Question 1

Which of the following is the top risk factor for intimate partner homicide?

Accepted Answer

The top risk factor for intimate partner homicide (IPH)is previous domestic violence.Other risk factors are access to guns,estrangement,threats to kill or threats with a weapon,nonfatal strangulation,and a stepchild in the home if the victim is a female; however,these are not the top risk factor.

Question 2

Which of the following is a common factor typically found in those who abuse others?

Accepted Answer

People who become involved in violence typically had previous exposure to some form of violence.Abusers were often beaten when they were children,or they witnessed siblings or one of their parents being beaten.They learned that violence is a way to manage conflict.The incorrect responses are not commonly found among those who typically abuse others.

Question 3

Which of the following is the most likely reason for a man to rape a woman?

Accepted Answer

The underlying issues of rape are hostility,power,and control.Sexual desire is not an underlying issue of rape,nor is provocative dress and behavior.Rape occurs because of power and control,not because the woman is asking for it.

Question 4

A mother cannot understand why her daughter ran away from home.When the police locate the daughter,she complains of a severe headache,so the police take both of them to the emergency department for assessment.Which of the following potential problems should be assessed by the nurse?

Accepted Answer

Nurses must be aware of the incidence,signs and symptoms,and psychological and physical trauma of incest.Symptoms include headaches,as well as other physiological problems.Children often try to avoid or escape the abusive behavior.Intimacy problems with her boyfriend,abuse by the mother,and the daughter's inability to do well in school could all be potential reasons why the daughter ran away.However,the nurses primary concern should be the potential for sexual abuse because of the behaviors that are being displayed by the daughter.

Question 5

Which of the following statements,made by a caregiver of an older client,should alert the nurse to assess for evidence of elder abuse?

Accepted Answer

Giving medication to induce confusion or drowsiness so that the elders will be less troublesome or will need less care is considered a form of elder abuse.Such medication may also make it easier for adult children to control the elder's assets.The incorrect responses are all examples of proper care.

Question 6

Which of the following best describes a principle of care that the nurse should abide by when working with abusive families?

Accepted Answer

Principles of giving care to families who are experiencing violence include the following: intolerance for violence; respect and caring for all family members; safety as the first priority; absolute honesty; and empowerment.Confrontation and exclusion would not be therapeutic techniques for the nurse to implement.Notification of others would violate HIPAA laws,as the nurse should be keeping this information confidential.

Question 7

Which of the following factors may lead to increased violence?

Accepted Answer

Factors that increase violence include seeing violence in daily life or in the media,living in poverty with few opportunities for employment,and feelings of powerlessness.Crowded environments can be a factor but can also lead to banding together for the common good.Adequate social support is a positive factor and may lead to decreased violence,not increased.

Question 8

A nurse is working with a family to reduce the incidence of home violence.Which of the following actions by the nurse would most likely have a positive effect?

Accepted Answer

To empower the family,the nurse needs to recognize and capitalize on the violent family's strengths and to guide the family in recognizing and dealing with its problems.The nurse must use a nurse-family partnership rather than a paternalistic or authoritarian approach.Families often can generate many of their own solutions-in fact,the family's own solutions tend to be more culturally suitable and individualized than those the nurse generates.

Question 9

A public health nurse is hosting an informational meeting for young parents about how to balance their multiple responsibilities.Which of the following parents in attendance would be most at risk for abusing his or her own child?

Accepted Answer

Parents with low social support,a tendency toward depression,multiple stress factors,and a history of abuse are at risk for abusing their own children.Abusive parents often have unrealistic expectations of a child's developmental abilities.A new mother who has joined a parents' support group is displaying positive coping behaviors.Although a mother is missing her career challenges,she is finding enjoyment in being home with her child which displays that she has a positive emotional health.A father who is overwhelmed and exhausted is at risk for abusing his children; however,he is not displaying as many risk factors and stressors as the father who is depressed,laid off from work,and missing his colleagues.

Question 10

The wife of an abusive husband reports to the nurse that her husband has been increasingly more abusive over the past year.Which of the following should be the first action that is taken by the nurse?

Accepted Answer

Unfortunately,abuse tends to escalate in frequency and severity over time,and the man's remorse tends to lessen.A nurse encountering severe abuse needs to consider the safety of the woman and her children as the priority.The woman will need an order of protection and help in getting to a safe place.At the very least,the woman must design a carefully thought-out plan for escape and arrange for someone to call the police if another violent episode occurs.Although marital counseling may be useful at an early stage of abuse,it is generally contraindicated at all other stages because of the risk to the woman's safety.After first developing an escape plan,it may be beneficial for the nurse to speak with the woman more about potential triggers for the husband's abuse as well as her own self-esteem and how that may be influencing the continuation of the relationship.

