NUR 245 Exam 2: Questions With A+ Solutions, Expert
Verified
Which statement is best for the nurse to use when preparing to administer the
Abuse Assessment Screen?
a.
We are required by law to ask these questions.
b.
We need to talk about whether you believe you have been abused.
c.
We are asking these questions because we suspect that you are being abused.
d.
We need to ask the following questions because domestic violence is so
common in our society. Correct Answer - D
Such an introduction alerts the woman that questions about domestic violence
are coming and ensures the woman that she is not being singled out for these
questions.
Which term refers to a wound produced by the tearing or splitting of body
tissue, usually from blunt impact over a bony surface?
a.
Abrasion
b.
Contusion
c.
Laceration
d.
Hematoma Correct Answer - C
The term laceration refers to a wound produced by the tearing or splitting of
body tissue. An abrasion is caused by the rubbing of the skin or mucous
membrane. A contusion is injury to tissues without breakage of skin, and a
hematoma is a localized collection of extravasated blood.
During an examination, the nurse notices a patterned injury on a patients
back. Which of these would cause such an injury?
a.
Blunt force
b.
,Friction abrasion
c.
Stabbing from a kitchen knife
d.
Whipping from an extension cord Correct Answer - D
A patterned injury is an injury caused by an object that leaves a distinct
pattern on the skin or organ. The other actions do not cause a patterned
injury.
When documenting IPV and elder abuse, the nurse should include:
a.
Photographic documentation of the injuries.
b.
Summary of the abused patients statements.
c.
Verbatim documentation of every statement made.
d.
General description of injuries in the progress notes. Correct Answer - A
Documentation of IPV and elder abuse must include detailed nonbiased
progress notes, the use of injury maps, and photographic documentation.
Written documentation needs to be verbatim, within reason. Not every
statement can be documented.
A female patient has denied any abuse when answering the Abuse Assessment
Screen, but the nurse has noticed some other conditions that are associated
with IPV. Examples of such conditions include:
a.
Asthma.
b.
Confusion.
c.
Depression.
d.
Frequent colds. Correct Answer - C
Depression is one of the conditions that is particularly associated with IPV.
Abused women also have been found to have more chronic health problems,
such as neurologic, gastrointestinal, and gynecologic symptoms; chronic pain;
and symptoms of suicidality and posttraumatic stress disorder.
,The nurse is using the danger assessment (DA) tool to evaluate the risk of
homicide. Which of these statements best describes its use?
a.
The DA tool is to be administered by law enforcement personnel.
b.
The DA tool should be used in every assessment of suspected abuse.
c.
The number of yes answers indicates the womans understanding of her
situation.
d.
The higher the number of yes answers, the more serious the danger of the
womans situation. Correct Answer - D
No predetermined cutoff scores exist on the DA. The higher the number yes
answers, the more serious the danger of the womans situation. The use of this
tool is not limited to law enforcement personnel and is not required in every
case of suspected abuse.
The nurse is assessing bruising on an injured patient. Which color indicates a
new bruise that is less than 2 hours old?
a.
Red
b.
Purple-blue
c.
Greenish-brown
d.
Brownish-yellow Correct Answer - A
A new bruise is usually red and will often develop a purple or purple-blue
appearance 12 to 36 hours after blunt-force trauma. The color of bruises (and
ecchymoses) generally progresses from purple-blue to bluish-green to
greenish-brown to brownish-yellow before fading away.
The nurse suspects abuse when a 10-year-old child is taken to the urgent care
center for a leg injury. The best way to document the history and physical
findings is to:
a.
Document what the childs caregiver tells the nurse.
b.
Use the words the child has said to describe how the injury occurred.
, c.
Record what the nurse observes during the conversation.
d.
Rely on photographs of the injuries. Correct Answer - B
When documenting the history and physical findings of suspected child abuse
and neglect, use the words the child has said to describe how his or her injury
occurred. Remember, the abuser may be accompanying the child.
During an interview, a woman has answered yes to two of the Abuse
Assessment Screen questions. What should the nurse say next?
a.
I need to report this abuse to the authorities.
b.
Tell me about this abuse in your relationship.
c.
So you were abused?
d.
Do you know what caused this abuse? Correct Answer - B
If a woman answers yes to any of the Abuse Assessment Screen questions,
then the nurse should ask questions designed to assess how recent and how
serious the abuse was. Asking the woman an open-ended question, such as tell
me about this abuse in your relationship is a good way to start.
The nurse is examining a 3-year-old child who was brought to the emergency
department after a fall. Which bruise, if found, would be of most concern?
a.
Bruise on the knee
b.
Bruise on the elbow
c.
Bruising on the abdomen
d.
Bruise on the shin Correct Answer - C
Studies have shown that children who are walking often have bruises over the
bony prominences of the front of their bodies. Other studies have found that
bruising in atypical places such as the buttocks, hands, feet, and abdomen
were exceedingly rare and should arouse concern.
