Chapter 25: Family Violence

Chapter 25: Family Violence

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1)   A community mental health nurse is assigned to visit the home of a child, aged 11 years, to investigate his frequent school absences. The nurse finds the child caring for his siblings, aged 4 months, 1 years, and 3-year-old twins. Both parents are at work. The house is cluttered and dirty. The child tells the nurse he would like to attend school regularly, but whenever his mother is called to work at her part-time job, he must watch the kids because the family cannot afford to pay a babysitter. He mentions that it does not make a difference anyway, because he is “too dumb to learn much.” He adds “I don’t have any friends at school, probably because I don’t deserve any.” Based on the information obtained thus far, what preliminary assessment can be made?

ANS:   B

The child is experiencing educational neglect when his parents deprive him of the opportunity to attend school. It is possible that the other children may be experiencing physical neglect, but more data should be gathered before making the actual assessment. Options C and D: The information presented does not indicate high risk for sexual abuse, and no hard evidence of physical abuse is present.

DIF:    Cognitive Level: Analysis                  REF:    Text Page: 514

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

2)   A child, aged 11 years, stays home from school to care for his siblings while his mother works because the family cannot afford a babysitter. The home is cluttered and dirty. When asked about his parents, the child reluctantly reveals that he thinks his father does not like him very much because he calls him “stupid” and says he can never do anything right. This should be assessed as

ANS:   C

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

DIF:    Cognitive Level: Analysis                  REF:    Text Page: 514

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

3)   A child, aged 11 years, stays home from school to care for his siblings while his mother works because the family cannot afford a babysitter. The home is cluttered and dirty when the community mental health nurse visits to investigate the child’s school absences. The nurse learns that the parents are due home in half an hour and decides to wait and interview them. While waiting, the nurse does a mental review of personal feelings. The feelings most commonly experienced by a nurse working with abusive families include

ANS:   A

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: Application             REF:    Text Page: 512, Text Page: 513

TOP:    Nursing Process: Assessment

MSC:   NCLEX: Safe, Effective Care Environment;

4)   The rationale for the nurse needing to be aware of feelings while working with a family experiencing family violence is best explained as

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 feelings. Option C: Strong positive feelings lead to overinvolvement with victims. Options A and D are neither wholly true nor entirely relevant.

DIF:    Cognitive Level: Application             REF:    Text Page: 513, Text Page: 514

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