Question 11

During a group counseling session for perpetrators of intimate partner violence,which of the following statements made by a client indicates a lack of insight into his violent behavior?

Accepted Answer

Violence is defined as those nonaccidental acts that result in physical or psychological injury.Although this client may now be feeling remorse,at the time the violent act was committed against the girlfriend,the intent was to inflict harm and maintain control.It was not an accident.The incorrect statements indicate an admission of a problem-at least on the surface.

Question 12

Which of the following statements best explains the primary reason why violence is so high among young African-American men?

Accepted Answer

Most analyses conclude that the differential rates of violence between African Americans and whites in the United States have more to do with economic realities,such as poverty,unemployment,and overcrowding,than with race.Although violence among men may be higher than among women,this question specifically addresses "young
African-American men." Economic realities are more indicative of this rate of violence than age and maturity.Violence is a learned behavior,it is not transferred genetically along racial lines.

Question 13

Which of the following statements is the best explanation as to why some countries are more violent than others?

Accepted Answer

Some societies are basically nonviolent,and for them violence is not a significant health problem.Violence is a learned behavior,and social norms can keep violence at low levels or even eliminate it.The learned culture of the society is the best indicator for violence,not the differentiation between civilized or primitive,geographic location,or population differences among males and females.

Question 14

A teacher asks the school health nurse to assess a child for neglect.Which of the following assessment findings could indicate neglect?

Accepted Answer

Physical neglect refers to failure to provide adequate food,clothing,shelter,hygiene,or necessary medical care; emotional neglect refers to the omission of basic nurturing,acceptance,and caring essential for health development.Lice are a common problem among school children,and the presence of lice does not indicate neglect.Failure to attend parent-teacher conferences should not be construed as neglect,because various reasons,such as employment requirements,may prevent parents who care from attending.Bruising is a sign of physical abuse rather than neglect.

Question 15

A nurse is concerned about the possibility of suicide in a teenage boy.Which of the following characteristics has the boy most likely displayed?

Accepted Answer

Leading risk factors for suicide are depression and other mental disorders or substance-abuse disorders.Other risk factors (that are not as common as the leading risk factors)include prior suicide attempt,family history of suicide,mental disorder,substance abuse or violence,firearms in the home,incarceration,and exposure to the suicidal behavior of others (family,peers,or figures in the media).Children who threaten to harm others or who abuse an animal are more likely to hurt others than themselves.

Question 16

Which of the following statements by a parent indicates a need for increased learning regarding appropriate (nonabusive)discipline of a child?

Accepted Answer

Emotional abuse involves extreme debasement of feelings and may result in the child feeling inadequate,inept,uncared for,and worthless.Yelling at a child and threatening loss of love are devastating.Counting to 10 before reacting,using time-outs,and distraction all display positive methods of discipline.

Question 17

Which of the following persons is most likely to be assaulted?

Accepted Answer

Men are far more likely to be assaulted or killed than are women.The greatest risk factor for an individual's victimization by violence is age; youths are at significantly higher risk.

Question 18

A nurse is counseling a woman following a rape.Which of the following feelings is the woman most likely to state she felt while being raped?

Accepted Answer

During the act of rape,survivors are often hit,kicked,stabbed,and severely beaten.It is this violence,as well as the violation of the sense of self,that most traumatizes the person because of the fear for her life and her feelings of helplessness,lack of control,and vulnerability.Because of the violence associated with rape,it is highly unlikely that the victim will report satisfaction or sexual release.The woman may be confused about what to do next,but it is more likley that the trauma will cause feelings of helplessness which could contribute to the confusion.

Question 19

A nurse is implementing a primary prevention strategy to address abuse in the community.Which of the following actions is the nurse most likely taking?

Accepted Answer

Primary prevention involves action before damage has occurred.The other options are all screening for abuse or reactions to abuse that has already taken place.Encouraging others to interfere when they see children hit or hurt in a public place and referring caregivers to community respite if abuse is beginning to occur are examples of tertiary prevention because the abuse is already occurring.Screening pregnant women for intimate partner abuse is secondary prevention as it is a screening aimed at early detection of the problem.

Question 20

A mother confides to the nurse that her live-in boyfriend knocked down her 2-year-old child because he was crying too much.She begs the nurse not to tell anyone because her boyfriend has agreed to take anger management classes.Which of the following actions should be taken by the nurse?

Accepted Answer

Nurses are mandatory reporters of child abuse,even when only suspected,in all states.The incorrect options put the child's welfare at risk,including encouraging the mother to seek alternatives,since encouraging an action will not ensure that it will happen.

Quiz 25: Violence and Human Abuse