Question 1

As a mandatory reporter of elder abuse,which of these must be present before a nurse notifies the authorities?

Accepted Answer

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

Question 2

When documenting intimate partner violence and elder abuse,the nurse should include:

Accepted Answer

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

Question 3

During an interview,a woman has answered "yes" to two of the Abuse Assessment Screen questions.What should the nurse say next?

Accepted Answer

A)  "I need to report this abuse to the authorities." 
B)  "Tell me about this abuse in your relationship." 
C)  "So you were abused?" 
D)  "Do you know what caused this abuse?" 
A)  "I need to report this abuse to the authorities." 
B)  "Tell me about this abuse in your relationship." 
C)  "So you were abused?" 
D)  "Do you know what caused this abuse?" B

Question 4

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

Accepted Answer

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

Question 5

During a home visit,the nurse notices that an elderly 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 checkbook and he "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 is an example of:

Accepted Answer

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

Question 6

The nurse is assessing an elderly woman and suspects abuse.Which questions are appropriate for screening for abuse? Select all that apply.

Accepted Answer

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 anyone who enters your home?" 
E)  "Has anyone ever failed to help you take care of yourself when you needed help?" 
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 anyone who enters your home?" 
E)  "Has anyone ever failed to help you take care of yourself when you needed help?"

Question 7

The nurse is assessing bruising on an injured patient.Which color indicates a new bruise that is less than 2 hours old?

Accepted Answer

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

Question 8

The nurse is examining a 3-year-old child who was brought to the emergency room after a fall.Which bruise,if found,would be of most concern?

Accepted Answer

A)  A bruise on the knee 
B)  A bruise on the elbow 
C)  Bruising on the abdomen 
D)  A bruise on the shin 
A)  A bruise on the knee 
B)  A bruise on the elbow 
C)  Bruising on the abdomen 
D)  A bruise on the shin

Question 9

The nurse is aware that intimate partner violence (IPV)screening should occur with which situation?

Accepted Answer

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 
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

A female patient has denied any abuse when answering the Abuse Assessment Screen,but the nurse has noticed some other conditions that are associated with intimate partner violence.Examples of such conditions include:

Accepted Answer

A)  asthma. 
B)  confusion. 
C)  depression. 
D)  frequent colds. 
A)  asthma. 
B)  confusion. 
C)  depression. 
D)  frequent colds.

Question 11

During a home visit,the nurse notices that an elderly woman is caring for her bedridden husband.The woman states that this is her duty,she does the best she can,and her children come to help when they are in town.Her husband is unable to care for himself,and she appears thin,weak,and exhausted.The nurse notices that several of his prescription medication bottles are empty.This situation is best described by the term:

Accepted Answer

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

Question 12

Which statement is best for the nurse to use when preparing to administer the Abuse Assessment Screen?

Accepted Answer

A)  "We are required by law to ask these questions." 
B)  "We need to talk about whether you feel you have been abused." 
C)  "We are asking these questions because we suspect that you are being abused." 
D)  "We ask the following questions because domestic violence is so common in our society." 
A)  "We are required by law to ask these questions." 
B)  "We need to talk about whether you feel you have been abused." 
C)  "We are asking these questions because we suspect that you are being abused." 
D)  "We ask the following questions because domestic violence is so common in our society."

Question 13

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

Accepted Answer

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 higher the number of yes answers, the more serious the danger of the woman's situation. 
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 higher the number of yes answers, the more serious the danger of the woman's situation.

Question 14

Which term refers to a wound produced by the tearing or splitting of body tissue,usually from blunt impact over a bony surface?

Accepted Answer

A)  Abrasion 
B)  Contusion 
C)  Laceration 
D)  Hematoma 
A)  Abrasion 
B)  Contusion 
C)  Laceration 
D)  Hematoma

Question 15

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

Accepted Answer

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

Exam 7: Domestic Violence Assessment

As a mandatory reporter of elder abuse,which of these must be present before a nurse notifies the authorities?

When documenting intimate partner violence and elder abuse,the nurse should include:

During an interview,a woman has answered "yes" to two of the Abuse Assessment Screen questions.What should the nurse say next?

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

The nurse is assessing an elderly woman and suspects abuse.Which questions are appropriate for screening for abuse? Select all that apply.

The nurse is assessing bruising on an injured patient.Which color indicates a new bruise that is less than 2 hours old?

The nurse is examining a 3-year-old child who was brought to the emergency room after a fall.Which bruise,if found,would be of most concern?

The nurse is aware that intimate partner violence (IPV)screening should occur with which situation?

A female patient has denied any abuse when answering the Abuse Assessment Screen,but the nurse has noticed some other conditions that are associated with intimate partner violence.Examples of such conditions include:

Which statement is best for the nurse to use when preparing to administer the Abuse Assessment Screen?

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

Which term refers to a wound produced by the tearing or splitting of body tissue,usually from blunt impact over a bony surface?

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

Evidence Based Assessment

Cultural Competence: Cultural Care

The Interview

The Complete Health History

Mental Status Assessment

Substance Use Assessment

Assessment Techniques and the Clinical Setting

General Survey, Measurement, Vital Signs

Pain Assessment: The Fifth Vital Sign

Nutritional Assessment

Skin, Hair, and Nails

Head, Face, and Neck, Including Regional Lymphatics

Eyes

Ears

Nose, Mouth, and Throat

Breasts and Regional Lymphatics

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Musculoskeletal System

Neurologic System

Male Genitourinary System

Anus, Rectum, and Prostate

Female Genitourinary System

The Complete Health Assessment: Putting It All Together

Bedside Assessment of the Hospitalized Adult

The Pregnant Woman

Functional Assessment of the Older Adult

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