Deck 28: Violence

Question 1

Which must be involved for an act to be considered a terrorist act?

A)A commitment to a political or religious belief
B)An attempt to force compliance with a particular set of religious or political beliefs and behaviors
C)Fear,intimidation,and violence
D)Violence resulting in plural deaths

Answer 1

Fear,intimidation,and violence

Question 2

Which best describes why all citizens should care about young people joining gangs?

A)Gangs are beginning to be seen in suburban areas
B)Gangs are responsible for destroying lives and property in inner cities
C)Gangs use violence to control neighborhoods
D)Gangs help give the young person protection,respect,and sense of belonging.

Answer 2

Gangs use violence to control neighborhoods

Question 3

A 6-month-old infant was brought in unresponsive by both parents.X-ray examination showed evidence of shaken baby syndrome.Which person is most likely responsible?

A)The babysitter
B)The dad
C)The grandparents
D)The mom

Answer 3

The dad

Question 4

A man was crying and said,"I didn't mean to do it.She just got me so angry I lost control.It will never happen again." The woman said,"It was my fault.I shouldn't have upset him." Then,looking at the nurse,the woman added,"Please don't report this.It will never happen again." Which is the most appropriate response by the nurse?

A)"Abusers don't stop unless intervention occurs.I have to report it."
B)"If you're sure it won't happen again,I'll let it go this time."
C)"Legally,I'm required to put this in the medical record."
D)"The decision is up to the physician,not me."

Question 5

A woman was seen in the emergency department with a greenstick broken arm and chest bruises.She explained she fell up a staircase at home while carrying laundry to the bedrooms.Besides assessing for other injuries,which action should be taken by the nurse?

A)Ask about and educate regarding intimate partner violence (IPV)
B)Assess for use of alcohol or other drugs that might have been a causative factor in the fall
C)Get the patient an x-ray examination to determine location and severity of the break
D)Immediately apply ice and immobilize in a sling

Question 6

The 7-year-old boy's hands were badly burnt; it was suspected that his mother had forced his hands into boiling hot water after she caught him masturbating.The staff did not want the mother to be allowed near the boy.Which statement would be made by the nurse to encourage the staff to interact more objectively with the mother?

A)"If we won't let the mom near,who does the child have for support at this painful time?"
B)"Most abusers were themselves abused as children and need help to learn how to be a more effective parent."
C)"The child may feel responsible; we have to let the mother fix their relationship."
D)"We need to encourage the mother to continue parenting him or the boy will become a ward of the state."

Question 7

Which best describes the incidence of abuse among pregnant women?

A)It is too difficult to determine the actual incidence of abuse among this population
B)It is estimated that approximately 1 out of every 10 women experiences abuse
C)Approximately one out of every six women has been abused by a partner
D)Abuse does not occur among pregnant women.

Question 8

A female student is at a fraternity party where alcohol is flowing freely,the music is loud,and people are dancing and talking.Most people seem to be having a great time.What action should the student take,if anything,when she overhears two men talking about having put ketamine in a girl's drink?

A)First get out of there,call the campus police,and then report what was heard
B)Nothing,because she had no idea which woman was targeted or even if she drank what was given to her
C)Talk to the two men about the dangers and side effects of ketamine
D)Watch to see if any young women pass out or are otherwise impaired

Question 9

A nurse is assessing a client for suicide risk.Which question would the nurse most likely ask the client?

A)"How often do you use consume alcohol or other legal or illegal substances?"
B)"How much sleep do you get each night?"
C)"Do you have any children?"
D)" How long have you lived at your current residence?"

Question 10

Which best describes why hate crimes involving violence are often considered worse than other crimes involving violence?

A)Because hate crimes cannot be avoided because one cannot change one's race or religious or sexual orientation
B)Because hate crimes often are committed by groups rather than individuals
C)Because more damage is typically done in a hate crime than in a typical assault and battery
D)Because the crime is personal,attacking the victim's identity

Question 11

Which best describes the typical perpetrator of homicide?

A)A person trying to engage in rape with the woman fighting back
B)A person who wanted money and she refused to give it to him
C)A stranger
D)An intimate partner

Question 12

A nurse is developing secondary prevention strategies to reduce violence for individuals in the community.Which strategy would the nurse most likely select to implement?

A)Providing counseling services for victims of violence
B)Offering parenting classes at a local high school
C)Educating children on methods of conflict resolution
D)Creating of a safety plan for victims of violence

Question 13

Where is youth violence most likely to occur?

