Chapter 21: Child, Partner, and Elder Violence

Essentials of Psychiatric Mental Health Nursing ,2nd Edition by Elizabeth M. Varcarolis

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Chapter 21: Child, Partner, and Elder Violence

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. A nurse visits the home of an 11-year-old child and finds the child caring for three younger siblings. Both parents are at work. The child says, “I want to go to school but we can’t afford a babysitter. It doesn’t matter though; I’m too dumb to learn.” What preliminary assessment is evident?
a. Insufficient data are present to make an assessment.
b. Child and siblings are experiencing neglect.
c. Children are at high risk for sexual abuse.
d. Children are experiencing physical abuse.

 

 

ANS:  B

The child is experiencing neglect when the parents take away the opportunity to attend school. The other children may also be experiencing physical neglect, but more data should be gathered before making the actual assessment. The information presented does not indicate a high risk for sexual abuse, and no concrete evidence of physical abuse is present.

 

DIF:    Cognitive Level: Comprehension     REF:   Pages: 402-404

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

 

  1. An 11-year-old child is absent from school to care for siblings while the parents work. The family cannot afford a babysitter. When asked about the parents, the child reluctantly says, “My parents don’t like me. They call me stupid and say I never do anything right.” Which type of abuse is likely?
a. Sexual
b. Physical
c. Emotional
d. Economic

 

 

ANS:  C

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

 

DIF:    Cognitive Level: Comprehension     REF:   Pages: 402-404

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

 

  1. What feelings are most commonly experienced by nurses working with abusive families?
a. Outrage toward the victim and sympathy for the abuser
b. Sympathy for 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, sympathy for the victim, and anger and outrage toward the abuser are common emotions of a nurse working with an abusive family.

 

DIF:    Cognitive Level: Comprehension     REF:   Pages: 411-413

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Safe, Effective Care Environment

 

  1. Which rationale best explains why a nurse should be aware of personal feelings while working with a family experiencing family violence?
a. Self-awareness protects one’s own mental health.
b. Strong negative feelings interfere with assessment and judgment.
c. Strong positive feelings lead to underinvolvement 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 personal feelings. Strong positive feelings lead to overinvolvement with the victim.

 

DIF:    Cognitive Level: Application           REF:   Pages: 411-413

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

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