Deck 16: Violence and Abuse

Question 1

The nurse is assessing a new client who was admitted after a serious assault. Which is the best response from the nurse when the client questions why the healthcare provider has indicated the assault is most likely gender-based violence?

A) "Gender-based violence is a homicide of a female that occurs in the context of intimate partner violence."
B) "Gender-based violence is violence that targets people or groups of people on the basis of their gender."
C) "Gender-based violence is a pattern of assaultive and coercive behaviors perpetrated against an individual by one who is, was, or wishes to be in an intimate relationship with the victim."
D) "Gender-based violence is a type of violence typically committed by one gender but not the other."

Answer 1

"Gender-based violence is violence that targets people or groups of people on the basis of their gender."

Question 2

The nurse is evaluating a young mother who believes she may be pregnant again. Which relationship factor discovered by the nurse should raise suspicions that this family is at risk for intimate partner violence?

A) Emotional dependence and insecurity
B) Belief in strict gender roles
C) Desire for power and control
D) Unhealthy family interactions

Answer 2

Unhealthy family interactions

Question 3

The public health nurse provides outpatient healthcare services to the members of the community. Which factor would alert the nurse to screen for potential intimate partner violence based on societal risk factors?

A) Experiencing poor parenting
B) Marital instability
C) Unwillingness of neighbors to intervene when violence is witnessed
D) Traditional gender roles

Answer 3

Traditional gender roles

Question 4

Preventing intimate partner violence (IPV) and recurrence of violence requires targeting efforts at all three levels of prevention: primary, secondary, and tertiary. Which best represents a secondary prevention strategy?

A) Creating and broadcasting a public service announcement that raises awareness about IPV
B) Putting up posters around the health provider's office that give tips on what to do if one is in an abusive relationship
C) Screening a client for evidence of abuse who has several risk factors for IPV
D) Providing a client who is being abused by the spouse the number to an abuse hotline to get help leaving the spouse

Question 5

Pediatric providers face special issues in screening for intimate partner violence (IPV) in a caregiver who is accompanying a child. Which strategies should the healthcare providers prioritize for addressing this screening issue? (Select all that apply.)

A) Asking the parent directly, with the child present
B) Asking the child directly, while the parent is out of the room
C) Asking the parent indirectly, with a written questionnaire or computer survey
D) Screening for the safety and dangerousness of the situation before deciding whether to ask the parent
E) Informing parents about mandatory reporting law after asking questions

Question 6

The nurse is completing a lethality assessment with a client. Which are the most appropriate lethality risk questions for the nurse address? (Select all that apply.)

A) "Is there a gun in your house?"
B) "Are you using drugs or drinking excessively?"
C) "Has your partner ever been arrested?"
D) "What is the worst thing your partner has ever done to you?"
E) "Do you feel that the partner is capable of hurting you?"

Question 7

Preventing intimate partner violence (IPV) and recurrence of violence requires targeting efforts at all three levels of prevention: primary, secondary, and tertiary. Which is an appropriate tertiary prevention strategy?

A) Adding a question to the standard health history form that asks whether the client is currently experiencing abuse
B) Putting up posters around the health provider's office that give tips on what to do if one is in an abusive relationship
C) Screening a client for evidence of abuse who has several risk factors for IPV
D) Providing a client who is being abused by the spouse the number to an abuse hotline to get help leaving the spouse

Question 8

The public health nurse is conducting a routine well-child visit. Which statements should raise concern with the nurse in regards for the safety of children? (Select all that apply.)

A) "My partner says that one day I'll get a bullet through my head if I don't stop nagging him."
B) "My 3-year-old daughter cries when my partner and I argue."
C) "My spouse sometimes makes our child come into our bedroom and watch as I am being hit."
D) "The last time we fought, my partner threatened to go pull out the shotgun."
E) "My spouse got upset with how much our child was texting and took the phone away for a month."

Question 9

A nurse is preparing to make a mandatory report of intimate partner violence (IPV) with regard to the caregiver of a pediatric client. Which actions should the nurse prioritize? (Select all that apply.)

A) Tell the child about the possibility of filing a mandatory report
B) Determine whether it will be safe to inform the child about the report
C) Ask about the child's incidence of using drugs
D) Ask the victim whether he or she has a plan to keep him- or herself and the child safe
E) Ask the victim if he or she would like to file a report at the same time as you file yours

Question 10

The public health department is concerned there is an increase in violence among the children in the community. Which individual should the department involve in determining which children are most likely to be a victim or a perpetrator?

