Ricci Chapter 9 - Test Bank - 4th Edition || 100% Correct
Answers.
1. The nurse is presenting a class at a local community health center on violence during
pregnancy. Which possible complication would the nurse include?
A. gestational hypertension
B. chorioamnionitis
C. placenta previa
D. postterm labor Correct Answer: B
Rationale: Women assaulted during pregnancy are at risk for chorioamnionitis, placental
abruption, preterm labor, stillbirth, miscarriage, uterine rupture, and injuries to the mother and
fetus. Gestational hypertension is not associated with violence during pregnancy.
2. Which approach would be most appropriate when counseling a client who is a suspected
victim of intimate partner violence?
A. Offer the client a pamphlet about the local shelter for victims of intimate partner violence.
B. Call the client at home to ask some questions about the marriage.
C. Wait until the client comes in a few more times to make a better assessment.
D. Ask, "Have you ever been physically hurt by your partner?" Correct Answer: D
Rationale: If intimate partner violence is suspected, the nurse must use direct or indirect
questions to screen for abuse. Asking the client if he or she has ever been physically hurt by the
partner is most appropriate. Offering the client a pamphlet, calling the client at home, or waiting
until the client returns are inappropriate and do not validate the suspicion.
3. When describing an episode of intimate partner violence, the victim reports attempting to calm
the partner down to keep things from escalating. The nurse interprets this behavior as reflecting
which phase of the cycle of violence?
A. battering
B. honeymoon
C. tension-building
D. reconciliation Correct Answer: C
Rationale: During the first phase of intimate partner violence, tension-building, the victim
attempts to keep the situation from exploding based on the belief that the partner's anger is
legitimately directed at him or her. The battering phase involves the explosion of violence. The
honeymoon or reconciliation phase is manifested by a period of calm, loving, contrite behavior
on the part of the batterer. The batterer may be genuinely sorry for the pain caused.
4. A physically abused pregnant woman reports to the nurse that her spouse has stopped hitting
her and promises never to hurt her again. Which response by the nurse would be most
appropriate?
A. "That's great. I wish you both the best."
B. "Remember, the cycle of violence often repeats itself."
C. "He probably didn't mean to hurt you."
D. "You need to consider leaving him." Correct Answer: B
Rationale: The cycle of violence typically increases in frequency and severity as it is repeated
over and over again. The woman needs to understand this.
, 5. A nurse is developing a plan of care for a victim of intimate partner violence. Which
intervention would be least appropriate for the nurse to include?
A. assisting the client to project anger
B. providing information about a safe home and crisis line
C. teaching the client about the cycle of violence
D. discussing the client's legal and personal rights Correct Answer: A
Rationale: The goal of intervention is to enable the victim to gain control by providing sensitive,
predictable care in an accepting setting. Assisting the client to project anger would not be helpful
when the client needs support and education.
6. A nurse is describing the cycle of violence to a community group. When explaining the first
phase, the nurse would include which description?
A. somehow triggered by the victim's behavior
B. characterized by tension-building and minor battery
C. associated with loss of physical and emotional control
D. like a honeymoon that lulls the victim Correct Answer: B
Rationale: The cyclic behavior begins with a time of tension-building arguments, progresses to
violence, and settles into a making-up or calm period.
7. A nurse is working with a victim of violence. Which statement would be most appropriate to
empower the victim to take action?
A. "Give your partner more time to come around."
B. "Remember—children do best in two-parent families."
C. "Change your behavior so as not to trigger the violence."
D. "You are a good person, and you deserve better than this." Correct Answer: D
Rationale: To help the victim gain control over his or her life, the nurse should emphasize that
violence is never okay and that the victim did not deserve the violent attack or ask for it. Telling
the victim to give the partner more time, saying that children need two parents, and suggesting
that the client change his or her behavior do not promote control, rather they attempt to excuse
the partner's behavior.
8. When a nurse suspects that a client may be a victim of intimate partner violence, the first
action should be to:
A. ask the client about the injuries and if they are related to intimate partner violence.
B. encourage the client to leave the abuser immediately.
C. set up an appointment with an intimate partner violence counselor.
D. ask the suspected abuser about the victim's injuries. Correct Answer: A
Rationale: The first step is to screen for intimate partner violence and identify the connection
between the client's injuries and that abuse. Once intimate partner violence is detected, the nurse
should immediately isolate the client to provide privacy and prevent retaliation by the abuser.
Encouraging the client to leave the abuser immediately is not realistic. Setting up an appointment
with a counselor would be appropriate once intimate partner violence is detected and the client is
safe. Questioning the suspected abuser might worsen the situation.
