Deck 5: Violence Against Women

Question 1

Intimate partner violence (IPV)is seen in all races,ethnicities,religions,and socioeconomic backgrounds.Which statement is most accurate regarding the reporting of IPV in the United States?

A)Asian women report more IPV than do other minority groups.
B)Caucasian women report less IPV than do non-Caucasians.
C)Native-American women report IPV at a rate similar to other groups.
D)African-American women are less likely to report IPV than Caucasian women.

Answer 1

Caucasian women report less IPV than do non-Caucasians.

Question 2

The nurse suspects that a client who comes to the maternity clinic for a pregnancy test is in an abusive relationship.The nurse includes the abuse assessment screen as part of the assessment.Although the woman was very emotional and hesitant in responding to the questions,verbally she denied abuse as being a problem.While waiting for the results of the pregnancy test,the nurse decides to teach the client about partner abuse anyway.The rationale for the nurse's decision is that all women should be informed about:

A)The nurse's ethical responsibility to protect clients
B)The cycle of violence,which continues and escalates over time once it begins
C)Women's legal right not to be controlled by men
D)The masochistic nature of women who stay in abusive relationships

Answer 2

The cycle of violence,which continues and escalates over time once it begins

Question 3

Intervention for the sexual abuse survivor often is not attempted by maternity and women's health nurses because of the concern about increasing the distress of the woman and the lack of expertise in counseling.What initial intervention is appropriate and most important in facilitating the woman's care?

A)Initiating a referral to an expert counselor
B)Setting limits on what the client discloses
C)Listening and encouraging therapeutic communication skills
D)Acknowledging the nurse's discomfort to the client as an expression of empathy

Answer 3

Listening and encouraging therapeutic communication skills

Question 4

With regard to violence against women,intimate partner violence (IPV)nurses should be aware that:

A)Relationship violence usually consists of a single episode that the couple can put behind them
B)Violence often declines or ends with pregnancy
C)Economic coercion is considered part of IPV
D)Battered women generally are poorly educated and come from a deprived social background

Question 5

Proper documentation of the abuse as reported by the victim is a crucial role of the nurse.Evaluate the following data,which include information from the victim,and choose the best documentation by the nurse.A 34-year-old Caucasian arrives at the emergency department with a black right eye;she also is bleeding from the left side of her head.She reports that her boyfriend has been abusing her physically.The nurse performs a history and physical examination and documents her findings.

A)"Client alleges that her boyfriend beat her up."
B)"Client reports that her boyfriend hit her in the eye and head."
C)"Client is a 34-year-old Caucasian female.Presents with periorbital ecchymosis on right side.Laceration of left parietal area,3 cm long with tissue bridging.Approximately 1 cm deep.Client states that her boyfriend 'threw a brick from 10 feet away,aiming at my head.The corner of the brick hit the left side of my head.' She reports that he also 'hit me in the eye.' Client indicates that the hit was with her boyfriend's closed left fist."
D)"Client presents with a black eye and a cut on the left side of her head.Reports being abused."

Question 6

The nurse who is evaluating the client for potential abuse should be aware that intimate partner violence includes (choose all that apply):

A)Physical abuse
B)Sexual abuse
C)Emotional abuse
D)Psychologic abuse
E)Economic abuse

Question 7

The justification for the victimization of women very early in history was that:

A)Women were regarded as possessions
B)Women were the "weaker sex"
C)Control of women was necessary for protection
D)Women were created subordinate to men

Question 8

Common characteristics of a potential batterer include (choose all that apply):

A)High level of self-esteem
B)High frustration tolerance
C)Substance abuse problems
D)Excellent verbal skills
E)Personality disorders

Question 9

Which nursing diagnosis would be most applicable for battered women? Choose all that apply.

A)Loss of trust
B)Ineffective family coping
C)Situational low self-esteem
D)Risk for self-directed violence
E)Enhanced communication

Question 10

In 1979,Lenore Walker pioneered the cause of women as victims of violence when she published her book The Battered Woman.While Walker conducted her research she found a similar pattern of abuse among many of the women.This concept is now referred to as the Cycle of Violence.Which phase does not belong in this three-cycle pattern of violence?

A)Tension-building state
B)Frustration followed by violence
C)Acute battering incident
D)Kindness and contrite,loving behavior

Question 11

A young woman arrives at the emergency department and states that she thinks she has been raped.She is sobbing and expresses disbelief that this could happen because the man was her best friend.In an effort to calm the client in order to perform a thorough assessment and physical examination,the nurse acknowledges the client's fear and anxiety and tells her:

A)"Rape is not limited to strangers and frequently occurs by someone who is known to the victim."
B)"I would be very upset if my best friend did that to me;that is very unusual."
C)"You must feel very betrayed.In what way do you think you might have led him on?"
D)"This does not sound like rape.Didn't you just change your mind about having sex after the fact?"

Question 12

A thorough abuse assessment screen should be done on all clients.This screen includes (choose all that apply):

A)Asking the client if she has ever been slapped,kicked,punched,or physically hurt by her partner
B)Asking the client if she is afraid of her partner
C)Asking the client if she has been forced to perform sexual acts
D)Diagramming the client's current injuries on a body map
E)Asking the client what she did wrong to elicit the abuse

Question 13

Nurses who are part of a collaborative team that cares for victims of sexual assault and who have special education and training in forensic nursing are called ______________.

Question 14

The primary theme of the feminist perspective on violence against women recognizes the:

A)Role of testosterone as the underlying cause of men's violent behavior
B)Basic human instinctual drive toward aggression
C)Dominance and coercive control over women by men
D)Cultural norm of violence in Western society

Question 15

Nurses must remember that pregnancy is a time of risk for all women.Which condition is likely the biggest risk for the pregnant client?

A)Preeclampsia
B)Intimate partner violence (IPV)
C)Diabetes
D)Abnormal Pap test

Question 16

The primary responsibility of the nurse who suspects or confirms any type of violence against a woman is:

A)Report the incident to legal authorities
B)Provide information to social services
C)Call a client advocate who can assist in the client's decision making about what action to take
D)Document the incident (or findings)accurately and concisely in the client's record

Question 17

The nurse's best measure of evaluating care of a rape victim is that:

A)All legal evidence is preserved during the physical examination
B)The victim appreciates the legal information but decides not to pursue legal proceedings
C)The victim states that she is going to advocate against sexual violence
D)The victim leaves the health care facility without feeling revictimized