A) Pediatric primary care provider
B) Parent
C) School nurse
D) Next door neighbor

Question 11

After examining a client, the nurse asks the client questions about some bruises on the back. The client confides that the spouse has started hitting him or her when they argue. The nurse makes recommendations about getting help; the client dismisses them and states, "It's just a few bruises. I think I can handle it." Which long-term consequences of exposure to violence, according to Healthy People 2020, should the nurse discuss with this client? (Select all that apply.)

A) Premature death
B) Cancer
C) Disability
D) Lost productivity
E) Obesity

Question 12

The home health nurse is meeting with a new older adult client whose primary caregiver has requested additional assistance due to other family obligations. Which findings on the assessment should raise a red flag to the nurse for the potential of elder abuse in this household? (Select all that apply.)

A) Client appears dehydrated
B) The client mentions she is always hungry
C) Caregiver appears impatient with the session
D) Young children are playing with the client
E) The client shares her favorite television program

Question 13

A 50-year-old client recently underwent a divorce and has two teenaged children. The client has an associate's degree from the local community college and earns an annual salary of $22,000. Which risk factors place this client at risk for intimate partner violence (IPV)? (Select all that apply.)

A) Age of 50 years
B) Education at associate's degree level
C) Recent divorce
D) Having two teenaged children
E) Annual salary of $22,000

Question 14

The nurse helps a client who is a victim of intimate partner violence (IPV) with safety planning. The client worries about what to do if the partner becomes violent again. Which location should the nurse point out would be most appropriate if the nurse is at home?

A) Kitchen because it is well-lit
B) Bathroom because it is a small space
C) Basement because there are places to hide
D) Living room because there are windows

Question 15

The nurse is completing a screening of a suspected case of child abuse. Which instance would the nurse considered child abuse and neglect and report? Select all that apply.

A) A father leaving a child in the back seat of a car on a hot August day
B) A mother not feeding a 5-year-old child all day
C) A mother allowing her boyfriend to punch her daughter
D) A caregiver smacking away a toddler's hand when the child reaches for a hot stove
E) A neighbor touching the private parts of a 12-year-old boy

Question 16

The public health nurse has noted an increase in intimate partner violence (IPV) in the community after several local factories have shut down. When evaluating the risks and results of IPV, which would be considered femicide?

A) A homicide of a female that occurs in the context of IPV
B) Violence that targets people or groups of people on the basis of their gender
C) A pattern of assaultive and coercive behaviors
D) A suicide by a female that occurs in the context of IPV

Question 17

The nurse at the university health clinic is preparing a class dealing with the subject of intimate partner violence (IPV). Which factors should the nurse include when pointing out the basic concepts included in the definition of IPV? (Select all that apply.)

A) Emotional injury
B) Sexual assault
C) Progressive social interaction
D) Physical injury
E) Deprivation

Question 18

A class of nursing students is preparing to analyze the Healthy People 2020 to learn more about the goals related to decreasing intimate partner violence (IPV). Which injury prevention objective will this class discover?

A) Prevention of drug-related deaths
B) Identification of improper chemical storage in homes
C) Decreased incidents of homicide, child maltreatment, and physical assaults
D) Elimination of alcohol possession by adolescents on school property

Question 19

The public health nurse notes an upswing in the number of gun-related homicides in the community. Which risk factors would the nurse most likely find in the community in association with committing gun-related homicide? (Select all that apply.)

A) Low income
B) Lack of education
C) Female gender
D) Being a victim of discrimination
E) Lack of employment opportunities

Question 20

The nurse assesses a new client and performs a standard screening for intimate partner violence. Which is the most appropriate question to ask first?

A) "Are you in danger now?"
B) "It's normal for couples to disagree about things. What happens when you and your partner disagree?"
C) "Do you ever think about hurting yourself, cutting, stopping eating, or purging food?"
D) "Have you ever thought about or been granted a restraining order?"

Question 21

The nurse cares for a woman at 39 weeks' gestation who recently revealed that she is being physically abused by her partner. Which conditions associated with intimate partner violence (IPV) should the nurse look for in this client and in her child now and in the coming weeks? (Select all that apply.)

A) Depression in the mother
B) Low--birth-weight infant
C) Down syndrome in the infant
D) Gestational diabetes in the mother
E) Cleft palate in the infant