A)At home
B)At recreational facilities
C)In inner city schools
D)In fast-food facilities where young adults are employed

Question 14

Which best explains why more nurses do not report violence against themselves to authorities?

A)Assumption that the nurse somehow "asked for it" by not being cautious enough or alert enough to avoid it
B)Assumption that nothing would be done about the situation anyway
C)Assumption that nurses can accept anything,from taking blame to being scapegoats for when outcomes are not positive
D)Assumption that patients and families cannot be held responsible; being assaulted is part of the job

Question 15

Which statement about homicide in 2015 is accurate?

A)Almost 80% of homicide victims were male
B)Approximately 70% of victims were killed by someone they knew
C)Approximately 25% of the offenders were female
D)Almost 75% of the murder victims were black,when race could be identified.

Question 16

A 4-year-old child is seen in the emergency department with a spiral fracture of the right arm.X-ray examination shows previously broken and healed bones.Which is the immediate responsibility of the nurse?

A)Call social services to immediately set up foster care for the child
B)Provide information about parenting and anger management classes
C)Report the child abuse to the local legal authorities
D)Try to establish rapport and trust with the child's family

Question 17

A rape victim says to the nurse,"He said he loved me; he had been so nice; he said he wanted to show me how much he loved me.And then he.…" Which is the most appropriate response by the nurse?

A)"Anyone can lose control; I'm sure he'll never do it again."
B)"I'm not sure he loves you; he may just have wanted easy sex."
C)"Rape isn't about love or even sex; it's about power and control."
D)"You shouldn't have gone up to his room alone when the two of you had both been drinking."

Question 18

For which group is suicide the second leading cause of death?

A)People aged 15 to 25 years
B)People aged 10 to 34 years
C)People aged 34 to 54 years
D)People over age 65 years

Question 19

An 80-year-old woman lived with her eldest daughter,the daughter's husband,and their three children.On this visit,the nurse noted the woman looked dehydrated and seemed depressed.Both wrists were red and scabbed.When asked if she was all right,the woman protested she was fine and her daughter took good care of her.Which action should be taken by the nurse?

A)Begin the paperwork to have the elderly woman put in a nursing home
B)Discuss respite care and other stress relief measures with the daughter
C)Report the elder abuse to the state department of aging
D)Review with the total family how to share responsibilities for the woman's care

Question 20

A woman is in the emergency department for the fifth time this year,each time with more severe injuries.Which is the primary responsibility of the nurse?

A)Insist she be discharged to a safe shelter where the perpetrator cannot find her
B)Provide information regarding safe shelters and sources of support
C)Report the assault and battery to the local police department so the perpetrator is arrested for the crime
D)Treat the injuries and inform the woman she may be killed if she stays with the perpetrator

Question 21

Although violence seems endemic in human society,which causative factors could be reduced if society agreed action was necessary? (Select all that apply.)

A)Access to firearms
B)Alcohol and other drug abuse
C)Mental illness
D)Intolerance of those with a different religious ideology
E)Video games,television shows,and movies
F)Pacifism as a belief system

Question 22

Which actions should a nurse take to ensure personal safety when engaging in home visits? (Select all that apply.)

A)Always sit between the client and the exit,and,when in doubt,leave the situation
B)Be sure of the correct address and always have a GPS system
C)Carry a cell phone and drive in a well-maintained car with a full gas tank
D)Have enough money that you can buy your way out of trouble
E)Only accept assignments within a few blocks of your own home
F)Take self-protection courses such as karate and carry a weapon for your own defense

Question 23

Which actions would public health professionals want to use as primary prevention against widespread community violence? (Select all that apply.)

A)Women seen in emergency departments should be asked about abuse
B)Courses for prisoners about avoiding violence and resolving conflict
C)Classes on parenting and supportive follow-up for new parents
D)Courses on anger management and conflict resolution
E)Community media campaigns to decrease acceptance of violence
F)Home visits to elderly clients should include screening for elder abuse

Question 24

In which clinical areas are nurses most at risk for workplace violence? (Select all that apply.)

A)Acute care/intensive care units
B)Community health clinics
C)Emergency departments
D)Geriatric units
E)Psychiatric units
F)Rehabilitation units

Question 25

A male strong firearms advocate stressed his guns were for self-protection,and he wanted all criminals to know his family had loaded guns in their home.Which best explains why a nurse would not support his actions?

A)Criminals carry more powerful and illegal guns
B)Guns in the home typically result in dead family members and friends
C)His children may be less careful than the adults in the family
D)Less trained individuals might think the guns were unloaded.