Exam 8: Interpersonal Violence Assessments

During assessment of a 9-year-old patient, the nurse notes purple-blue bruises to both knees.The mother and patient separately inform the nurse that the patient got the bruises playing soccer the day before.From the colour of the bruises the nurse:

The nurse is conducting a follow-up assessment of a 6-year-old patient 2 years after removal from his parents' home as a result of physical violence between the parents.The nurse will assess the patient for: (Select all that apply.)

The nurse is using the Danger Assessment (DA) tool to evaluate the risk for violence.Which of these statements best describes its use?

The nurse is interviewing the parents of a 5-year-old patient who seriously physically hurt another child.The parents inform the nurse that they adopted the patient when he was removed from his parents' custody at 8 months of age.What does the nurse ask?

During admission assessment of a 72-year-old patient with dementia from a long-term care facility, the nurse notices multiple signs of old bruising to the patient's wrists and arms.The nurse should assess for:

During a home visit, the nurse notices that an older adult 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:

Using the TVIC approach during patient assessment, the nurse focuses on:

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

During assessment of a 38-year-old patient with chronic headaches of no known cause, and diagnosed with depression, the nurse notes the despondent and flat affect.How should the nurse respond?

During a home visit with an 80-year-old patient cared for by family, the nurse notices that the patient is in severe pain.The nurse knows that the patient was prescribed medication for the pain and family administered all medications.When asked, the patient states not receiving any medications for the past week.The nurse recognizes this situation as:

The nurse observes bruises of various stages on a 6-year-old child and suspects child abuse.What should the nurse do?

The 25-year-old female Indigenous patient in for her first prenatal checkup appears despondent and unhappy.The nurse finds numerous old bruises on the patient during the physical examination.With use of a relational approach and further questioning, the patient admits that her husband has been hitting her when he is frustrated with work.The best response by the nurse is:

The nurse is examining a 3-year-old child who was brought to the emergency department after a fall.Which finding would be of most concern?

As a nurse working with many different populations, which of the following individuals can be at increased risk for abuse? (Select all that apply.)

The nurse is aware that screening for intimate partner violence (IPV) using the trauma- and violence-informed care (TVIC) approach should occur with which type of situation?

While working with a 27-year-old transgender patient, the nurse takes an approach to facilitate trust and safety for the patient to assess for abuse.What will the nurse do? (Select all that apply.)

A patient has come to the clinic with persistent abdominal pains.During the interview, the patient tells the nurse that her husband controls the finances, gives her a minimal allowance, and makes her account for what she spends to the penny.The patient constantly looks down and will not make eye contact with the nurse.What will the nurse assess for?