Chapter 23: Violence: Anger, Abuse, and Aggression

Chapter 23: Violence: Anger, Abuse, and Aggression

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A young child is being evaluated in the Emergency Department for injuries her mother reports resulted from a fall down the stairs. Which of these findings indicates that physical abuse may be a chronic problem for the child?

a.	The mother’s description of the child as being ‘clumsy’
b.	Several fractures revealed on x-ray in varying degrees of healing
c.	Clinging to her mother as she attempted to leave the examining room
d.	Struggling with the staff when attempts to obtain a blood specimen were made

 

ANS: B

Unhealed fractures indicate both numerous injuries and that medical intervention was not sought at the time of injury. Although unkind, the mother’s description of the child is not reason to believe chronic abuse has occurred. The remaining options reflect normal behavior, especially if pain or separation is suspected.

 

DIF:   Cognitive Level: Application        REF:  Page 539

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

 

2. A child was admitted to the children’s unit, having been sexually abused by an acquaintance of her family. The child refuses to talk and participate in unit activities, choosing to stay in her room with her stuffed animals. Which therapeutic intervention will best help the child release pent-up feelings about the abuse?

a.	Family therapy
b.	Play therapy
c.	Individual communication with the nurse
d.	Role-play with other children on the unit

 

ANS: B

Play helps communicate and release feelings about the child’s problems. A child may have difficulty expressing feelings verbally. Family therapy may be useful, but it is not designed for releasing feelings. Role-playing is more effective with older children or adults.

 

DIF:   Cognitive Level: Application        REF:  Page 541

TOP:  Nursing Process: Implementation MSC: NCLEX: Psychological Integrity

 

 

 

3. The nurse is leading a support group for women who have experienced interpersonal violence. When a patient asks about the characteristics of the perpetrators of interpersonal violence, the nurse accurately responds that they are:

a.	Usually under the influence of alcohol
b.	Most often someone the victim knows
c.	A stranger to the victim in most cases
d.	Often in a psychotic state during the act

 

ANS: B

Statistics show that interpersonal violence is usually committed by someone the victim knows. Drugs and alcohol are not necessarily involved. The victim usually knows the perpetrator. The perpetrators are aware of what they are doing.

 

DIF:   Cognitive Level: Application        REF:  Page 526

TOP:  Nursing Process: Assessment        MSC: NCLEX: Health Promotion and Maintenance

 

4. Which nursing intervention will assist a patient being treated in the Emergency Department for extensive soft tissue injuries to disclose an experience of domestic violence?

a.	Allowing the patient to initiate the topic of violence
b.	Speaking with the patient in the absence of her husband
c.	Providing a safe, nonintimidating, and supportive environment
d.	Interviewing her in the presence of another healthcare professional

 

ANS: C

Providing a safe environment is the first step in assisting a patient who is a victim of domestic violence. Including others in the conversation may increase anxiety and reluctance to disclose. Isolating the husband is assumed in providing a safe, nonintimidating environment. The patient may not disclose without prompting by the nurse.

 

DIF:   Cognitive Level: Application        REF:  Page 534

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