Question 1

For what non-accidental injuries in children should nurses assess when looking for signs of physical abuse? (Select all that apply. )

Accepted Answer

A,B,C,E

Question 2

Which worker in the service sector is at greatest risk for violence in the workplace?

Accepted Answer

Gas station attendants are at greater risk for workplace violence due to factors such as working alone, handling cash, and often working late hours, which can make them targets for robberies and assaults.

Question 3

What behavior should the nurse demonstrate when caring for victims of abuse?

Accepted Answer

The nurse should demonstrate a nonjudgmental attitude when caring for victims of abuse. This will help the patient to feel safe, valued, and heard. It will also help the nurse to build a trusting relationship with the patient, which is crucial for effective intervention and support. Being judgmental could lead to the patient feeling ashamed, blamed or unsupported, and may lead to them being reluctant to disclose further information.

Question 4

As a nurse assessing abused children,the abused child may display which behavioral characteristics? (Select all that apply. )

Accepted Answer

The answer of As a nurse assessing abused children,the abused...

Question 5

What is the result of exposure to violence in the community?

Accepted Answer

Exposure to violence in the community can have a range of effects on mental health, such as depression, anxiety, and post-traumatic stress disorder. However, the impact can be mediated by the quality of family and social supports. Strong support systems can help individuals cope and build resilience against the negative effects of violence exposure. It is not true that violence exposure is limited to poor neighborhoods or only affects children.

Question 6

As a school nurse evaluating a child after a fight,it is imperative to understand that violent acts committed at school are often associated with which characteristics? (Select all that apply. )

Accepted Answer

Social ostracism, physical bullying, and bullying are all characteristics associated with violent acts committed at school. Close peer relationships and the school level (high school vs. middle school) are not necessarily factors in predicting violent behavior.

Question 7

Which is true about who perpetrates most intimate partner abuse against whom?

Accepted Answer

The majority of intimate partner abuse is perpetrated by men against women, although it is important to note that women can also be perpetrators and that abuse can occur in same-sex relationships as well.

Question 8

A charge nurse does not like working with new graduates and always assigns them the most complicated patients.What does this exemplify?

Accepted Answer

The behavior of the charge nurse is an example of bullying. Assigning new graduates the most complicated patients may make them feel overwhelmed and unsupported, which is not conducive to their professional development. Additionally, it can create a hostile work environment and impact patient care. This kind of behavior should not be tolerated.

Question 9

What must be done when assessing an injured patient? (Select all that apply. )

Accepted Answer

When assessing an injured patient, it is important to ensure privacy to maintain the patient's dignity and confidentiality. Being alert for signs of abuse is crucial to ensure the patient's safety and well-being. Providing safety is also necessary to avoid any further harm to the patient. Displaying a nonjudgmental demeanor will help create a safe environment for the patient to feel comfortable and communicate effectively with the medical professional. Asserting personal values should be avoided as it may conflict with the patient's own beliefs and values.

Question 10

A person comes into the emergency department with injuries consistent with abuse.In which order should the nurse complete the assessment of this person's injuries?

Accepted Answer

The first priority should be to assess for any life-threatening injuries such as head trauma, internal bleeding or fractures. Facial bruising and abdominal tenderness should be assessed first followed by limited joint mobility, skin tenderness, and scars. Paresthesia should be assessed last as it is a neurological symptom and may not be related to the injuries from abuse.

Question 11

What should the nurse do when caring for a victim of abuse? (Select all that apply. )

Accepted Answer

It is important for the nurse to ensure the client's safety, support the client, empower the client to take control, and provide information regarding available services for the patient. Avoiding the team approach when assessing the patient is not a recommended action as a team approach with other healthcare professionals can provide optimal care for the client.

Question 12

An emergency room nurse is caring for a repeated domestic violence victim/client who refuses to leave the abuser.What should the nurse understand as a common reason why victims refuse to leave an abusive relationship?

