Chapter 16 Violence and Human Abuse
1. Which most accurately defines gender-based violence?
A) A homicide of a female that occurs in the context of intimate partner violence
B) Violence that targets people or groups of people on the basis of their gender
C) A pattern of assaultive and coercive behaviors perpetrated against an individual by one who
is, was, or wishes to be in an intimate relationship with the victim
D) A type of violence typically committed by one gender but not the other - ANSAns: B
Feedback: Gender-based violence is violence that targets people or groups of people on the
basis of their gender. Femicide is the homicide of a female that occurs in the context of intimate
partner violence (IPV). IPV is a pattern of assaultive and coercive behaviors perpetrated against
an individual by one who is, was, or wishes to be in an intimate relationship with that individual
and that may include inflicted physical injury, psychological abuse, sexual assault, progressive
social isolation, deprivation, intimidation, and threats. Gender-based violence is based on the
gender of the victim, not that of the perpetrator.
2. Which is a relationship risk factor for intimate partner violence?
A) Emotional dependence and insecurity
B) Belief in strict gender roles
C) Desire for power and control
D) Unhealthy family interactions - ANSAns: D
Feedback: Individual risk factors for intimate partner violence include emotional dependence
and insecurity, belief in strict gender roles, and desire for power and control. Relationship risk
factors include unhealthy family relationships and interactions.
3. Which is a societal risk factor for intimate partner violence?
A) Experiencing poor parenting
B) Marital instability
C) Unwillingness of neighbors to intervene when violence is witnessed
D) Traditional gender roles - ANSAns: D
Feedback: Traditional gender roles is a societal risk factor, as it is primarily determined by the
society one lives in, rather than by individual characteristics, relationship dynamics, or even
local community factors. Experiencing poor parenting is an individual risk factor. Marital
instability is a relationship factor. Unwillingness of neighbors to intervene when violence is
witnessed is a community factor.
4. Preventing intimate partner violence (IPV) and recurrence of violence requires targeting
efforts at all three levels of prevention: primary, secondary, and tertiary. Which is a secondary
prevention strategy?
, A) Creating and broadcasting a public service announcement that raises awareness about IPV
B) Putting up posters around the health provider's office that give tips on what to do if one is in
an abusive relationship
C) Screening a woman for evidence of abuse who has several risk factors for IPV
D) Providing a woman who is being abused by her husband the number to an abuse hotline so
that she can get help leaving him - ANSAns: C
Feedback: Primary prevention includes screening and prevention efforts that target the general
population. Secondary prevention occurs through generalized screening and inquiry with
high-risk populations. Tertiary prevention involves caring for victims affected by or currently
experiencing violence. Creating and broadcasting a public service announcement and putting
up posters are examples of primary prevention, as they are aimed at the general public.
Screening a woman for evidence of abuse who has several risk factors for IPV is an example of
secondary prevention. Providing help to a woman who is being abused is an example of tertiary
prevention.
5. Pediatric providers face special issues in screening for intimate partner violence (IPV) in a
caregiver who is accompanying a child. Which are appropriate strategies for addressing this
screening issue? (Select all that apply.)
A) Asking the mother directly, with the child present
B) Asking the child directly, while the mother is out of the room
C) Asking the mother indirectly, with a written questionnaire or computer survey
D) Screening for the safety and dangerousness of the situation before deciding whether to ask
the mother
E) Informing parents about mandatory reporting law after asking questions - ANSAns: C, D
Feedback: Appropriate strategies include the following: asking mothers indirectly (written
questionnaire, computer survey), asking mothers directly, without (not with) the child present;
informing parents about mandatory reporting laws before (not after) asking questions; screening
for safety and dangerousness of the situation; and being aware of resources and referrals. It
would not be appropriate to ask the child about IPV that the mother may have experienced.
6. The nurse is completing a lethality assessment with a female client. Which are appropriate
lethality risk questions? (Select all that apply.)
A) Is there a gun in your house?
B) Are you using drugs or drinking excessively?
C) Has your partner ever been arrested?
D) What is the worst thing your partner has ever done to you?
