Deck 23: Violence: A Social and Family Problem

Question 1

The emergency department personnel were amazed when a child did not complain or flinch as the physician cleaned a rather nasty cut and then stitched it.What observation would cause the nurse even more concern?

A)After the bandage was applied,the child ran immediately back to his mother and hugged her very tightly.
B)The child said,"These things happen because I'm so bad."
C)The mother held the child throughout the procedure saying,"It's my entire fault.I left the knife out."
D)The mother said,"He is going through a growth spurt.I'll have to have more snacks around that don't require preparation."

Answer 1

The child said,"These things happen because I'm so bad."

Question 2

A nurse practitioner was working in the emergency department when a child with a stab wound in the abdomen was brought in by his mother.The mother explained that the child apparently had gone quietly into the kitchen,climbed up on a chair,and was peeling an apple when he fell and the paring knife went into his tummy.She heard his screams and brought him to the emergency department.What will the advanced practice nurse want to be sure to do?

A)Ask the child what really happened.
B)Ask the mother why the child was still hungry after bedtime.
C)Examine the child carefully for evidence of past injuries.
D)Stitch the wound,order an antibiotic,and apply a small dressing.

Answer 2

Examine the child carefully for evidence of past injuries.

Question 3

A new child moved into a neighborhood.The children next door asked him to come over and play.He thanked them but stayed home.Which of the following is an explanation for the child's behavior?

A)He came from a violent neighborhood where children never played outdoors.
B)He does not believe he knows the next door kids well enough yet.
C)His mother works and does not want to be asked to take a turn babysitting.
D)He has to take care of an ill family member after school.

Answer 3

He came from a violent neighborhood where children never played outdoors.

Question 4

During which period of life are young people at the greatest risk for dying from homicide?

A)First 5 years of life
B)First 2 years of life
C)First week of infancy
D)Teens (ages 13 to 19)

Question 5

Which of the following interventions demonstrates a community/public health nurse engaging in primary prevention related to adolescent violence?

A)Promoting youth engagement in social activities and employment opportunities
B)Educating gang members about the dangers of staying in the gang
C)Visiting jails or juvenile detention centers to see the consequences of violence
D)Screening youth for risk factors to identify if they have a tendency toward violence

Question 6

Members of the community state they are afraid of being attacked,robbed,beaten,or killed by a stranger.What would be an appropriate response by the nurse?

A)"All Americans must band together to protect our families and our neighborhoods."
B)"As the media clearly report,violence in our country is on the increase."
C)"Most violent acts are committed by family and friends."
D)"You are right to be concerned.There are many actions you can take to protect yourself."

Question 7

Which of the following groups is most often the victim of violence?

A)Adolescents
B)Adults aged 46 to 60
C)Elderly persons older than 65
D)Women aged 30 to 45

Question 8

The school nurse suspects that a child has been abused after observing several bruises.What action should the nurse take next?

A)The nurse should contact protective services as a mandatory reporter.
B)The nurse should contact the classroom teacher to collect additional information.
C)The nurse should not contact anyone and keep the information private.
D)The nurse should contact the family for an explanation of the child's bruises.

Question 9

A woman who is 4 months pregnant states that she has not told her husband that she is pregnant because he is upset enough over having lost his job a few months ago.Which of the following questions would the nurse want to ask the woman?

A)How much does she know about pregnancy and childbirth?
B)How does her husband react to stress?
C)Is she concerned that her husband will possibly hurt her when he finds out?
D)What are her plans for obtaining financial resources for the family?

Question 10

Which of the following is a crucial risk factor associated with being a victim of violence?

A)Being very extroverted
B)Lacking social activities
C)Living in poverty
D)Possessing low self-esteem

Question 11

Why do nursing students study violent behavior?

A)Americans are fascinated by stories about violence.
B)Many nursing students are from families with a history of violence.
C)The media often portrays heroes who use violence to win.
D)Violence resulting in injury affects the whole community.

Question 12

A school nurse is providing education about the consequences of bullying.What information would the nurse want to include?

A)Bullying has a significant and long-lasting effect on children's health.
B)Children can be taught how to effectively deal with bullies.
C)Most bullying occurs in elementary schools,especially on playgrounds during recess.
D)Screening for bullying is almost impossible because no one wants to be seen as a tattletale.

Question 13

Which of the following conclusions can be drawn from research on the effect of abuse on adults who become parents?

A)Adults who were abused are more likely to abuse their own children.
B)Adults who were abused avoid abusing their own children.
C)Adults who were abused are no more or less likely to abuse their own children.
D)There is no clear trend as to how previous abuse influences future abuse.

Question 14

Which child in a family is most likely to be abused?

A)The son who looks just like his father
B)The son who is handicapped
C)The daughter who is very personable
D)The daughter who is beautiful and brilliant

Question 15

Which of the following activities would put a woman most at risk of being abused,injured,or killed?

