Ricci Chapter 9 - Test Bank - 4th Edition
UPDATED ACTUAL Exam Questions and
CORRECT Answers
1. The nurse is presenting a class at a local community health center on violence during
pregnancy. Which possible complication would the nurse include?
A. gestational hypertension
B. chorioamnionitis
C. placenta previa
D. postterm labor - CORRECT ANSWER - Answer: B
Rationale: Women assaulted during pregnancy are at risk for chorioamnionitis, placental
abruption, preterm labor, stillbirth, miscarriage, uterine rupture, and injuries to the mother and
fetus. Gestational hypertension is not associated with violence during pregnancy.
2. Which approach would be most appropriate when counseling a client who is a suspected
victim of intimate partner violence?
A. Offer the client a pamphlet about the local shelter for victims of intimate partner violence.
B. Call the client at home to ask some questions about the marriage.
C. Wait until the client comes in a few more times to make a better assessment.
D. Ask, "Have you ever been physically hurt by your partner?" - CORRECT ANSWER -
Answer: D
Rationale: If intimate partner violence is suspected, the nurse must use direct or indirect
questions to screen for abuse. Asking the client if he or she has ever been physically hurt by the
partner is most appropriate. Offering the client a pamphlet, calling the client at home, or waiting
until the client returns are inappropriate and do not validate the suspicion.
3. When describing an episode of intimate partner violence, the victim reports attempting to calm
the partner down to keep things from escalating. The nurse interprets this behavior as reflecting
, which phase of the cycle of violence?
A. battering
B. honeymoon
C. tension-building
D. reconciliation - CORRECT ANSWER - Answer: C
Rationale: During the first phase of intimate partner violence, tension-building, the victim
attempts to keep the situation from exploding based on the belief that the partner's anger is
legitimately directed at him or her. The battering phase involves the explosion of violence. The
honeymoon or reconciliation phase is manifested by a period of calm, loving, contrite behavior
on the part of the batterer. The batterer may be genuinely sorry for the pain caused.
4. A physically abused pregnant woman reports to the nurse that her spouse has stopped hitting
her and promises never to hurt her again. Which response by the nurse would be most
appropriate?
A. "That's great. I wish you both the best."
B. "Remember, the cycle of violence often repeats itself."
C. "He probably didn't mean to hurt you."
D. "You need to consider leaving him." - CORRECT ANSWER - Answer: B
Rationale: The cycle of violence typically increases in frequency and severity as it is repeated
over and over again. The woman needs to understand this.
5. 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?
A. assisting the client to project anger
B. providing information about a safe home and crisis line
C. teaching the client about the cycle of violence
D. discussing the client's legal and personal rights - CORRECT ANSWER - Answer: A
Rationale: The goal of intervention is to enable the victim to gain control by providing sensitive,
UPDATED ACTUAL Exam Questions and
CORRECT Answers
1. The nurse is presenting a class at a local community health center on violence during
pregnancy. Which possible complication would the nurse include?
A. gestational hypertension
B. chorioamnionitis
C. placenta previa
D. postterm labor - CORRECT ANSWER - Answer: B
Rationale: Women assaulted during pregnancy are at risk for chorioamnionitis, placental
abruption, preterm labor, stillbirth, miscarriage, uterine rupture, and injuries to the mother and
fetus. Gestational hypertension is not associated with violence during pregnancy.
2. Which approach would be most appropriate when counseling a client who is a suspected
victim of intimate partner violence?
A. Offer the client a pamphlet about the local shelter for victims of intimate partner violence.
B. Call the client at home to ask some questions about the marriage.
C. Wait until the client comes in a few more times to make a better assessment.
D. Ask, "Have you ever been physically hurt by your partner?" - CORRECT ANSWER -
Answer: D
Rationale: If intimate partner violence is suspected, the nurse must use direct or indirect
questions to screen for abuse. Asking the client if he or she has ever been physically hurt by the
partner is most appropriate. Offering the client a pamphlet, calling the client at home, or waiting
until the client returns are inappropriate and do not validate the suspicion.
3. When describing an episode of intimate partner violence, the victim reports attempting to calm
the partner down to keep things from escalating. The nurse interprets this behavior as reflecting
, which phase of the cycle of violence?
A. battering
B. honeymoon
C. tension-building
D. reconciliation - CORRECT ANSWER - Answer: C
Rationale: During the first phase of intimate partner violence, tension-building, the victim
attempts to keep the situation from exploding based on the belief that the partner's anger is
legitimately directed at him or her. The battering phase involves the explosion of violence. The
honeymoon or reconciliation phase is manifested by a period of calm, loving, contrite behavior
on the part of the batterer. The batterer may be genuinely sorry for the pain caused.
4. A physically abused pregnant woman reports to the nurse that her spouse has stopped hitting
her and promises never to hurt her again. Which response by the nurse would be most
appropriate?
A. "That's great. I wish you both the best."
B. "Remember, the cycle of violence often repeats itself."
C. "He probably didn't mean to hurt you."
D. "You need to consider leaving him." - CORRECT ANSWER - Answer: B
Rationale: The cycle of violence typically increases in frequency and severity as it is repeated
over and over again. The woman needs to understand this.
5. 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?
A. assisting the client to project anger
B. providing information about a safe home and crisis line
C. teaching the client about the cycle of violence
D. discussing the client's legal and personal rights - CORRECT ANSWER - Answer: A
Rationale: The goal of intervention is to enable the victim to gain control by providing sensitive,
