Deck 8: Interpersonal Violence Assessment

Question 1

During a home visit,the nurse notes that an older woman is caring for her bedridden husband who is unable to care for himself.The woman states that caring for him is her duty and that she does the best she can.Her children also help out whenever they are in town.The woman appears thin,weak,and exhausted.The nurse notices that several of his prescription medication bottles are empty.This situation is best described by which term?

A)Physical abuse
B)Financial neglect
C)Psychological abuse
D)Unintentional neglect

Answer 1

Unintentional neglect

Question 2

The nurse is using the danger assessment (DA)tool to evaluate the risk of homicide.Which of the following statements best describes its use?

A)The DA tool is to be administered by law enforcement personnel.
B)The DA tool should be used in every assessment of suspected abuse.
C)The number of "Yes" answers indicates the woman's understanding of her situation.
D)The more affirmative answers there are,the more serious is the danger in the woman's situation.

Answer 2

The more affirmative answers there are,the more serious is the danger in the woman's situation.

Question 3

The nurse is a mandatory reporter of child abuse.Which of the following must be present before authorities should be notified?

A)Statements from the victim
B)Statements from witnesses
C)Proof of abuse and neglect
D)Suspicion of child abuse and neglect

Answer 3

Suspicion of child abuse and neglect

Question 4

The nurse suspects abuse when a 10-year-old child is brought to the urgent care centre for a leg injury.The best way to document the history and physical findings is to:

A)write what the child's caregiver tells the nurse.
B)use the words the child used to describe how the injury occurred.
C)write what the nurse observes during the conversation.
D)rely on photographs of the injuries.

Question 5

The nurse is assessing an older woman and suspects elder abuse.Which of the following questions are appropriate for screening for abuse? (Select all that apply. )

A)Has anyone ever physically hurt you?
B)Are you being abused?
C)Are you alone a lot?
D)Are you afraid of anybody at home or who enters your home?
E)Has anyone ever failed to take care of you when you needed help?

Question 6

When assessing bruises,which colour indicates a new bruise that is less than 2 hours old?

A)Red
B)Purple-blue
C)Greenish brown
D)Brownish yellow

Question 7

During a home visit,the nurse notices that an older woman has very little food in her cabinets or refrigerator and that most of her prescription bottles are empty.She says that she has enough money,but her nephew has her chequebook and "takes care of everything." She says,"Oh,my nephew will get around to getting groceries and my medicine when he can.He's very busy." This situation is an example of:

A)financial abuse.
B)financial neglect.
C)psychological neglect.
D)physical abuse.

Question 8

Which one of the following injuries would the nurse expect to commonly see in a patient who is experiencing IPV?

A)Abrasions
B)Contusions
C)Fractures
D)Chronic pain

Question 9

In which following situation is the nurse required to perform intimate partner violence (IPV)screening?

A)When IPV is suspected
B)When a woman has an unexplained injury
C)As a routine part of each health care encounter
D)When there is a known history of abuse in the family

Question 10

During an examination,the nurse notices a patterned injury on a patient's back.Which of the following would cause such an injury?

A)Blunt force
B)Friction abrasion
C)Stabbing with a kitchen knife
D)Whipping from an extension cord

Question 11

When documenting IPV and elder abuse,the nurse should include:

A)photographic documentation of injuries.
B)a summary of the abused person's statements.
C)verbatim documentation of every statement made by the abused person.
D)a general description of injuries in the progress notes.