A)Being submissive and obedient
B)Having an affair with a friend of her husband
C)Being pregnant or threatening to leave the home
D)Walking in a downtown urban area wearing a short skirt and high-heeled shoes

Question 16

Which of the following is a rationale as to why abusive parents continue to abuse their children?

A)Children are born evil and have to have sin beaten out of them.
B)Good parents care enough to use physical discipline to teach their children.
C)Most parents consider strong physical punishment merely good discipline.
D)There are no repercussions,and other people rarely interfere.

Question 17

In which of the following places would violence most likely occur?

A)Public government buildings
B)Schools
C)Shopping malls
D)Workplaces

Question 18

Which of the following explanations is supported by extensive research as to why a person might resort to violence?

A)Children learn violent approaches from their peers.
B)Violence is a fast way to resolve conflict,requiring minimal time.
C)Children observe how movie heroes resolve problems.
D)Violence is seen as a socially acceptable strategy to solve problems.

Question 19

What known risk factors have been associated with violence internationally?

A)Censorship of media (newspaper,magazines,movies,television shows)
B)Drug,alcohol,and tobacco use
C)Monarchies,not democracies,as government
D)Strong-armed government militia

Question 20

What is a common finding related to violence in communities?

A)More than 25% of students in grades 9 to 12 report physical fighting during the past year.
B)Firearms are responsible for the majority of homicides in adults.
C)Homicide is the second leading cause of death for young people aged 10 to 24 years.
D)Most injuries caused by violence do not necessitate visits to the emergency department.

Question 21

The husband was worried about losing his job and had been very tense all week.His wife was surprised when that night he picked up his supper plate and threw it against the wall.He screamed,"You can't even cook decently!" What might the wife expect her husband to do next?

A)Apologize profusely after he calms down.
B)Ask her to go to work to improve their economic prospects.
C)Be fired when his anger flares at work.
D)Return to school to improve his employment prospects.

Question 22

A nurse working in obstetrics helps new mothers bond with their children.Which of the following observations would be of concern to the nurse? (Select all that apply.)

A)The mother appears frightened of her newborn and avoids touching him.
B)The mother continually praises her newborn and his nursing and sleeping.
C)The mother constantly looks at and talks to her newborn.
D)The mother touches her newborn,patting,hugging,and smiling at him.
E)The mother says "Boys are tough" as she rather carelessly changes his diaper.
F)The mother states that the newborn does not seem to like her.

Question 23

A woman returns to an abusive relationship despite being referred to a shelter by the community/public health nurse.Which of the following explains why the client would not accept this referral? (Select all that apply.)

A)If she attempts to leave,the man's reprisals may be even worse.
B)She may lack money,skill,or employment opportunities.
C)She secretly enjoys being dominated,like many victims of abuse.
D)She believes marriage is forever and divorce demonstrates failure.
E)If she moves to a shelter,she will not be safe there.
F)She enjoys having a strong man be responsible for her life.

Question 24

A home care nurse cared for an elderly client who lived with her daughter and was incontinent and sometimes confused.The nurse found her lying in wet linens.The elderly woman asked the nurse to change the sheets and not worry about it.Why would the elderly woman sound so unconcerned?

A)She may be ashamed that she has "accidents."
B)She knows she mistreated her daughter early in life,so this is just justice.
C)She may have nowhere else to live and prefers being at home with wet linens to a nursing home.
D)She thinks all children treat their parents like this.

Question 25

What is the relationship between socioeconomic class and intimate partner abuse?

A)Abuse is prevalent at all income levels in the United States.
B)High income is a risk factor for intimate partner abuse.
C)Families below the poverty level are at the lowest risk for intimate partner violence.
D)Families in the middle socioeconomic classes are better at hiding abuse.

Question 26

What is the most common form of elder abuse?

A)Emotional abuse
B)Financial abuse
C)Physical abuse
D)Sexual abuse

Question 27

The nurse was caring for an elderly gentleman who lived with his son.The nurse is concerned about elder abuse.Which of the following would be the most important intervention to be implemented by the nurse?

A)Counsel and recognize the son's efforts in relation to being a caregiver.
B)Encourage the son to consider respite care or adult daycare for his father.
C)Provide information to the son regarding nursing home placement.
D)Suggest that other family members assist with caregiving.

Question 28

The teenage mother's behavior seemed consistent with a fantasy that the newborn was rather like a doll who would love her forever.Which of the following would be the most appropriate nursing intervention? (Select all that apply.)

A)Enrolling the mother in a foster grandmother program
B)Demonstrating that screaming will help calm the newborn
C)Providing the mother a set of "how to be a parent" books
D)Inviting the mother to join a support group with other teenage mothers
E)Planning nursing assessment visits every 3 months during the first year
F)Explaining appropriate maternal behaviors before hospital discharge

Question 29

Which of the following has been successfully used to combat abuse and stalking? (Select all that apply.)

