Chapter 28: Child, Older Adult, and Intimate Partner Violence

Chapter 28: Child, Older Adult, and Intimate Partner Violence

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which comment by the nurse would best support relationship building with a survivor of intimate partner abuse?

a.	“You are feeling violated because you thought you could trust your partner.”
b.	“I’m here for you.  I want you to tell me about the bad things that happened to you.”
c.	“I was very worried about you.  I knew you were living in a potentially violent situation.”
d.	“Abusers often target people who are passive.  I will refer you to an assertiveness class.”

 

 

ANS:  A

The correct option uses the therapeutic technique of reflection. It shows empathy, an important nursing attribute for establishing rapport and building a relationship. None of the other options would help the patient feel accepted.

 

PTS:   1                    DIF:    Cognitive Level: Apply (Application)

REF:   Page 543 | Page 546                         TOP:   Nursing Process: Implementation

MSC:  Client Needs: Psychosocial Integrity

 

2. An 11-year-old reluctantly tells the nurse, “My parents don’t like me. They said they wish I was never born.” Which type of abuse is likely?

a.	Sexual	c.	Emotional
b.	Physical	d.	Economic

 

 

ANS:  C

Examples of emotional abuse include having an adult demean a child’s worth, frequently criticize, or belittle the child. No data support physical battering or endangerment, sexual abuse, or economic abuse.

 

PTS:   1                    DIF:    Cognitive Level: Understand (Comprehension)

REF:   Page 532 | Page 538-539                  TOP:   Nursing Process: Assessment

MSC:  Client Needs: Psychosocial Integrity

 

3. What feelings are most commonly experienced by nurses working with abusive families?

a.	Outrage toward the victim and discouragement regarding the abuser
b.	Helplessness regarding the victim and anger toward the abuser
c.	Unconcern for the victim and dislike for the abuser
d.	Vulnerability for self and empathy with the abuser

 

 

ANS:  B

Intense protective feelings, helplessness, and sympathy for the victim are common emotions of a nurse working with an abusive family. Anger and outrage toward the abuser are common emotions of a nurse working with an abusive family.

 

PTS:   1                    DIF:    Cognitive Level: Understand (Comprehension)

REF:   Page 540-541 (Table 28-3)               TOP:   Nursing Process: Assessment

MSC:  Client Needs: Psychosocial Integrity

 

4. Which rationale best explains why a nurse should be aware of personal feelings while working with a family experiencing family violence?

a.	Self-awareness enhances the nurse’s advocacy role.
b.	Strong negative feelings interfere with assessment and judgment.
c.	Strong positive feelings lead to healthy transference with the victim.
d.	Positive feelings promote the development of sympathy for patients.

 

 

ANS:  B

Strong negative feelings cloud the nurse’s judgment and interfere with assessment and intervention, no matter how well the nurse tries to cover or deny feelings. Strong positive feelings lead to over-involvement with victims rather than healthy transference.

 

PTS:   1                    DIF:    Cognitive Level: Understand (Comprehension)

REF:   Page 540-541                                  TOP:   Nursing Process: Planning

MSC:  Client Needs: Psychosocial Integrity

 

5. The parents of a 15-year-old seek to have this teen declared a delinquent because of excessive drinking, habitually running away, and prostitution. The nurse interviewing the patient should recognize these behaviors often occur in adolescents who:

a.	have been abused.	c.	have eating disorders.
b.	are attention seeking.	d.	are developmentally delayed.

 

 

ANS:  A

Self-mutilation, alcohol and drug abuse, bulimia, and unstable and unsatisfactory relationships are frequently seen in teens who are abused. These behaviors are not as closely aligned with any of the other options.

 

PTS:   1                    DIF:    Cognitive Level: Understand (Comprehension)

REF:   Page 533 (Box 28-1)                       TOP:   Nursing Process: Assessment

MSC:   Client Needs: Psychosocial Integrity