NUR 245 EXAM 2
As a mandatory reporter of elder abuse, which of these must be present before a
nurse notifies the authorities?
suspicion of elder abuse and/or neglect
During a home visit, the nurse notices that an elderly woman is caring for her
bedridden husband. The woman states that this is her duty, she does the best she
can, and her children come to help when they are in town. Her husband is unable to
care for himself, and she appears thin, weak, and exhausted. The nurse notices that
several of his prescription medication bottles are empty. This situation is best
described by the term:
unintentional physical neglect
A nurse is aware that intimate partner violence (IPV) screening should occur with
what situation?
as a routine part of each healthcare encounter
Which statement is best for the nurse to use when preparing to administer the Abuse
Assessment Screen?
we need to ask these questions because domestic violence are so common in our
society
,Which term refers to a wound produced by tearing or splitting of body tissue, usually
from blunt impact over a body surface?
laceration
During an examination, the nurse notices a patterned injury on a pts back. which of
the following would cause such an injury?
-blunt force
-friction abrasion
-stabbing from a kitchen knife
-whipping from an extension cord
whipping from an extension cord
When documenting IPV and elder abuse, the nurse should include:
photographic documentation of injuries
A female pt denies any abuse when answering abuse assessment screen, but the
nurse has noticed some other conditions that are associated with IPV. examples of
such conditions include....
-asthma
,-confusion
-depression
-frequent colds
The nurse is using the danger assessment (DA) tool to evaluate the risk of homicide.
Which of these statements best describes its use?
-the DA tool is to be administered by the law enforcement personnel
-the DA tool should be used in every assessment of suspected abuse
-the number of yes answers indicates the woman's understanding of her situation
-the higher the number of yes answers, the more serious the danger of the womans
situation
The nurse is assessing bruising on an injured patient. Which color indicates a new
bruise that is less than 24 hours old?
red
The nurse suspects abuse when a 10 y/o child is taken to the ED for a leg injury. the
best way to document the history and physical findings is to:
use the words the child used to describe how the injury occurred
, During an interview, a woman has answered yes to two of the abuse assessment
screen questions- what should the nurse say next?
"tell me about the abuse in your relationship"
The nurse is examining a 3 year old child who was brought to the emergency room
after a fall. which bruise, if found, would be of most concern?
-bruise on the knee
-bruise on the elbow
-bruise on the abdomen
-bruise on the shin
bruise on the abdomen- not a bony prominence therefore more likely to be a mark of
abuse
The nurse assesses an older woman and suspects physical abuse. which questions
are appropriate for screening for abuse? select all that apply
-has anyone made you afraid, touched you in ways you did not want, or hurt you
physically?
-are you being abused?
-have you relied on people for any of the following: bathing, dressing, shopping,
banking, meals?
As a mandatory reporter of elder abuse, which of these must be present before a
nurse notifies the authorities?
suspicion of elder abuse and/or neglect
During a home visit, the nurse notices that an elderly woman is caring for her
bedridden husband. The woman states that this is her duty, she does the best she
can, and her children come to help when they are in town. Her husband is unable to
care for himself, and she appears thin, weak, and exhausted. The nurse notices that
several of his prescription medication bottles are empty. This situation is best
described by the term:
unintentional physical neglect
A nurse is aware that intimate partner violence (IPV) screening should occur with
what situation?
as a routine part of each healthcare encounter
Which statement is best for the nurse to use when preparing to administer the Abuse
Assessment Screen?
we need to ask these questions because domestic violence are so common in our
society
,Which term refers to a wound produced by tearing or splitting of body tissue, usually
from blunt impact over a body surface?
laceration
During an examination, the nurse notices a patterned injury on a pts back. which of
the following would cause such an injury?
-blunt force
-friction abrasion
-stabbing from a kitchen knife
-whipping from an extension cord
whipping from an extension cord
When documenting IPV and elder abuse, the nurse should include:
photographic documentation of injuries
A female pt denies any abuse when answering abuse assessment screen, but the
nurse has noticed some other conditions that are associated with IPV. examples of
such conditions include....
-asthma
,-confusion
-depression
-frequent colds
The nurse is using the danger assessment (DA) tool to evaluate the risk of homicide.
Which of these statements best describes its use?
-the DA tool is to be administered by the law enforcement personnel
-the DA tool should be used in every assessment of suspected abuse
-the number of yes answers indicates the woman's understanding of her situation
-the higher the number of yes answers, the more serious the danger of the womans
situation
The nurse is assessing bruising on an injured patient. Which color indicates a new
bruise that is less than 24 hours old?
red
The nurse suspects abuse when a 10 y/o child is taken to the ED for a leg injury. the
best way to document the history and physical findings is to:
use the words the child used to describe how the injury occurred
, During an interview, a woman has answered yes to two of the abuse assessment
screen questions- what should the nurse say next?
"tell me about the abuse in your relationship"
The nurse is examining a 3 year old child who was brought to the emergency room
after a fall. which bruise, if found, would be of most concern?
-bruise on the knee
-bruise on the elbow
-bruise on the abdomen
-bruise on the shin
bruise on the abdomen- not a bony prominence therefore more likely to be a mark of
abuse
The nurse assesses an older woman and suspects physical abuse. which questions
are appropriate for screening for abuse? select all that apply
-has anyone made you afraid, touched you in ways you did not want, or hurt you
physically?
-are you being abused?
-have you relied on people for any of the following: bathing, dressing, shopping,
banking, meals?
