Question 1

Mrs.Parghi,26 years old,is at the travel clinic to update her immunizations prior to a trip to India.Mrs.Parghi has not been home since her arranged marriage five years ago.The nurse suspects that Mrs.Parghi is being abused.What would be an indicator of potential emotional abuse?

A) The client has a large hematoma on her elbow.
B) Mrs.Parghi makes very little eye contact.
C) The client appears nervous or a little anxious.
D) Mrs.Parghi is overly passive and withdrawn.

Accepted Answer

Overly passive and withdrawn behavior can be a potential indicator of emotional abuse. It may be a sign that the client feels powerless and is unable to express themselves freely, likely due to emotional abuse from a partner or caregiver. A large hematoma on the elbow (A) could be a sign of physical abuse, while appearing nervous or anxious (C) could be a result of a variety of factors unrelated to abuse. Mrs.Parghi's lack of eye contact (B) may also be due to cultural norms or personal preference rather than a sign of abuse.

Question 2

Kasha,a nursing student,is preparing for a postpartum home visit.During the visit Kasha plans to do routine screening for the potential of abuse of the client.What would be an appropriate question to ask?

A) "Does anyone close to you call you names,criticize your friends or family,or try to control you?"
B) "Has your husband ever forced you to have sex when you did not want to?"
C) "Lots of women have been victimized.Does your husband hit you?"
D) "The injuries you have suggest to me that someone may have hit you.Did anyone hit you?"

Accepted Answer

This question is open-ended and non-judgmental, and it addresses emotional abuse and control, which are key indicators of potential abuse. It does not assume that abuse is happening and allows the client to disclose any experiences without feeling judged or pressured. Option B is also appropriate, but it is more specific to sexual abuse, and option C and D are closed-ended questions that assume abuse is happening and may make the client feel uncomfortable or defensive.

Question 3

What is statement best illustrates cultural humility?&#10;A) Shifts the focus from nurses' competencies to giving power to community members to say whether or not they feel safe&#10;B) A commitment to ongoing self-reflection and self-critique to establish and maintain mutually beneficial partnerships with communities&#10;C) The application of knowledge,skills,and attitudes required by nurses to provide appropriate care in relation to the characteristics of the client&#10;D) A dynamic,action-oriented process that focuses on power relations and intervention strategies in creating relationships with greater equity in resources,status,authority,and health

Accepted Answer

Cultural humility involves committing to ongoing self-reflection and self-critique in order to establish mutually beneficial partnerships with communities. Choice A refers to community empowerment and choice C refers to cultural competence, which are related but not the same as cultural humility. Choice D emphasizes intervention strategies rather than self-reflection and self-critique, so it is not the best choice.

Question 4

Which statement accurately reflects the spousal homicide rate of Aboriginal women?&#10;A) About eight times higher than the rate for all other Canadian women&#10;B) A comparable rate to that of all other Canadian women&#10;C) About 10 times higher than the rate for all other Canadian women&#10;D) On average is two times lower than the rate for all other Canadian women

Accepted Answer

The spousal homicide rate for Aboriginal women is significantly higher than that for all other Canadian women, approximately eight times higher, reflecting systemic issues and disparities faced by Aboriginal communities.

Question 5

Jeff encourages his male partner,Tom,to end new friendships because he doesn't like Tom to see other people.Jeff tells jokes about Tom in front of family.How prevalent is violence in homosexual relationships?

A) Rates of violence and spousal homicide are on the rise.
B) Rates are comparable to those for heterosexual couples.
C) There is next to no abuse in same-sex relationships.
D) Of those surveyed,28% experience domestic violence and 15% experience emotional maltreatment.

Accepted Answer

Research indicates that rates of domestic violence in homosexual relationships are comparable to those in heterosexual relationships.

Question 6

A nurse is using the ABCD-ER mnemonic tool.What is the nurse's primary concern?&#10;A) Collecting physical evidence&#10;B) Empowering the survivors to escape violence&#10;C) Mandatory reporting to police&#10;D) Ensuring the safety of the woman/family member

Accepted Answer

The ABCD-ER mnemonic tool stands for Ask, Believe, Connect, Document, Evaluate, and Refer. This tool is used when addressing intimate partner violence (IPV). The primary concern of the nurse using this tool is to ensure the safety of the woman/family member by assessing for any immediate danger and providing necessary interventions. The other options may be important in certain situations but are not the primary concern addressed by the ABCD-ER tool.

Question 7

A nurse is following a routine universal comprehensive screening protocol for woman abuse during an immunization clinic.What should the nurse do first?&#10;A) Offer information about referrals and follow-up services that are available&#10;B) Tell the client that woman abuse reporting is mandatory&#10;C) Explain to the client that abuse screening is now part of all interactions with women&#10;D) Discuss some of the common health effects of woman abuse

Accepted Answer

The nurse should first explain to the client that abuse screening is now part of all interactions with women, as this will help the client understand why they are being asked about abuse and make them more comfortable with the process. Offering information about referrals and follow-up services, discussing the common health effects of woman abuse, and stating that reporting is mandatory can all come later in the conversation.

Question 8

What activity is consistent with primary prevention of family violence?&#10;A) Referring a child and their family for counselling after sexual abuse&#10;B) Screening all women for signs of abuse&#10;C) Teaching students about alternative conflict-resolution skills&#10;D) Home visiting high-risk families

Accepted Answer

Teaching students about alternative conflict-resolution skills is consistent with primary prevention of family violence as it aims to address the root causes of violence by promoting healthy, non-violent ways of resolving conflict. Referring a child and their family for counselling after sexual abuse, screening women for signs of abuse, and home visiting high-risk families are all examples of secondary or tertiary prevention, which focus on reducing the negative consequences of violence that has already occurred or is likely to occur.

Question 9

What is an example of elder neglect?&#10;A) Withholding medications that an elderly person is required to take&#10;B) Handling an elderly person in a rough manner that causes harm&#10;C) Verbally threatening to place a senior in an extended care facility&#10;D) Taking advantage of an older adult financially

Accepted Answer

Withholding medications from an elderly person can harm their health and wellbeing, and is a form of neglect.

Answer: B
 Handling an elderly person roughly can cause physical harm and injury, and is a form of neglect.

Answer: C
 Verbally threatening to place a senior in an extended care facility can cause emotional distress and anxiety, but it is not necessarily neglect.

Answer: D
 Taking advantage of an older adult financially is a form of elder abuse, but it is not necessarily neglect.

Question 10

Mr.Jackson uses various forms of harassment and displays excessive jealousy toward his common-law partner.What term best defines this type of abusive behaviour?&#10;A) Emotional&#10;B) Physical&#10;C) Isolation&#10;D) Sexual

Accepted Answer

Mr. Jackson's behaviour falls under emotional abuse as he is using harassment and jealousy to manipulate and control his common-law partner, causing emotional harm.

Question 11

In 2003,what was the estimated annual cost of child abuse to child victims and adults?&#10;A) $64 million&#10;B) $34 billion&#10;C) $2.3 million&#10;D) $15 billion

Accepted Answer

The answer of In 2003,what was the estimated annual cost...

Deck 26: Violence in Societies