A)Encouraging victims to stand up for themselves and gain self-confidence
B)Concentrating on the offender,with mandatory arrests at the first episode
C)Encouraging men to teach nonviolence to the next generation of boys
D)Improving supportive services for abused spouses,such as transitional housing
E)Educating families about separation until the abuse is resolved
F)Training professionals to recognize and intervene in abusive situations

Question 30

What conclusions concerning firearms in the United States can be drawn? (Select all that apply.)

A)No data support the assertion that gun-control laws decrease violence.
B)Firearms are the second leading cause of death among 10- to 19-year-olds.
C)Higher rates of family ownership of guns are associated with lower homicide rates.
D)Laws have prevented sales of assault weapons but not handguns.
E)Regulations concerning firearms are more restrictive in the United States than in other industrialized nations.
F)Zero-tolerance laws have decreased firearm violence in schools.

Question 31

Which of the following factors are associated with increased risk of violence? (Select all that apply.)

A)Access to guns in the home
B)Extensive involvement in community activities
C)High levels of stress in the family
D)Low socioeconomic status
E)Rigid sex role expectations
F)Use of TV as a free babysitter

Question 32

After a husband slapped his wife,he apologized to her saying that his boss had been giving him impossible tasks and he had stopped for a drink after work.When the woman laughingly shared this story during a routine visit at the clinic,the nurse became concerned.What would have concerned the nurse?

A)The husband had a drink after work rather than coming right home.
B)The husband refused to take responsibility for his own actions.
C)The woman felt this episode was worth sharing.
D)The woman was laughing as she told the story.

Question 33

A woman was at the emergency department with a broken arm and bruises all over her torso.Radiographs showed evidence of previous broken bones.Which behavior exhibited by the woman would be most worrisome to the nurse?

A)Asking the nurse,"Do you know where I can go to get away from him?"
B)Accepting the blame for the incident,saying "I'm such a rotten housekeeper.I can't do anything right."
C)Crying,moaning,and begging for pain medication
D)Saying,"Do you think I should tell the police?"

Question 34

A 15-year-old mother brought her 2-month-old infant to the clinic,complaining that he was a bad baby.When she fed him cereal,the infant spit it back out.This frustrated the new mother and then she stated she would spank the infant.What important instructions should this mother receive?

A)Education about how to control her temper
B)Information about normal infant behaviors
C)Information about local support groups for teenage mothers
D)Education about how to find a positive role model

Question 35

In addition to size and strength differences,what leads men to choose to batter women?

A)They want more sex than women want to give them.
B)They want the power and control in the relationship.
C)They realize it is the only way to ensure that the woman acts appropriately.
D)They recognize how women drive them to it.

Question 36

Why are colleges establishing programs about appropriate dating behaviors? (Select all that apply.)

A)As a media campaign to assure parents that their children are safe in their college environment
B)As an attempt to emphasize that women have the right to say no
C)Because of feminist demands that men learn better self-control and appropriate social behavior
D)Because the majority of victims know their assailants
E)As public recognition that almost 25% of college-age women report an attempted or completed rape
F)Because most college women report physical or sexual violence during their adolescent or college years

Question 37

What is the typical effect of a restraining order?

A)It depends;it would work only if the woman went to a shelter and stayed there.
B)Negative;such an order will only make the man angrier and consequently more abusive.
C)Positive;statistics suggest such orders do reduce contact,threats,violence,and injury.
D)It will have a minimal effect one way or the other.

Question 38

A home care nurse was caring for an elderly gentleman who lived with his son.The client kept falling asleep.Which action is most important for the nurse to take?

A)Call the physician and ask for a daytime stimulant.
B)Check the medications for consistency between pills and prescribed doses.
C)Suggest that the client get a TV to keep himself entertained.
D)Suggest that the client sit up or even try to walk and then try to sleep at night.

Question 39

Which of the following are possible reasons for an adolescent to join a gang? (Select all that apply.)

A)Best protection from violence by others
B)Employment so dull in comparison
C)Friends all joined gangs (peer pressure)
D)More fun than going to work
E)Sense of belonging,family,and stability
F)Sheer excitement about being involved

Question 40

The emergency department nurse listened as the woman said,"I know that this sounds stupid,but I was leaning on the door handle and I fell out of the car right into the traffic." The woman had a broken leg in addition to scrapes and bruises.What should the nurse be sure to ask?

A)"Have you been hit,slapped,kicked,or physically hurt by someone during the last year?"
B)"Were you been wearing your seatbelt before this incident?"
C)"Have you been in an abusive relationship before?"
D)"Were you using drugs or alcohol at the time of this incident?"

Question 41

Which of the following actions should a nurse take to help decrease violence against women? (Select all that apply.)

A)Conduct public health campaigns about violence.
B)Educate colleagues about the effects of violence against women.
C)Establish appropriate outcome measures.
D)Fight to publicize victim health records so others know the damage abusers cause.
E)Help create appropriate protocol and documentation guidelines with local agencies.
F)Support accreditation requirements for appropriate violence care.