Psychiatric Mental Health Nursing Concepts of Care in Evidence Based Practice 8th Edition by Mary C. Townsend
Psychiatric Mental Health Nursing Concepts of Care in Evidence Based Practice 8th Edition by Mary C. Townsend
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Ch 12- Abuse and Violence
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
1. The nurse is collecting assessment data on a client who is suspected to be a victim of
violence. Which assessment data would support the suspicion that the client is a victim
of abuse? Select all that apply.
A) The client has few friends.
B) The client holds a dominant role in the family.
C) The client is in charge of the family finances.
D) There is a moderate amount of alcohol use in the home.
E) The client reports that the father was abusive during childhood.
Ans: A, D, E
Feedback:
One characteristic of violent families is social isolation. Members of these families keep
to themselves and usually do not invite others into the home or tell them what is
happening. If the client reports that the father was abusive during childhood, that would
support the suspicion that the client is a victim of abuse. The abusive family member
almost always holds a position of power and control over the victim. The abuser exerts
not only physical power but also economic and social control. Substance abuse,
especially alcoholism, has been associated with family violence.
2. A young female immigrant presents in the rural health clinic with facial bruising and a
fractured nose. The client is reluctant to give details of the nature of her injuries. Which
of the following should be a consideration in providing care for this client?
A) Most views regarding domestic violence are universal across cultures.
B) She may fear deportation if she seeks public assistance.
C) Immigrants have expedited access to public legal services.
D) The nurse should ignore the details and focus on treatment.
Ans: B
Feedback:
Battered immigrant women face legal, social, and economic problems different from US
citizens who are battered and from people of other cultural, racial, and ethnic origins
who are not battered: The battered woman may come from a culture that accepts
domestic violence. She may believe she has less access to legal and social services than
do US citizens. If she is not a citizen, she may be forced to leave the United States if she
seeks legal sanctions against her husband or attempts to leave him. She is isolated by
cultural dynamics that do not permit her to leave her husband; economically, she may be
unable to gather the resources to leave, work, or go to school. Language barriers may
interfere with her ability to call 911, learn about her rights or legal options, and obtain
shelter, financial assistance, or food. The nurse must treat the whole person and
encourage the client to share the details in order to protect the client’s safety and well-
being.
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3. Which of the following is the best explanation for why family violence tends to occur
over multiple generations of families?
A) A tendency toward violence is hereditary.
B) Family violence may be perpetuated between generations of families by role
modeling and social learning.
C) All persons who have become victims of family violence will grow up to
perpetrate family violence.
D) Family violence does not tend to have an intergenerational transmission process.
Ans: B
Feedback:
The intergenerational transmission process shows that patterns of violence are
perpetuated from one generation to the next through role modeling and social learning.
Not all persons exposed to family violence, however, become abusive or violent as
adults.
4. Which of the following are common characteristics of violent families regardless of the
type of abuse that exists? Select all that apply.
A) Abuse of power and control
B) Alcohol and other drug abuse
C) Intergenerational transmission
D) Social isolation
E) Victim instigates
Ans: A, B, C, D
Feedback:
Research studies have identified some common characteristics of violent families
regardless of the type of abuse that exists. They include social isolation, abuse of power
and control, alcohol and other drug abuse, intergenerational transmission. The victim
does not instigate abuse.
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