Test Bank Violence Nies: Community/Public Health Nursing, 7th Edition

1. Which statement about homicide in 2015 is accurate? a. Almost 80% of homicide victims were male. b. Approximately 70% of victims were killed by someone they knew. c. Approximately 25% of the offenders were female. d. Almost 75% of the murder victims were black, when race could be identified. ANS: A In the United States, homicide claimed the lives of 15,695 individuals in 2015; over 10,000 deaths involved the use of firearms. Of note, almost 80% of the murder victims were male and90% of the offenders were male. When race of the murder victims could be determined, 53% were black, 44% were white, and 2.8% were other races. Approximately 50% of victims werekilled by someone they knew. DIF: Cognitive Level: Understand (Comprehension) 2. Which best describes the typical perpetrator of homicide? a. A person trying to engage in rape with the woman fighting back b. A person who wanted money and she refused to give it to him c. A stranger d. An intimate partner ANS: D NU RS IN GT B.CO M Approximately 50% of the victims were killed by someone they knew. Notably 37% of female murder victims are killed by an intimate partner. Thus, the typical perpetrator wouldbe an intimate partner. It would be less likely to be a stranger, someone who wanted money,or someone trying to engage in rape. DIF: Cognitive Level: Understand (Comprehension) 3. A nurse is assessing a client for suicide risk. Which question would the nurse most likely askthe client? a. “How often do you use consume alcohol or other legal or illegal substances?” b. “How much sleep do you get each night?” c. “Do you have any children?” d. “ How long have you lived at your current residence?” ANS: A Nurses have an important role in identifying individuals who are at risk for Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :00:04 GMT -05:00 suicide. Risk factors for suicide include: history of depression or other psychiatric disorders, alcohol and/orsubstance abuse, physical illness, past history of attempted suicide, past history of violence, age, environmental stressors. DIF: Cognitive Level: Analyze (Analysis) 4. For which group is suicide the second leading cause of death? Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :00:04 GMT -05:00 a. People aged 15 to 25 years b. People aged 10 to 34 years c. People aged 34 to 54 years d. People over age 65 years ANS: B In 2014, suicide was the second leading cause of death for those between the ages of 10 and34 years, and it is the fourth leading cause of death in people aged 34 to 54 years. DIF: Cognitive Level: Remember (Knowledge) 5. A woman was seen in the emergency department with a greenstick broken arm and chest bruises. She explained she fell up a staircase at home while carrying laundry to the bedrooms.Besides assessing for other injuries, which action should be taken by the nurse? a. Ask about and educate regarding intimate partner violence (IPV) b. Assess for use of alcohol or other drugs that might have been a causative factor inthe fall c. Get the patient an x-ray examination to determine location and severity of thebreak d. Immediately apply ice and immobilize in a sling ANS: A Intimate partner violence (IPV) includes four different types of behavior: physical violence,sexual violence, psychological aggression, and stalking. IPV is often repetitive, progressive,and escalates in frequency and severity. IPV crosses all ethnic, racial, socioeconomic, and educational lines. Thus, the nurse must assess for IPV. DIF: Cognitive Level: ApplyN(AU pRplS icaItiN onG) T B.CO M 6. A woman is in the emergency department for the fifth time this year, each time with moresevere injuries. Which is the primary responsibility of the nurse? a. Insist she be discharged to a safe shelter where the perpetrator cannot find her b. Provide information regarding safe shelters and sources of support c. Report the assault and battery to the local police department so the perpetrator isarrested for the crime d. Treat the injuries and inform the woman she may be killed if she stays with theperpetrator ANS: B Working with victims of intimate partner violence (IPV) requires the nurse to establish rapport and trust; deal with issues of confidentiality honestly; provide current information regarding shelters and sources of support; and recognize and accept that clients may “choose”to stay in an abusive relationship. Because Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :00:04 GMT -05:00 the nurse wants to establish rapport and trust, it would not be in the best interest of building this relationship if the nurse insist that she go to asafe shelter (rather the nurse should provide her the necessary information) or inform the woman she may be killed (rather the nurse should recognize and accept that the client may “choose” to stay in an abusive relationship). Additionally, the nurse should recognize that even if the assault is reported, it may