NUR 211- FINAL EXAM QUESTIONS
AND CORRECT ANSWERS
Cycle of Domestic Violence ANSW✅✅1. Build-up phase: tension
2. Stand-over phase: control/ fear
3. EXPLOSION
4. Remorse phase: justification, guilt, minimization
5. Pursuit phase: promises, helplessness, threats (making excuses)
6. Honeymoon Phase: enmeshment, denial of previous difficulties
Profile of Abuser ANSW✅✅- Strong feelings of inadequacy.
- From violent homes where abuse was seen/ experienced.
- Abuser is threatened by victim's independence, victim is seen as property.
- HIGHEST incidence in ETOH and cocaine abuse.
Family domains assessment ANSW✅✅- Management: hierarchy w/in family.
- Communication: members are free to express emotions.
- Emotional- Support: value affection vs. conflict/ anger.
- Socialization: fam. models and teach social skills.
,- Boundaries: barriers that protect and enhance integrity of individuals.
Presentation of Abuse ANSW✅✅- accidental discovery of injury.
- mult. injuries at various stages.
- no Hx offered/ contradictory Hx.
- inconsistent w/ stage of dev.
- suspicious attitude btw parent/ child.
Non-accidental bruises ANSW✅✅- Infants: face & butt.
- Children: upper arms (defense), trunk, front of thighs, sides of face, ears, neck, genitalia, stomach &
butt.
*** may be marked/ shaped.
Non-accidental burns ANSW✅✅- Location: butt, btw legs, ankles, wrists, palms, soles.
- symmetrical vs. "splash"
- full thickness to muscle/ bone
- older, neglected, infected wounds.
- shape of an instrument.
- numerous stages of healing.
Infant abuse injuries ANSW✅✅Subdural hematomas r/t shaken bb syndrome:
- seen in <24mo, mostly at 6mo.
- s/s: irritability, lethargy, disinclination to eat.
, - inc. ICP: vomiting, seizures, stupor coma.
Retinal hemorrhage r/t shaken bb syndrome.
Internal organ injuries ANSW✅✅injuries below the diaphragm w/o external bruising r/t abd.
ability to absorb trauma.
*** 2nd most common cause of death in child abuse.
Anorexic Assessment ANSW✅✅- Obtain baseline wt.
- Hydration status: skin, labs= albumin, kidney fxn.), hematuria, proteinuria.
- Cardiac fxn: rapid re-feeding, hypotension, bradycardia, anemia, peripheral edema from
hypoalbuminia, exercise intolerance.
- Integumentary: hypothermia, laguna, gray cast, fragile/ dry skin.
- Reproductive: amenorrhea may lead to infertility.
- Mood: depression r/t decreased thyroid fxn. and lack of building blocks for NT.
- Musculoskeletal: hypocalcemia, osteopenia, osteoporosis r/t decreased protein intake leads to
muscle wasting.
- GI: constipation, cavities, oral lesions r/t poor nutrition.
- Socialization: w/d from family/ relationships, decreased social activities.
Bulimic Assessment ANSW✅✅- Renal: extended hypovolemia w/ e. imbalances --> renal failure,
hematuria, proteinuria.
AND CORRECT ANSWERS
Cycle of Domestic Violence ANSW✅✅1. Build-up phase: tension
2. Stand-over phase: control/ fear
3. EXPLOSION
4. Remorse phase: justification, guilt, minimization
5. Pursuit phase: promises, helplessness, threats (making excuses)
6. Honeymoon Phase: enmeshment, denial of previous difficulties
Profile of Abuser ANSW✅✅- Strong feelings of inadequacy.
- From violent homes where abuse was seen/ experienced.
- Abuser is threatened by victim's independence, victim is seen as property.
- HIGHEST incidence in ETOH and cocaine abuse.
Family domains assessment ANSW✅✅- Management: hierarchy w/in family.
- Communication: members are free to express emotions.
- Emotional- Support: value affection vs. conflict/ anger.
- Socialization: fam. models and teach social skills.
,- Boundaries: barriers that protect and enhance integrity of individuals.
Presentation of Abuse ANSW✅✅- accidental discovery of injury.
- mult. injuries at various stages.
- no Hx offered/ contradictory Hx.
- inconsistent w/ stage of dev.
- suspicious attitude btw parent/ child.
Non-accidental bruises ANSW✅✅- Infants: face & butt.
- Children: upper arms (defense), trunk, front of thighs, sides of face, ears, neck, genitalia, stomach &
butt.
*** may be marked/ shaped.
Non-accidental burns ANSW✅✅- Location: butt, btw legs, ankles, wrists, palms, soles.
- symmetrical vs. "splash"
- full thickness to muscle/ bone
- older, neglected, infected wounds.
- shape of an instrument.
- numerous stages of healing.
Infant abuse injuries ANSW✅✅Subdural hematomas r/t shaken bb syndrome:
- seen in <24mo, mostly at 6mo.
- s/s: irritability, lethargy, disinclination to eat.
, - inc. ICP: vomiting, seizures, stupor coma.
Retinal hemorrhage r/t shaken bb syndrome.
Internal organ injuries ANSW✅✅injuries below the diaphragm w/o external bruising r/t abd.
ability to absorb trauma.
*** 2nd most common cause of death in child abuse.
Anorexic Assessment ANSW✅✅- Obtain baseline wt.
- Hydration status: skin, labs= albumin, kidney fxn.), hematuria, proteinuria.
- Cardiac fxn: rapid re-feeding, hypotension, bradycardia, anemia, peripheral edema from
hypoalbuminia, exercise intolerance.
- Integumentary: hypothermia, laguna, gray cast, fragile/ dry skin.
- Reproductive: amenorrhea may lead to infertility.
- Mood: depression r/t decreased thyroid fxn. and lack of building blocks for NT.
- Musculoskeletal: hypocalcemia, osteopenia, osteoporosis r/t decreased protein intake leads to
muscle wasting.
- GI: constipation, cavities, oral lesions r/t poor nutrition.
- Socialization: w/d from family/ relationships, decreased social activities.
Bulimic Assessment ANSW✅✅- Renal: extended hypovolemia w/ e. imbalances --> renal failure,
hematuria, proteinuria.
