NSG 333 CHAPTER 9: VIOLENCE AND ABUSE 2026/2027 |
STUDY GUIDE, PRACTICE QUESTIONS & EXAM REVIEW
1 of 77
Term
During a follow-up visit to the clinic, a victim of sexual assault reports
changing jobs and moving to another town. The client tells the nurse, "I
pretty much stay to myself at work and at home." The nurse interprets
these findings to indicate that the client is in which phase of rape
recovery?
Give this one a go later!
Escort the client to a private area to complete the assessment.
Explanation:
One major indicator of intimate partner violence is the hovering behavior of the
abusive partner during a visit. The client also has multiple bruises and is very quiet.
The nurse needs to speak with the client privately to ask about IPV. After
completing the assessment, the nurse would notify the primary health care provider
,and document the findings. The nurse may also need to report the findings to the
proper authorities. Providing the client with information in the presence of the
partner is not appropriate. This could subject the client to additional abuse upon
leaving the medical facility.
reorganization
Rationale: During the reorganization phase, the survivor attempts to make life
adjustments by moving or changing jobs and uses emotional distancing to
cope. The disorganization phase is characterized by shock, fear, disbelief,
anger, shame, guilt, and feelings of uncleanliness. During the denial or
outward adjustment phase, the survivor appears outwardly composed and
returns to work or school and refuses to discuss the assault and denies the
need for counseling. During the integration and recovery phase, the survivor
begins to feel safe and starts to trust others.
phone cards
most of her clothing
Rationale: When leaving an abusive relationship, the victim should take the following
items: driver's license or photo ID; Social Security number or green card/work
permit; birth certificates for oneself and one's children; phone numbers for social
services or shelter; deed or lease to the home or apartment; any court papers or
orders; a change of clothing for oneself and one's children; pay stubs, checkbook,
credit cards, and cash; and health insurance cards. Phone cards should not be used
because they leave a trail to follow.
"It is protocol to screen all clients for intimate partner violence at every visit."
Explanation:
All clients, not just those with risk factors (age, multiple visits, etc.), should be
screened for intimate partner violence at every health care visit. The client may
open up to the nurse after building a trusting relationship. While it is possible for the
client to become a victim of intimate partner violence at any time, the best answer
explains this is protocol for all clients. This helps the client not feel singled out by
the nurse and builds trust.
, Don't know?
2 of 77
Term
When teaching a group of young adults about the cycle of violence,
the nurse would describe which behavior as eventually disappearing as
the violence becomes accelerated over time?
Give this one a go later!
"It is not your fault. No one deserves to be hurt."
Rationale: The nurse needs to communicate nonjudgmental support and explain
that no one deserves to be abused. Doing so helps to establish trust and rapport.
Asking the victim what he or she did to make the partner so angry, telling the victim
to clean the house earlier in the day, and telling the victim to meet the partner's
needs all shift the blame to the victim and are thus inappropriate.
"You are a good person, and you deserve better than this."
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.
, apologies for the pain and abuse
Explanation:
As the violence increases in frequency and severity over time, the honeymoon
phase gradually shortens and eventually disappears altogether. The abuser no
longer feels the need to apologize and indulge in a honeymoon phase as the
victim becomes increasingly disempowered by the relationship.
assis ting the client to project anger
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.
Don't know?
3 of 77
Term
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?
Give this one a go later!
"That woman must be doing something to get beaten like that."
Explanation:
It is important not to blame abuse victims for the violence they receive. Therefore,
the supervising nurse would need to intervene and clarify for the new nurse not to
make comments that place blame on the victim. The other statements are fine; many
nurses do not understand why abused women do not leave their partners. It is
helpful to give information about women's shelters and provide input on an
emergency plan in case the woman wants to leave and maintain safety.
STUDY GUIDE, PRACTICE QUESTIONS & EXAM REVIEW
1 of 77
Term
During a follow-up visit to the clinic, a victim of sexual assault reports
changing jobs and moving to another town. The client tells the nurse, "I
pretty much stay to myself at work and at home." The nurse interprets
these findings to indicate that the client is in which phase of rape
recovery?
Give this one a go later!
Escort the client to a private area to complete the assessment.
Explanation:
One major indicator of intimate partner violence is the hovering behavior of the
abusive partner during a visit. The client also has multiple bruises and is very quiet.
The nurse needs to speak with the client privately to ask about IPV. After
completing the assessment, the nurse would notify the primary health care provider
,and document the findings. The nurse may also need to report the findings to the
proper authorities. Providing the client with information in the presence of the
partner is not appropriate. This could subject the client to additional abuse upon
leaving the medical facility.
reorganization
Rationale: During the reorganization phase, the survivor attempts to make life
adjustments by moving or changing jobs and uses emotional distancing to
cope. The disorganization phase is characterized by shock, fear, disbelief,
anger, shame, guilt, and feelings of uncleanliness. During the denial or
outward adjustment phase, the survivor appears outwardly composed and
returns to work or school and refuses to discuss the assault and denies the
need for counseling. During the integration and recovery phase, the survivor
begins to feel safe and starts to trust others.
phone cards
most of her clothing
Rationale: When leaving an abusive relationship, the victim should take the following
items: driver's license or photo ID; Social Security number or green card/work
permit; birth certificates for oneself and one's children; phone numbers for social
services or shelter; deed or lease to the home or apartment; any court papers or
orders; a change of clothing for oneself and one's children; pay stubs, checkbook,
credit cards, and cash; and health insurance cards. Phone cards should not be used
because they leave a trail to follow.
"It is protocol to screen all clients for intimate partner violence at every visit."
Explanation:
All clients, not just those with risk factors (age, multiple visits, etc.), should be
screened for intimate partner violence at every health care visit. The client may
open up to the nurse after building a trusting relationship. While it is possible for the
client to become a victim of intimate partner violence at any time, the best answer
explains this is protocol for all clients. This helps the client not feel singled out by
the nurse and builds trust.
, Don't know?
2 of 77
Term
When teaching a group of young adults about the cycle of violence,
the nurse would describe which behavior as eventually disappearing as
the violence becomes accelerated over time?
Give this one a go later!
"It is not your fault. No one deserves to be hurt."
Rationale: The nurse needs to communicate nonjudgmental support and explain
that no one deserves to be abused. Doing so helps to establish trust and rapport.
Asking the victim what he or she did to make the partner so angry, telling the victim
to clean the house earlier in the day, and telling the victim to meet the partner's
needs all shift the blame to the victim and are thus inappropriate.
"You are a good person, and you deserve better than this."
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.
, apologies for the pain and abuse
Explanation:
As the violence increases in frequency and severity over time, the honeymoon
phase gradually shortens and eventually disappears altogether. The abuser no
longer feels the need to apologize and indulge in a honeymoon phase as the
victim becomes increasingly disempowered by the relationship.
assis ting the client to project anger
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.
Don't know?
3 of 77
Term
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?
Give this one a go later!
"That woman must be doing something to get beaten like that."
Explanation:
It is important not to blame abuse victims for the violence they receive. Therefore,
the supervising nurse would need to intervene and clarify for the new nurse not to
make comments that place blame on the victim. The other statements are fine; many
nurses do not understand why abused women do not leave their partners. It is
helpful to give information about women's shelters and provide input on an
emergency plan in case the woman wants to leave and maintain safety.