be denied by the woman and will not result in an arrest of the perpetrator. DIF: Cognitive Level: Apply (Application) Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :00:04 GMT -05:00 7. A 4-year-old child is seen in the emergency department with a spiral fracture of the right arm.X-ray examination shows previously broken and healed bones. Which is the immediate responsibility of the nurse? a. Call social services to immediately set up foster care for the child b. Provide information about parenting and anger management classes c. Report the child abuse to the local legal authorities d. Try to establish rapport and trust with the child’s family ANS: C Spiral fractures are only possible from abuse, because they require a wringing motion to occur. When working with victims of child abuse, the primary obligation of all health care providers is to protect the child. The abuse must be reported as a legal and ethical obligation. DIF: Cognitive Level: Apply (Application) 8. A man was crying and said, “I didn’t mean to do it. She just got me so angry I lost control. Itwill never happen again.” The woman said, “It was my fault. I shouldn’t have upset him.” Then, looking at the nurse, the woman added, “Please don’t report this. It will never happenagain.” Which is the most appropriate response by the nurse? a. “Abusers don’t stop unless intervention occurs. I have to report it.” b. “If you’re sure it won’t happen again, I’ll let it go this time.” c. “Legally, I’m required to put this in the medical record.” d. “The decision is up to the physician, not me.” ANS: A It is a common myth that abusers will stop the abuse on their own. Professional intervention isrequired to break the cycle ofNaUbuRsSe.ITNheGoTnBly.wCaOy Mto effectively begin breaking the cycle of abuse is to report the incident. The nurse has a professional responsibility to report the abuse, just as the physician does. Documenting the information in the medical record will not initiatestopping the cycle of abuse. DIF: Cognitive Level: Apply (Application) 9. Which best describes the incidence of abuse among pregnant women? a. It is too difficult to determine the actual incidence of abuse among this population. b. It is estimated that approximately 1 out of every 10 women experiences abuse. c. Approximately one out of every six women has been abused by a partner. d. Abuse does not occur among pregnant women. ANS: C Pregnancy does not protect women from the danger of abuse. Indeed, pregnancy may increasestress within the family and provoke the first instances of battering. It is estimated that one in six pregnant women have been abused by a partner. Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :00:04 GMT -05:00 DIF: Cognitive Level: Understand (Comprehension) 10. A rape victim says to the nurse, “He said he loved me; he had been so nice; he said he wanted to show me how much he loved me. And then he.…” Which is the most appropriate responseby the nurse? a. “Anyone can lose control; I’m sure he’ll never do it again.” Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :00:04 GMT -05:00 b. “I’m not sure he loves you; he may just have wanted easy sex.” c. “Rape isn’t about love or even sex; it’s about power and control.” d. “You shouldn’t have gone up to his room alone when the two of you had both beendrinking.” ANS: C Intimate partner violence is a crime of power and control. It is important the nurse is aware ofthe myths around IPV which include: victims deserve the abuse, victims can change the abusers’ behavior, and abusers will stop the abuse on their own without professional intervention. DIF: Cognitive Level: Apply (Application) 11. A female student is at a fraternity party where alcohol is flowing freely, the music is loud, andpeople are dancing and talking. Most people seem to be having a great time. What action should the student take, if anything, when she overhears two men talking about having put ketamine in a girl’s drink? a. First get out of there, call the campus police, and then report what was heard b. Nothing, because she had no idea which woman was targeted or even if she drankwhat was given to her c. Talk to the two men about the dangers and side effects of ketamine d. Watch to see if any young women pass out or are otherwise impaired ANS: A The text talks about date rape drugs, also known as predator drugs, including ketamine. The first priority is to keep oneself safe, so leaving would be prudent. Ideally, the police will allowthe report to be made without sharing who reported the potential problem. Doing nothing, talking to the men, and watchNinUgRySouInNgGwTomBe.nCaOt tMhe party will not protect the females at the party from unknowingly consuming the ketamine. DIF: Cognitive Level: Analyze (Analysis) 12. A nurse is developing secondary prevention strategies to reduce violence for individuals in thecommunity. Which strategy would the nurse most likely select to implement? a. Providing counseling services for