E) Do you feel that the partner is capable of hurting you? - ANSAns: A, C, D, E
Feedback: Appropriate questions to ask a client to assess for lethality risks associated with
intimate partner violence include the following: (1) Is there a gun in the house? (2) Is the
woman's partner unemployed? (3) What is the worst thing the partner has ever done to the
victim? (4) Does the victim feel that the partner is capable of hurting her, of carrying out his
1. Which most accurately defines gender-based violence?
A) A homicide of a female that occurs in the context of intimate partner violence
B) Violence that targets people or groups of people on the basis of their gender
C) A pattern of assaultive and coercive behaviors perpetrated against an individual by one who
is, was, or wishes to be in an intimate relationship with the victim
D) A type of violence typically committed by one gender but not the other - ANSAns: B
Feedback: Gender-based violence is violence that targets people or groups of people on the
basis of their gender. Femicide is the homicide of a female that occurs in the context of intimate
partner violence (IPV). IPV is a pattern of assaultive and coercive behaviors perpetrated against
an individual by one who is, was, or wishes to be in an intimate relationship with that individual
and that may include inflicted physical injury, psychological abuse, sexual assault, progressive
social isolation, deprivation, intimidation, and threats. Gender-based violence is based on the
gender of the victim, not that of the perpetrator.
2. Which is a relationship risk factor for intimate partner violence?
A) Emotional dependence and insecurity
B) Belief in strict gender roles
C) Desire for power and control
D) Unhealthy family interactions - ANSAns: D
Feedback: Individual risk factors for intimate partner violence include emotional dependence
and insecurity, belief in strict gender roles, and desire for power and control. Relationship risk
factors include unhealthy family relationships and interactions.
3. Which is a societal risk factor for intimate partner violence?
A) Experiencing poor parenting
B) Marital instability
C) Unwillingness of neighbors to intervene when violence is witnessed
D) Traditional gender roles - ANSAns: D
Feedback: Traditional gender roles is a societal risk factor, as it is primarily determined by the
society one lives in, rather than by individual characteristics, relationship dynamics, or even
local community factors. Experiencing poor parenting is an individual risk factor. Marital
instability is a relationship factor. Unwillingness of neighbors to intervene when violence is
witnessed is a community factor.
4. Preventing intimate partner violence (IPV) and recurrence of violence requires targeting
efforts at all three levels of prevention: primary, secondary, and tertiary. Which is a secondary
prevention strategy?
, A) Creating and broadcasting a public service announcement that raises awareness about IPV
B) Putting up posters around the health provider's office that give tips on what to do if one is in
an abusive relationship
C) Screening a woman for evidence of abuse who has several risk factors for IPV
D) Providing a woman who is being abused by her husband the number to an abuse hotline so
that she can get help leaving him - ANSAns: C
Feedback: Primary prevention includes screening and prevention efforts that target the general
population. Secondary prevention occurs through generalized screening and inquiry with
high-risk populations. Tertiary prevention involves caring for victims affected by or currently
experiencing violence. Creating and broadcasting a public service announcement and putting
up posters are examples of primary prevention, as they are aimed at the general public.
Screening a woman for evidence of abuse who has several risk factors for IPV is an example of
secondary prevention. Providing help to a woman who is being abused is an example of tertiary
prevention.
5. Pediatric providers face special issues in screening for intimate partner violence (IPV) in a
caregiver who is accompanying a child. Which are appropriate strategies for addressing this
screening issue? (Select all that apply.)
A) Asking the mother directly, with the child present
B) Asking the child directly, while the mother is out of the room
C) Asking the mother indirectly, with a written questionnaire or computer survey
D) Screening for the safety and dangerousness of the situation before deciding whether to ask
the mother
E) Informing parents about mandatory reporting law after asking questions - ANSAns: C, D
Feedback: Appropriate strategies include the following: asking mothers indirectly (written
questionnaire, computer survey), asking mothers directly, without (not with) the child present;
informing parents about mandatory reporting laws before (not after) asking questions; screening
for safety and dangerousness of the situation; and being aware of resources and referrals. It
would not be appropriate to ask the child about IPV that the mother may have experienced.
6. The nurse is completing a lethality assessment with a female client. Which are appropriate
lethality risk questions? (Select all that apply.)
A) Is there a gun in your house?
B) Are you using drugs or drinking excessively?
C) Has your partner ever been arrested?
D) What is the worst thing your partner has ever done to you?
E) Do you feel that the partner is capable of hurting you? - ANSAns: A, C, D, E
Feedback: Appropriate questions to ask a client to assess for lethality risks associated with
intimate partner violence include the following: (1) Is there a gun in the house? (2) Is the
woman's partner unemployed? (3) What is the worst thing the partner has ever done to the
victim? (4) Does the victim feel that the partner is capable of hurting her, of carrying out his