Accepted Answer

Economic dependence is a common reason why victims of domestic violence do not leave their abuser. They may not have the financial means to support themselves or their children without the abuser's income or resources.

Question 13

A nurse assesses a client and strongly suspects child abuse.What should the nurse do next?

Accepted Answer

Reporting suspected child abuse to the appropriate child protection authorities is the responsibility of a nurse or any healthcare professional. It is important to involve child protection services to ensure further investigation and protection of the child. The nurse should not make accusations or disclose suspicions to the parents without proper investigation. Providing necessary immediate care and arranging for follow-up care are important steps, but reporting to child protection authorities should be prioritized in situations of suspected child abuse. Asking the child to speak to the police is not appropriate for a nurse to do and could put the child in danger.

Question 14

What assessment finding indicates that a child is a victim of sexual abuse?

Accepted Answer

Genital and/or anal irritation or trauma is a common sign of sexual abuse in children. However, it is important to note that the presence of this sign alone does not necessarily confirm sexual abuse and further investigation is needed. Other signs may include behavioral changes, regression in development, avoidance of certain people or places, and inappropriate knowledge or behavior related to sex.

Question 15

A nurse discovers that a person is being abused.What should the nurse do to prevent the abuse from continuing? (Select all that apply. )

Accepted Answer

A nurse who discovers that a person is being abused should first assess the person to determine the severity and extent of the abuse. Documentation is necessary to obtain evidence for further actions. Intervention is necessary to prevent the abuse from continuing, such as notifying appropriate authorities, providing resources, and seeking medical attention for the victim. Nurses must know the laws associated with reporting abuse to ensure that proper actions are taken to protect the victim and prevent further harm. Verbalizing to the victim that he or she is a good person and the abuser is the bad person may provide emotional support but does not prevent the abuse from continuing.

Question 16

Sibling violence is a form of family violence.Which is correct about sibling violence?

Accepted Answer

Sibling violence often goes unrecognized because it is not considered as severe as other forms of family violence, such as spousal or child abuse.

Answer: B 
 Research has shown that sibling violence peaks during childhood and adolescence, with the highest rates occurring between ages 12 and 15.

Answer: C 
 Studies have consistently shown that boys are more violent toward their siblings than girls, though both genders can engage in this behavior.

Answer: None of the above 
 Sibling violence has been found to be associated with increased aggression and behavior problems both at home and with non-related peers, contradicting option D.

Question 17

The nurse interacting with a couple and suspecting domestic abuse should look for what traits commonly found among abusive individuals?

Accepted Answer

Over-possessiveness and jealousy are common traits found among abusive individuals. This can manifest as controlling behavior towards their partner and monitoring their actions closely. It is important for healthcare professionals to be aware of these warning signs and take appropriate actions to ensure the safety of the patient.

Question 18

A home health nurse visits a 78-year-old man in his home.The man is ambulatory and shows no physical distress;however,his clothing appears soiled and smells of urine.What do these findings indicate?

Accepted Answer

The soiled clothing and smell of urine indicate self-neglect, which is a common issue with elderly individuals who may have difficulty with activities of daily living such as bathing and using the bathroom. The other options (institutional abuse, domestic abuse, and emotional abuse) do not fit with the given scenario.

Question 19

When assessing community needs,where should the nurse be aware that domestic violence is found?

Accepted Answer

Domestic violence can be found in all strata of society, regardless of education level or income. It can occur in any relationship, regardless of age or gender. Therefore, when assessing community needs, the nurse should not make assumptions and should be aware that domestic violence is a pervasive issue that can affect anyone.

Question 20

What assessment finding indicates that a client is a victim of shaken baby syndrome?

Accepted Answer

Retinal hemorrhages are a key characteristic of shaken baby syndrome. Fractures, abrasions, and burns may also be present, but are not as specific to this syndrome.

Quiz 23: Nursing in a Culture of Violence