Chapter 34. Survivors of Abuse or Neglect
Multiple Choice
1. A kindergarten student is frequently violent toward other children. A school nurse
notices bruises and burns on the childs face and arms. What other symptom should
indicate to the nurse that the child might have been physically abused?
A. The child shrinks at the approach of adults. B. The child begs or steals food or
money.
C. The child is frequently absent from school.
D. The child is delayed in physical and emotional development.
ANS: A
The nurse should determine that a child who shrinks at the approach of adults in
addition to having bruises and burns might be a victim of abuse. Whether or not the
adult intended to harm the child, maltreatment should be considered.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Assessment | Client Need:
Safe and Effective Care Environment
2. A woman describes a history of physical and emotional abuse in intimate
relationships. Which additional factor should a nurse suspect?
A. The woman may be exhibiting a controlled response pattern. B. The woman may
have a history of childhood neglect.
, C. The woman may be exhibiting codependent characteristics. D. The woman might be
a victim of incest.
ANS: D
The nurse should suspect that this client might be a victim of incest. Women in
abusive relationships often grew up in abusive homes.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Assessment | Client Need:
Psychosocial Integrity
3. Which statement made by an emergency department nurse indicates accurate
knowledge of domestic violence?
A. Power and control are central to the dynamic of domestic violence.
B. Poor communication and social isolation are central to the dynamic of domestic
violence. C. Erratic relationships and vulnerability are central to the dynamic of
domestic violence.
D. Emotional injury and learned helplessness are central to the dynamic of domestic
violence.
ANS: A
The nurse accurately states that power and control are central to the dynamic of
domestic violence. Battering is defined as a pattern of coercive control founded on
physical and/or sexual violence or threat of violence. The typical abuser is very
possessive and perceives the victim as a possession.
Multiple Choice
1. A kindergarten student is frequently violent toward other children. A school nurse
notices bruises and burns on the childs face and arms. What other symptom should
indicate to the nurse that the child might have been physically abused?
A. The child shrinks at the approach of adults. B. The child begs or steals food or
money.
C. The child is frequently absent from school.
D. The child is delayed in physical and emotional development.
ANS: A
The nurse should determine that a child who shrinks at the approach of adults in
addition to having bruises and burns might be a victim of abuse. Whether or not the
adult intended to harm the child, maltreatment should be considered.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Assessment | Client Need:
Safe and Effective Care Environment
2. A woman describes a history of physical and emotional abuse in intimate
relationships. Which additional factor should a nurse suspect?
A. The woman may be exhibiting a controlled response pattern. B. The woman may
have a history of childhood neglect.
, C. The woman may be exhibiting codependent characteristics. D. The woman might be
a victim of incest.
ANS: D
The nurse should suspect that this client might be a victim of incest. Women in
abusive relationships often grew up in abusive homes.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Assessment | Client Need:
Psychosocial Integrity
3. Which statement made by an emergency department nurse indicates accurate
knowledge of domestic violence?
A. Power and control are central to the dynamic of domestic violence.
B. Poor communication and social isolation are central to the dynamic of domestic
violence. C. Erratic relationships and vulnerability are central to the dynamic of
domestic violence.
D. Emotional injury and learned helplessness are central to the dynamic of domestic
violence.
ANS: A
The nurse accurately states that power and control are central to the dynamic of
domestic violence. Battering is defined as a pattern of coercive control founded on
physical and/or sexual violence or threat of violence. The typical abuser is very
possessive and perceives the victim as a possession.
