Chapter 18: Violence Against Women: An Epidemic and a Health Issue

Chapter 18: Violence Against Women: An Epidemic and a Health Issue

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse can expect to find that what percentage of women encountered during practice will be victims of violence?

ANS:  C

Violence against women is a global epidemic affecting 35% of women worldwide.

DIF:    Cognitive Level: Remember            REF:   323

TOP:   Integrated Process: Teaching/Learning

MSC:  NCLEX Client Needs: Psychosocial Integrity

2. A nurse is talking to a friend who thinks the importance of intimate partner violence (IPV) is overrated because only a small percentage of the population is affected. The best response by the nurse is,

ANS:  C

About 25% to 33% of women in the United States will experience IPV in their lifetimes, and being a survivor of IPV is often associated with poor physical and mental health outcomes.

Victims should not be blamed for using resources. Working with victims of IPV to create a plan of care that responds to their needs is no more time consuming than working with other types of patients.

It is not a legal requirement to screen all women for IPV, but consensus practice guidelines are available that provide recommendations for when screening should occur.

There are a significant number of people affected by IPV, but this response is not specific enough.

DIF:    Cognitive Level: Understand            REF:   323

TOP:   Integrated Process: Teaching/Learning

MSC:  NCLEX Client Needs: Psychosocial Integrity

3. A married woman being seen in the clinic has symptoms of a sexually transmitted infection (STI). The best action by the nurse is to

ANS:  A

Higher rates of STIs are seen in women who are victims of intimate partner violence. The nurse should suspect the woman is in a violent relationship, and because patient safety comes first, the nurse should assess whether the patient feels safe to go home.

Asking whether the patient is “cheating” is judgmental and inappropriate. It also implies that the woman is to blame for her medical problem.

Suggesting that the patient’s husband is “cheating” is judgmental and does not consider the safety of the patient. The other thing to consider is that some STIs can be asymptomatic in women for long periods of time. Placing blame on either partner is counterproductive and misses the opportunity to assess for violence. Women in violent relationships have higher rates of STIs.

Education on how STIs are transmitted and can be prevented is important for any patient who has a suspected STI, but this does not consider the patient’s safety, so it is not the best answer.

DIF:    Cognitive Level: Apply                   TOP:   Nursing Process: Assessment

MSC:  NCLEX Client Needs: Psychosocial Integrity

4. A nursing student asks the clinic nurse why it is important to find out whether a woman in a violent relationship feels safe leaving the clinic. The best response by the nurse would be to tell the student that

ANS:  A

Femicide, the murder of a woman, is the seventh leading cause of premature death in women overall, and it is the most serious consequence of intimate partner violence. The student (and nursing staff) need to ensure the woman feels safe going home.

Offering to have police escort the woman home does not explain where the police would escort the woman to, nor does it consider that police may not be available at the time.

The law does not require asking specifically whether a woman is safe to leave a medical facility, but there are consensus guidelines on appropriate questioning.

Women who are not safe do need referral information, but this answer is too narrow in scope to be the best answer.

DIF:    Cognitive Level: Understand            REF:   324

TOP:   Nursing Process: Assessment           MSC:  NCLEX Client Needs: Psychosocial Integrity