Chapter 23: Nursing in a Culture of Violence

Chapter 23: Nursing in a Culture of Violence

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

When assessing community needs, where should the nurse be aware that domestic violence is found?

1. All strata of society
2. Exclusively among the less well-educated segment of the population
3. Primarily in lower-income families
4. Mostly in the elderly

Correct Answer: 1

Rationale: Domestic violence crosses all racial, ethnic, socioeconomic, and educational boundaries, and is not confined to any gender or age group.

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: physical comfort and emotional support.

AACN Essential Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches.

NLN Competencies: Relationship Centered Care; Practice; Promote and accept the patient’s emotions; Accept and respond to distress in patient and self; Facilitate hope, trust, and faith

Nursing/Integrated Concepts: Assessment; Caring

Learning Outcome: 3. Define domestic violence and abuse.

Page Number: p. 442

Question 2

A home health nurse visits a 78-year-old man in his home. The man is ambulatory and shows no physical distress; however, his clothing appears soiled and smells of urine. What do these findings indicate?

1. Institutional abuse
2. Self-neglect
3. Domestic abuse
4. Emotional abuse

Correct Answer: 2

Rationale: The three categories of elder abuse are domestic elder abuse, institutional elder abuse, and self-neglect. Self-neglect is characterized as the behavior of the elderly person that threatens health and safety; it is usually a failure to provide sufficiently for him or herself. Institutional abuse refers to abuse occurring in residential facilities such as nursing homes. Domestic abuse refers to any of several forms of maltreatment of an older person by someone who has a special relationship with the elder. Emotional or psychological abuse is defined as the infliction of anguish, pain, or distress through verbal or nonverbal acts.

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: physical comfort and emotional support.

AACN Essential Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches.

NLN Competencies: Relationship Centered Care; Practice; Promote and accept the patient’s emotions; Accept and respond to distress in patient and self; Facilitate hope, trust, and faith

Nursing/Integrated Concepts: Assessment; Caring

Learning Outcome: 3. Define domestic violence and abuse.

Page Number: p. 446

Question 3

Sibling violence is a form of family violence. Which is correct about sibling violence?

1. It is often unrecognized.
2. It occurs less in the early years and increases with age of the child.
3. Girls are more violent toward their siblings than are boys.
4. Sibling violence leads to less aggressive behavior problems with non-related peers.

Correct Answer: 1

Rationale: Sibling violence is often unrecognized. Many parents assume that it is natural, and even appropriate, for children to use physical force with one another. This leads to underreporting and may lead to future abuser tendencies. Sibling violence is highest in the early years and decreases with age. In all age groups, girls are less violent toward their siblings than are boys. Childhood abuse may have far-reaching consequences for the victim’s health. Empirical data link child maltreatment and exposure to domestic violence with numerous outcomes, including aggression and violent behavior problems with peers, delinquency, depression, delayed cognitive functioning, poor academic performance, and symptoms of PTSD.

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: physical comfort and emotional support.

AACN Essential Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches.

NLN Competencies: Relationship Centered Care; Practice; Promote and accept the patient’s emotions; Accept and respond to distress in patient and self; Facilitate hope, trust, and faith

Nursing/Integrated Concepts: Assessment; Caring

Learning Outcome: 3. Define domestic violence and abuse.

Page Number: p. 445

Question 4

Which is true about who perpetrates most intimate partner abuse against whom?

1. By men against other men
2. By men against women
3. By caregivers against elders
4. By adults against children

Correct Answer: 2

Rationale: Most intimate partner abuse is perpetrated by men against women; however, abuse is also perpetrated by women against men and partners of the same gender. Elder abuse by caregivers and child abuse are not instances of intimate partner abuse.

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: physical comfort and emotional support.

AACN Essential Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches.

NLN Competencies: Relationship Centered Care; Practice; Promote and accept the patient’s emotions; Accept and respond to distress in patient and self; Facilitate hope, trust, and faith

Nursing/Integrated Concepts: Assessment; Caring

Learning Outcome: 1. Recognize the incidence of violence within the family, in the community, and in the workplace.

Page Number: p. 443