MED SURG 2 EXAM 3 QUESTIONS WITH
CORRECT ANSWERS NEWEST 2026 VERIFIED
100%
What is violence?
The World Health Organization (WHO) defines violence as: "The intentional use of
physical force or power, threatened or actual, against oneself, another person, or
against a group or community, that either results of has a high likelihood of resulting
in injury, death, psychological harm, maldevelopment or deprivation."
The CDC developed a 5-Year Strategic Plan (2016-2021) to enhance awareness
and prevention of:
Child abuse and neglect
Youth violence (including bullying and gang related violence)
Intimate Partner Violence
Sexual violence (rape, human trafficking, ritual abuse)
Elder abuse
Suicidal behavior
Types of Violence
Physical Violence: physical pain or harm is involved
Sexual Violence: sexual contact takes place without consent
Emotional Violence: behavior that minimizes an individual’s feelings of self-worth or
humiliates, threatens or intimidates a family member
Neglect: failure to provide physical care, emotional care, education or health/dental
care
Economic abuse: failure to provide for the needs of a vulnerable person when
adequate funds are available.
A nurse is preparing a community education seminar about family violence.
When discussing types of violence, the nurse should include which of the
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following?
A. Refusing to pay bills for a dependent, even when funds are available is
neglect.
B. Intentionally causing someone to fall is an example of physical violence.
C. Striking a sexual partner is an example of sexual abuse.
D. Failure to provide a stimulating environment for normal development is
emotional abuse.
B. Intentionally causing someone to fall is an example of physical violence.
What is Abuse?
The maltreatment of one person by another.
Recent CDC numbers (2018):
1 in 5 women experienced a completed or attempted rape
1 in 6 women were stalked
1 in 4 women experienced contact sexual violence, physical violence and/or stalking
by an intimate partner
1 in 17 men were stalked
1 in 10 men experienced contact sexual violence, physical violence and/or stalking
by an intimate partner.
Additional Statistics (Abuse)
These forms of violence most often occur before age 25 for both men and women
Majority of abused children are neglected (74%), while a smaller percentage are
physically or sexually abused.
The CDC estimates that 1 in 10 people over the age of 60 (elder abuse and neglect)
and living at home is a victim of abuse or neglect
Abuse effects all populations equally regardless of race, religion, economic class,
age and educational backgrounds.
What are considered abusive behaviors?
Asking assertively for what you want/need
Providing your partner with an allowance
Throwing a plate across the room instead of hitting your partner
Forcing your husband or wife to engage in unwanted sexual behaviors
Refusing to use birth control/wear a condom
Attempting to make your partner doubt his/her own memory
Checking messages/texts on your partner's phone/email
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Refusing to contribute to shared bills
Setting limits when arguing
Public humiliation
Predisposing Factors: Biological Theories
Biological Theories
Neurophysiological Influences: lower volume of the amygdala (responsible for
impulse control) plays a role in aggression
Biochemical Influences: dopamine release associated with aggression
Genetic Influences: some studies have looked at possible genetic link for
aggression
Disorders of the brain: organic brain syndromes, brain tumors, encephalitis
Predisposing Factors: Psychological and Sociocultural Theories
Psychological Theories
Psychodynamic Theory: unmet needs for satisfaction and security result in an
underdeveloped ego and weak superego.
Learning Theory: children learn to behave by imitating their role models
Sociocultural Theories
Societal Influences: aggressive behavior is a primarily a product of one’s culture and
social structure (poverty, prolonged unemployment, family breakdown, exposure to
violence)
Perpetrator Characteristics
Uses threats
Usually an extreme disciplinarian
Poor impulse control
Perceives the victim as bad
Violent outbursts
Poor coping skills
Low self-esteem
Feelings of worthlessness
Hx of substance abuse
Difficulty assuming typical adult roles
Likely to have experienced violence as a child
Vulnerable Person Characteristics
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Demonstrates low self-esteem and feelings of helplessness, hopelessness,
powerlessness, guilt and shame
Attempts to protect the perpetrator and accept responsibility for the abuse
Possible denial of the severity of the situation and feelings of anger and terror.
Intimate Partner Violence (IPV)
A pattern of abusive behaviors used against a partner, often to gain power or control
What/who is an intimate partner?
Past or present partner, regular contact-social, physical, sexual, identify as a
"couple", or shared intimate knowledge.
Risk Factors for IPV:
Pregnancy
Attempting to leave a violent situation
The Cycle of Battering (Violence): Phase I
Phase I: The Tension-Building Phase
Victim senses partner's tolerance for frustration is declining.
Minor battering incidents may occur and the victim accepts this abuse to avoid more
serious incidents.
Victim denies his/her anger and rationalizes partner's behaviors
The abuser begins to feel that the partner may leave, which increases jealousy and
possessiveness
Battering incidents become more intense and the victim becomes less and less able
to restore equilibrium
The Cycle of Battering (Violence): Phase 2
Phase II: The Acute Battering Incident
This is the most violent phase and also the shortest, usually lasting up to 24 hours
May start with "just wanting to teach a lesson"
In some cases, may even be provoked by victim who has come to a point in phase I
in which the tension becomes unbearable.
Victim feels that the only option is to find a safe place to hide from the abuser.
The beating is severe and victims can typically describe the violence in great detail
as if dissociating from his/her body.
Help is usually sought only in the event of severe injury or if the victim fears for
his/her life or of the children.
Cycle of Battering (Violence): Phase 3