Verified
Which statement is best for the nurse to use when preparing to administer the
Abuse Assessment Screen?
a.
We are required by law to ask these questions.
b.
We need to talk about whether you believe you have been abused.
c.
We are asking these questions because we suspect that you are being abused.
d.
We need to ask the following questions because domestic violence is so
common in our society. Correct Answer - D
Such an introduction alerts the woman that questions about domestic violence
are coming and ensures the woman that she is not being singled out for these
questions.
Which term refers to a wound produced by the tearing or splitting of body
tissue, usually from blunt impact over a bony surface?
a.
Abrasion
b.
Contusion
c.
Laceration
d.
Hematoma Correct Answer - C
The term laceration refers to a wound produced by the tearing or splitting of
body tissue. An abrasion is caused by the rubbing of the skin or mucous
membrane. A contusion is injury to tissues without breakage of skin, and a
hematoma is a localized collection of extravasated blood.
During an examination, the nurse notices a patterned injury on a patients
back. Which of these would cause such an injury?
a.
Blunt force
b.
,Friction abrasion
c.
Stabbing from a kitchen knife
d.
Whipping from an extension cord Correct Answer - D
A patterned injury is an injury caused by an object that leaves a distinct
pattern on the skin or organ. The other actions do not cause a patterned
injury.
When documenting IPV and elder abuse, the nurse should include:
a.
Photographic documentation of the injuries.
b.
Summary of the abused patients statements.
c.
Verbatim documentation of every statement made.
d.
General description of injuries in the progress notes. Correct Answer - A
Documentation of IPV and elder abuse must include detailed nonbiased
progress notes, the use of injury maps, and photographic documentation.
Written documentation needs to be verbatim, within reason. Not every
statement can be documented.
A female patient has denied any abuse when answering the Abuse Assessment
Screen, but the nurse has noticed some other conditions that are associated
with IPV. Examples of such conditions include:
a.
Asthma.
b.
Confusion.
c.
Depression.
d.
Frequent colds. Correct Answer - C
Depression is one of the conditions that is particularly associated with IPV.
Abused women also have been found to have more chronic health problems,
such as neurologic, gastrointestinal, and gynecologic symptoms; chronic pain;
and symptoms of suicidality and posttraumatic stress disorder.
,The nurse is using the danger assessment (DA) tool to evaluate the risk of
homicide. Which of these statements best describes its use?
a.
The DA tool is to be administered by law enforcement personnel.
b.
The DA tool should be used in every assessment of suspected abuse.
c.
The number of yes answers indicates the womans understanding of her
situation.
d.
The higher the number of yes answers, the more serious the danger of the
womans situation. Correct Answer - D
No predetermined cutoff scores exist on the DA. The higher the number yes
answers, the more serious the danger of the womans situation. The use of this
tool is not limited to law enforcement personnel and is not required in every
case of suspected abuse.
The nurse is assessing bruising on an injured patient. Which color indicates a
new bruise that is less than 2 hours old?
a.
Red
b.
Purple-blue
c.
Greenish-brown
d.
Brownish-yellow Correct Answer - A
A new bruise is usually red and will often develop a purple or purple-blue
appearance 12 to 36 hours after blunt-force trauma. The color of bruises (and
ecchymoses) generally progresses from purple-blue to bluish-green to
greenish-brown to brownish-yellow before fading away.
The nurse suspects abuse when a 10-year-old child is taken to the urgent care
center for a leg injury. The best way to document the history and physical
findings is to:
a.
Document what the childs caregiver tells the nurse.
b.
Use the words the child has said to describe how the injury occurred.
, c.
Record what the nurse observes during the conversation.
d.
Rely on photographs of the injuries. Correct Answer - B
When documenting the history and physical findings of suspected child abuse
and neglect, use the words the child has said to describe how his or her injury
occurred. Remember, the abuser may be accompanying the child.
During an interview, a woman has answered yes to two of the Abuse
Assessment Screen questions. What should the nurse say next?
a.
I need to report this abuse to the authorities.
b.
Tell me about this abuse in your relationship.
c.
So you were abused?
d.
Do you know what caused this abuse? Correct Answer - B
If a woman answers yes to any of the Abuse Assessment Screen questions,
then the nurse should ask questions designed to assess how recent and how
serious the abuse was. Asking the woman an open-ended question, such as tell
me about this abuse in your relationship is a good way to start.
The nurse is examining a 3-year-old child who was brought to the emergency
department after a fall. Which bruise, if found, would be of most concern?
a.
Bruise on the knee
b.
Bruise on the elbow
c.
Bruising on the abdomen
d.
Bruise on the shin Correct Answer - C
Studies have shown that children who are walking often have bruises over the
bony prominences of the front of their bodies. Other studies have found that
bruising in atypical places such as the buttocks, hands, feet, and abdomen
were exceedingly rare and should arouse concern.
