NUR 245 Exam 2 Questions with 100%
Correct Answers
As a mandatory reporter of elder abuse, which of these must be present before a nurse notifies the
authorities? - Answer-suspicion of elder abuse and/or neglect
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: - Answer-unintentional physical neglect
a nurse is aware that intimate partner violence (IPV) screening should occur with what situation? -
Answer-as a routine part of each healthcare encounter
which statement is best for the nurse to use when preparing to administer the Abuse Assessment
Screen? - Answer-we need to ask these questions because domestic violence are so common in our
society
which term refers to a wound produced by tearing or splitting of body tissue, usually from blunt impact
over a body surface? - Answer-laceration
during an examination, the nurse notices a patterned injury on a pts back. which of the following would
cause such an injury?
,-blunt force
-friction abrasion
-stabbing from a kitchen knife
-whipping from an extension cord - Answer-whipping from an extension cord
when documenting IPV and elder abuse, the nurse should include: - Answer-photographic
documentation of injuries
a female pt denies any abuse when answering abuse assessment screen, but the nurse has noticed some
other conditions that are associated with IPV. examples of such conditions include....
-asthma
-confusion
-depression
-frequent colds - Answer-depression
the nurse is using the danger assessment (DA) tool to evaluate the risk of homicide. Which of these
statements best describes its use?
-the DA tool is to be administered by the law enforcement personnel
-the DA tool should be used in every assessment of suspected abuse
-the number of yes answers indicates the woman's understanding of her situation
-the higher the number of yes answers, the more serious the danger of the womans situation - Answer-
D, the higher number of yes answers the more serious the danger of the woman's situation
the nurse is assessing bruising on an injured patient. Which color indicates a new bruise that is less than
24 hours old? - Answer-red
, the nurse suspects abuse when a 10 y/o child is taken to the ED for a leg injury. the best way to
document the history and physical findings is to: - Answer-use the words the child used to describe how
the injury occurred
during an interview, a woman has answered yes to two of the abuse assessment screen questions- what
should the nurse say next? - Answer-"tell me about the abuse in your relationship"
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?
-bruise on the knee
-bruise on the elbow
-bruise on the abdomen
-bruise on the shin - Answer-bruise on the abdomen- not a bony prominence therefore more likely to be
a mark of abuse
the nurse assesses an older woman and suspects physical abuse. which questions are appropriate for
screening for abuse? select all that apply
-has anyone made you afraid, touched you in ways you did not want, or hurt you physically?
-are you being abused?
-have you relied on people for any of the following: bathing, dressing, shopping, banking, meals?
-have you ever been upset because someone talked to you in a way that made you feel shamed or
threatened? - Answer-all but B
when examining the eye, the nurse notices that the patients eyelid margins approximate completely.
the nurse recognizes this assessment finding:
-is expected
-may indicate a problem with extra-occular muscles
-may result in problems with tearing
-indicates increased intraocular pressure - Answer-is expected
Correct Answers
As a mandatory reporter of elder abuse, which of these must be present before a nurse notifies the
authorities? - Answer-suspicion of elder abuse and/or neglect
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: - Answer-unintentional physical neglect
a nurse is aware that intimate partner violence (IPV) screening should occur with what situation? -
Answer-as a routine part of each healthcare encounter
which statement is best for the nurse to use when preparing to administer the Abuse Assessment
Screen? - Answer-we need to ask these questions because domestic violence are so common in our
society
which term refers to a wound produced by tearing or splitting of body tissue, usually from blunt impact
over a body surface? - Answer-laceration
during an examination, the nurse notices a patterned injury on a pts back. which of the following would
cause such an injury?
,-blunt force
-friction abrasion
-stabbing from a kitchen knife
-whipping from an extension cord - Answer-whipping from an extension cord
when documenting IPV and elder abuse, the nurse should include: - Answer-photographic
documentation of injuries
a female pt denies any abuse when answering abuse assessment screen, but the nurse has noticed some
other conditions that are associated with IPV. examples of such conditions include....
-asthma
-confusion
-depression
-frequent colds - Answer-depression
the nurse is using the danger assessment (DA) tool to evaluate the risk of homicide. Which of these
statements best describes its use?
-the DA tool is to be administered by the law enforcement personnel
-the DA tool should be used in every assessment of suspected abuse
-the number of yes answers indicates the woman's understanding of her situation
-the higher the number of yes answers, the more serious the danger of the womans situation - Answer-
D, the higher number of yes answers the more serious the danger of the woman's situation
the nurse is assessing bruising on an injured patient. Which color indicates a new bruise that is less than
24 hours old? - Answer-red
, the nurse suspects abuse when a 10 y/o child is taken to the ED for a leg injury. the best way to
document the history and physical findings is to: - Answer-use the words the child used to describe how
the injury occurred
during an interview, a woman has answered yes to two of the abuse assessment screen questions- what
should the nurse say next? - Answer-"tell me about the abuse in your relationship"
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?
-bruise on the knee
-bruise on the elbow
-bruise on the abdomen
-bruise on the shin - Answer-bruise on the abdomen- not a bony prominence therefore more likely to be
a mark of abuse
the nurse assesses an older woman and suspects physical abuse. which questions are appropriate for
screening for abuse? select all that apply
-has anyone made you afraid, touched you in ways you did not want, or hurt you physically?
-are you being abused?
-have you relied on people for any of the following: bathing, dressing, shopping, banking, meals?
-have you ever been upset because someone talked to you in a way that made you feel shamed or
threatened? - Answer-all but B
when examining the eye, the nurse notices that the patients eyelid margins approximate completely.
the nurse recognizes this assessment finding:
-is expected
-may indicate a problem with extra-occular muscles
-may result in problems with tearing
-indicates increased intraocular pressure - Answer-is expected