9. A nurse is listening to a client who is a victim of intimate partner violence. The client is
Answers.
1. The nurse is presenting a class at a local community health center on violence during
pregnancy. Which possible complication would the nurse include?
A. gestational hypertension
B. chorioamnionitis
C. placenta previa
D. postterm labor Correct Answer: B
Rationale: Women assaulted during pregnancy are at risk for chorioamnionitis, placental
abruption, preterm labor, stillbirth, miscarriage, uterine rupture, and injuries to the mother and
fetus. Gestational hypertension is not associated with violence during pregnancy.
2. Which approach would be most appropriate when counseling a client who is a suspected
victim of intimate partner violence?
A. Offer the client a pamphlet about the local shelter for victims of intimate partner violence.
B. Call the client at home to ask some questions about the marriage.
C. Wait until the client comes in a few more times to make a better assessment.
D. Ask, "Have you ever been physically hurt by your partner?" Correct Answer: D
Rationale: If intimate partner violence is suspected, the nurse must use direct or indirect
questions to screen for abuse. Asking the client if he or she has ever been physically hurt by the
partner is most appropriate. Offering the client a pamphlet, calling the client at home, or waiting
until the client returns are inappropriate and do not validate the suspicion.
3. When describing an episode of intimate partner violence, the victim reports attempting to calm
the partner down to keep things from escalating. The nurse interprets this behavior as reflecting
which phase of the cycle of violence?
A. battering
B. honeymoon
C. tension-building
D. reconciliation Correct Answer: C
Rationale: During the first phase of intimate partner violence, tension-building, the victim
attempts to keep the situation from exploding based on the belief that the partner's anger is
legitimately directed at him or her. The battering phase involves the explosion of violence. The
honeymoon or reconciliation phase is manifested by a period of calm, loving, contrite behavior
on the part of the batterer. The batterer may be genuinely sorry for the pain caused.
4. A physically abused pregnant woman reports to the nurse that her spouse has stopped hitting
her and promises never to hurt her again. Which response by the nurse would be most
appropriate?
A. "That's great. I wish you both the best."
B. "Remember, the cycle of violence often repeats itself."
C. "He probably didn't mean to hurt you."
D. "You need to consider leaving him." Correct Answer: B
Rationale: The cycle of violence typically increases in frequency and severity as it is repeated
over and over again. The woman needs to understand this.
, 5. A nurse is developing a plan of care for a victim of intimate partner violence. Which
intervention would be least appropriate for the nurse to include?
A. assisting the client to project anger
B. providing information about a safe home and crisis line
C. teaching the client about the cycle of violence
D. discussing the client's legal and personal rights Correct Answer: A
Rationale: The goal of intervention is to enable the victim to gain control by providing sensitive,
predictable care in an accepting setting. Assisting the client to project anger would not be helpful
when the client needs support and education.
6. A nurse is describing the cycle of violence to a community group. When explaining the first
phase, the nurse would include which description?
A. somehow triggered by the victim's behavior
B. characterized by tension-building and minor battery
C. associated with loss of physical and emotional control
D. like a honeymoon that lulls the victim Correct Answer: B
Rationale: The cyclic behavior begins with a time of tension-building arguments, progresses to
violence, and settles into a making-up or calm period.
7. A nurse is working with a victim of violence. Which statement would be most appropriate to
empower the victim to take action?
A. "Give your partner more time to come around."
B. "Remember—children do best in two-parent families."
C. "Change your behavior so as not to trigger the violence."
D. "You are a good person, and you deserve better than this." Correct Answer: D
Rationale: To help the victim gain control over his or her life, the nurse should emphasize that
violence is never okay and that the victim did not deserve the violent attack or ask for it. Telling
the victim to give the partner more time, saying that children need two parents, and suggesting
that the client change his or her behavior do not promote control, rather they attempt to excuse
the partner's behavior.
8. When a nurse suspects that a client may be a victim of intimate partner violence, the first
action should be to:
A. ask the client about the injuries and if they are related to intimate partner violence.
B. encourage the client to leave the abuser immediately.
C. set up an appointment with an intimate partner violence counselor.
D. ask the suspected abuser about the victim's injuries. Correct Answer: A
Rationale: The first step is to screen for intimate partner violence and identify the connection
between the client's injuries and that abuse. Once intimate partner violence is detected, the nurse
should immediately isolate the client to provide privacy and prevent retaliation by the abuser.
Encouraging the client to leave the abuser immediately is not realistic. Setting up an appointment
with a counselor would be appropriate once intimate partner violence is detected and the client is
safe. Questioning the suspected abuser might worsen the situation.
9. A nurse is listening to a client who is a victim of intimate partner violence. The client is
