Deck 27: Violence

Question 1

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

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

Answer 1

The dad

Question 2

For which of the following groups is homicide the leading cause of death in the United States?

A)Black males aged 15 to 34 years
B)Black children aged 1 to 14 years
C)White children aged 1 to 14 years
D)White males aged 15 to 34 years

Answer 2

Black males aged 15 to 34 years

Question 3

Which of the following 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

Answer 3

Assumption that patients and families cannot be held responsible; being assaulted is part of the job

Question 4

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 of the following actions 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 5

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 of the following 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 6

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 of the following actions 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 7

Which of the following 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 8

For which of the following groups is suicide the second leading cause of death?

A)People aged 15 to 24 years
B)People aged 25 to 34 years
C)People aged 35 to 65 years
D)People over age 65 years

Question 9

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 of the following 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 10

Which of the following 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 commit as much as 90% of all crime in some communities.
D)Gangs help give the young person protection, respect, and sense of belonging.

Question 11

Which of the following best describes the risk for violence among females in the United States today?

A)One of top five causes of death from age 1 to 44 years
B)One of top 10 causes of death, especially among girls aged 1 to 4 years
C)One of the top 10 causes of death, especially among women aged 15 to 24 years
D)One of the top 10 causes of death, especially among vulnerable elderly

Question 12

Which of the following 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

Question 13

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 of the following 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 14

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 15

Some of the medical staff thought an abused woman deserved what she got when she told them she was not going to a safe house following discharge from the emergency department.Which of the following information should the nurse stress to the medical staff?

A)When the woman leaves the emergency department, her abuser will most likely be arrested.
B)The woman probably feels fearful and helpless and, until her life is clearly threatened, nothing will probably change.
C)The woman needs additional reinforcement that she would be safer in a domestic violence shelter.
D)When a woman attempts to leave the situation, it is often when the abuser kills her.

Question 16

A woman is in the emergency department for the fifth time this year,each time with more severe injuries.Which of the following 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 17

Which of the following 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 18

Which of the following 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 19

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, then call the campus police and 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 20

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 of the following statements 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 21

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 of the following 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.

Question 22

In which of the following 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 23

Although violence seems endemic in human society,which of the following 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)Dysfunctional families with lack of emotional support
D)Intolerance of those with a different religious ideology
E)Media video games, television shows, and movies
F)Pacifism as a belief system

Question 24

Which of the following 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 25

Which of the following 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