victims of violence b. Offering parenting classes at a local high school c. Educating children on methods of conflict resolution d. Creating of a safety plan for victims of violence ANS: D The public health nurse develops prevention strategies using the three levels of prevention: primary (promotion of optimal parenting and family wellness), secondary (diagnosis of and service for families in stress), and tertiary (reeducation and rehabilitation of violent families).Creation of a safety plan for Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :00:04 GMT -05:00 victims of violence demonstrates the use of secondary prevention. Providing counseling services for victims of violence is done by using tertiary prevention. Primary prevention is used when educating children on the methods of conflict resolution and offering parenting classes at a local high school. DIF: Cognitive Level: Apply (Application) Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :00:04 GMT -05:00 13. The 7-year-old boy’s hands were badly burnt; it was suspected that his mother had forced his hands into boiling hot water after she caught him masturbating. The staff did not want the mother to be allowed near the boy. Which statement would be made by the nurse to encouragethe staff to interact more objectively with the mother? a. “If we won’t let the mom near, who does the child have for support at this painfultime?” b. “Most abusers were themselves abused as children and need help to learn how tobe a more effective parent.” c. “The child may feel responsible; we have to let the mother fix their relationship.” d. “We need to encourage the mother to continue parenting him or the boy willbecome a ward of the state.” ANS: B Most child maltreatment occurs within the family. Maltreatment is more commonly seen in families who are under a great deal of stress, are living in poverty or isolation, or when a family member has a history of violence. Child maltreatment can have serious long-term effects. Thus, it is most important that the staff provide support to the mother. The purpose ofallowing the mother with the child is not for additional support for the child or mother, ratherthe recognition that the mother may have a history of abuse as well and needs assistance to change the patterns of behavior that have been learned through her own life experience. DIF: Cognitive Level: Apply (Application) 14. A 6-month-old infant was brought in unresponsive by both parents. X-ray examinationshowed evidence of shaken baby syndrome. Which person is most likely responsible? a. The babysitter b. The dad c. The grandparents d. The mom ANS: B NU RS IN GT B.CO M In approximately 70% of abusive head trauma cases, also known as shaken baby syndrome, amale is the perpetrator. DIF: Cognitive Level: Apply (Application) 15. An 80-year-old woman lived with her eldest daughter, the daughter’s husband, and their threechildren. On this visit, the nurse noted the woman looked dehydrated and seemed depressed. Both wrists were red and scabbed. When asked if she was all right, the woman protested she was fine and her daughter Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :00:04 GMT -05:00 took good care of her. Which action should be taken by the nurse? a. Begin the paperwork to have the elderly woman put in a nursing home b. Discuss respite care and other stress relief measures with the daughter c. Report the elder abuse to the state department of aging d. Review with the total family how to share responsibilities for the woman’s care ANS: B Working with victims of elder abuse, the nurse must establish rapport and trust. The nurse should remember that competent adults have the right to make decisions about their own care,including staying in an abusive situation. The nurse should support the family in examining potential respite care options and support groups for the elderly woman and her caregivers. Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :00:04 GMT -05:00 DIF: Cognitive Level: Apply (Application) 16. Which best explains why more nurses do not report violence against themselves toauthorities? a. Assumption that the nurse somehow “asked for it” by not being cautious enough oralert enough to avoid it b. Assumption that nothing would be done about the situation anyway c. Assumption that nurses can accept anything, from taking blame to beingscapegoats for when outcomes are not positive d. Assumption that patients and families cannot be held responsible; being assaultedis part of the job ANS: D Workplace violence tends to be higher in some service-oriented work environments, includinghealth care. In the health care field, frequent areas for the occurrence of violence include emergency departments, psychiatric units, geriatric units, and waiting rooms. Nurses and nursing assistants who work directly with patients are often at risk. Nurses who work in publichealth roles are not immune to violence because their work may bring them in direct contact