Deck 34: Interpersonal Violence

Question 1

The nurse is reviewing case files for children at risk for injury resulting in brain injury.Which child is at most risk for experiencing this type of violence?

A) A Caucasian, six-month-old infant living with a single mother
B) An African-American, 24-month-old child living with her grandmother
C) A Mexican, three-year-old child living in an inner city apartment
D) A Japanese, eight-year-old child living in a home with three generations of family

Answer 1

A Caucasian, six-month-old infant living with a single mother

Question 2

Critical Thinking: A crisis intervention nurse is training emergency department staff on treatment needs of persons in abusive relationships.What is a common difficulty staff encounter when caring for this population?

A) There is not a good legal pathway to help persons in abusive relationships.
B) The abused person may return to the abusive home setting.
C) Hospital policies do not identify the legal care needed for abused persons.
D) Because length of care is short in the emergency department, there is little staff can do for patients who have been abused.

Answer 2

The abused person may return to the abusive home setting.

Question 3

A nurse is caring for a patient in the emergency department who has been a victim of intimate partner violence.What is most important for the nurse to include in the plan of care?

A) Medication to calm the perpetrator of the violence
B) A list of community resources
C) A referral for self-defense training
D) A referral to the victim's religious advisor

Answer 3

A list of community resources

Question 4

The nurse working at a women's health clinic is seeing a teenage female patient who has come in for a refill on her birth control medication and with a complaint of abdominal pain.When the nurse enters the room,the patient is sitting in the chair with her head down,rocking back and forth,does not make eye contact,and answers questions with no expression on her face.What assessment question would be important for the nurse to ask the patient?

A) "What brings you to the clinic today?"
B) "What can we do to help you today?"
C) "Do you feel safe in your current relationship?"
D) "Have you changed your diet lately?"

Question 5

The nurse is counseling women at a crisis shelter about risk factors for increased intimate partner violence.What event is most likely to trigger an increase in abusive behaviors?

A) Moving to a new community
B) Starting a new job
C) Becoming pregnant
D) The death of a grandfather

Question 6

The nurse is seeing a patient who has been in the clinic eight times in the past 6 months for injuries from an abusive partner.The patient states,"I don't see any way to get away from my partner,and I can't keep going on like this." What assessment question is most important for the nurse to ask?

A) "Do you have any family in the area that can help?"
B) "Have you thought about hurting yourself or someone else?"
C) "Have you thought about moving to a different city?"
D) "Have you discussed this with anyone else?

Question 7

The nurse is admitting a child with a history of abuse.The nurse understands that the child may exhibit what behaviors that are consequences of being in an abusive environment? (Select all that apply.)

A) Reliving abuse incidents
B) Sleep disturbance
C) Overeating
D) Acting out behaviors
E) Intermittent fever