document what the child's caregiver tells the nurse.
B)Use the words the child has said to describe how the injury occurred.
C)Record what the nurse observes during the conversation.
D)Rely on photographs of the injuries.

Answer 2

Use the words the child has said to describe how the injury occurred.

Question 3

Which statement is best for the nurse to use when preparing to administer the Abuse Assessment Screen?

A)"We are required by law to ask these questions."
B)"We need to talk about whether you believe you have been abused."
C)"We are asking these questions because we suspect that you are being abused."
D)"We need to ask the following questions because domestic violence is so common in our society."

Answer 3

"We need to ask the following questions because domestic violence is so common in our society."

Question 4

During an interview,a woman has answered "yes" to two of the Abuse Assessment Screen questions.What should the nurse say next?

A)"I need to report this abuse to the authorities."
B)"Tell me about this abuse in your relationship."
C)"So you were abused?"
D)"Do you know what caused this abuse?"

Question 5

The nurse is examining a 3-year-old child who was brought to the emergency department after a fall.Which bruise,if found,would be of most concern?

A)Bruise on the knee
B)Bruise on the elbow
C)Bruising on the abdomen
D)Bruise on the shin

Question 6

During an examination,the nurse notices a patterned injury on a patient's back.Which of these would cause such an injury?

A)Blunt force
B)Friction abrasion
C)Stabbing from a kitchen knife
D)Whipping from an extension cord

Question 7

The nurse is assessing bruising on an injured patient.Which color indicates a new bruise that is less than 2 hours old?

A)Red
B)Purple-blue
C)Greenish-brown
D)Brownish-yellow

Question 8

The nurse is aware that intimate partner violence (IPV)screening should occur with which situation?

A)When IPV is suspected
B)When a woman has an unexplained injury
C)As a routine part of each health care encounter
D)When a history of abuse in the family is known

Question 9

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 IPV.Examples of such conditions include:

A)Asthma.
B)Confusion.
C)Depression.
D)Frequent colds.

Question 10

The nurse assesses an older woman and suspects physical abuse.Which questions are appropriate for screening for abuse? Select all that apply.

A)"Has anyone made you afraid, touched you in ways that you did not want, or hurt you physically?"
B)"Are you being abused?"
C)"Have you relied on people for any of the following: bathing, dressing, shopping, banking, or meals?"
D)"Have you been upset because someone talked to you in a way that made you feel shamed or threatened?"
E)Have you relied on people for any of the following: bathing, dressing, shopping, banking, or meals?

Question 11

The nurse is using the danger assessment tool to evaluate the risk of homicide.Which of these statements best describes its use ?

A)The DA tool is to be administered by law enforcement personnel.
B)The DA tool should be used in every assessment of suspected abuse.
C)The number of "yes" answers indicates the woman's understanding of her situation.
D)The higher the number of "yes" answers, the more serious the danger of the woman's situation.

Question 12

Which term refers to a wound produced by the tearing or splitting of body tissue,usually from blunt impact over a bony surface?

A)Abrasion
B)Contusion
C)Laceration
D)Hematoma

Question 13

During a home visit,the nurse notices that an older adult woman is caring for her bedridden husband.The woman states that this is her duty,she does the best she can,and her children come to help when they are in town.Her husband is unable to care for himself,and she appears thin,weak,and exhausted.The nurse notices that several of his prescription medication bottles are empty.This situation is best described by the term:

A)Physical abuse.
B)Financial neglect.
C)Psychological abuse.
D)Unintentional physical neglect.

Question 14

As a mandatory reporter of elder abuse,which must be present before a nurse should notify the authorities?

A)Statements from the victim
B)Statements from witnesses
C)Proof of abuse and/or neglect
D)Suspicion of elder abuse and/or neglect