Question 1

The care plan for a battered woman will be most successful if the nurse:

Accepted Answer

A)  Empowers the patient to make her own decisions 
B)  Develops the plan and presents it to the woman 
C)  Obtains photo evidence of the battery for use in court 
D)  Has a family conference and mediates among the parties

Question 2

A toddler was brought to the hospital with a broken humerus and upper arm bruising.The child's father states that he shook the child while disciplining him to teach him to be quiet.An appropriate family-related nursing diagnosis is:

Accepted Answer

A)  Anxiety related to physical abuse 
B)  Powerlessness related to inability to keep child quiet 
C)  Impaired parenting related to unrealistic expectations for child 
D)  Risk for impaired parenting related to harsh disciplinary methods

Question 3

Which of the following would be an appropriate outcome for a patient diagnosed with rape-trauma syndrome?

Accepted Answer

A)  Patient will sleep 8 hours without medication by week 6 of therapy. 
B)  Patient will develop better self-esteem by week 8 of therapy. 
C)  Patient will accept nurse's word that her reactions are normal. 
D)  Patient will verbalize that recovery may never happen totally.

Question 4

A community health nurse is working with a family in which an elderly woman was neglected by her son and his wife but insists on remaining with the young couple despite the threat of future neglect.Which intervention should be given highest priority?

Accepted Answer

A)  Identifying community resources to decrease the caregivers' stress 
B)  Establishing patient rights and consequences of abuse and monitoring 
C)  Providing stress management techniques for both of the caregivers 
D)  Educating the caregivers on the aging process and how to cope with it

Question 5

The nurse is considering making a child abuse or neglect report to protective services.To make the report,the nurse needs to:

Accepted Answer

A)  Have strong evidence that the abuse/neglect has occurred. 
B)  Obtain the supervisor's permission to make the report. 
C)  Notify the parents of the intent to file the report. 
D)  Have suspicions that the abuse has occurred.

Question 6

A patient admits to having been battered by her live-in boyfriend several times over the past 2 years.She states to the nurse,"We plan to get married next June,and I think things will be better then.He is always so sorry afterward,that I think I can trust him to change." Which intervention should be included in the patient's teaching plan?

Accepted Answer

A)  Discourage her hope that the battering will end after they are married. 
B)  Assist her in enrolling in a class to learn techniques of self-defense. 
C)  Assist her in developing an emergency plan, because the pattern of violence is likely to continue. 
D)  Emphasize that the battering pattern usually remains the same in frequency and severity over time.

Question 7

According to statistical research data,which of these children currently being followed by the pediatric nurse practitioner is at the greatest risk for fatal abuse?

Accepted Answer

A)  A child who is 2 years old and has cerebral palsy 
B)  A child who is 5 years old and has chicken pox 
C)  A child who is 8 years old and has appendicitis 
D)  A child who is 11 years old and has a fractured humerus

Question 8

A young child is being evaluated in the Emergency Department for injuries her mother reports resulted from a fall down the stairs.Which of these findings indicates that physical abuse may be a chronic problem for the child?

Accepted Answer

A)  The mother's description of the child as being 'clumsy' 
B)  Several fractures revealed on x-ray in varying degrees of healing 
C)  Clinging to her mother as she attempted to leave the examining room 
D)  Struggling with the staff when attempts to obtain a blood specimen were made

Question 9

An elderly patient who lives with her daughter,son-in-law,and their three children reveals that her daughter sometimes slaps her when she does not move fast enough or spills things.The daughter states,"I have so much to do that I become frustrated when my mother can't move fast enough or causes me extra work." The nurse caring for the mother could appropriately suggest:

Accepted Answer

A)  Moving the mother to an adult ambulatory care facility 
B)  Employing an aide to provide care and stimulation for the mother 
C)  Enrolling in a therapeutic group that addresses stress management 
D)  Reading the elder law of the state to learn the penalties for elder abuse

Question 10

To provide nursing care to abused children and their families,the nurse must first:

Accepted Answer

A)  Recommend removal of the children from the family. 
B)  Complete a comprehensive physical and mental assessment. 
C)  Refer each case to the appropriate social worker for follow-up. 
D)  Examine personal feelings regarding the trauma of child abuse and neglect.

Question 11

The nurse is planning care for a battered woman who has mentioned,"Someday I'll have to leave him." Which outcome should the nurse include in the plan of care for this patient?

Accepted Answer

A)  Patient will leave husband for a safe environment within 3 weeks. 
B)  Patient will verbalize awareness of the dangerousness of her situation. 
C)  Patient will state that she feels strong enough to return to the situation. 
D)  Patient will state that she feels more relaxed after consultation with nurse.

Question 12

The nurse who sees a number of battered elderly females each year decides to put together a set of guidelines for nurses.An appropriate guideline to include would be to:

Accepted Answer

A)  Make protective services aware of the abuse. 
B)  Take at least two photographs of each trauma area. 
C)  Begin the interview by asking the least sensitive questions. 
D)  Assess for the presence of sexually transmitted diseases.

Question 13

A patient in her early teens who is being treated for irritable bowel syndrome has just disclosed that she has been the victim of child abuse for 8 years.For what other condition should the nurse assess this patient?

Accepted Answer

A)  Schizophrenia 
B)  Agoraphobia 
C)  Posttraumatic stress disorder 
D)  Obsessive-compulsive disorder

Question 14

The nurse is leading a support group for women who have experienced interpersonal violence.When a patient asks about the characteristics of the perpetrators of interpersonal violence,the nurse accurately responds that they are:

Accepted Answer

A)  Usually under the influence of alcohol 
B)  Most often someone the victim knows 
C)  A stranger to the victim in most cases 
D)  Often in a psychotic state during the act

Exam 23: Violence: Anger, Abuse, and Aggression