Chapter 30 Societal Violence

Chapter 30   Societal Violence

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) The population health nurse is discussing child abuse with a group of new elementary teachers. One of the teachers asks who is most likely to be the perpetrator of child abuse. What should the nurse respond?

1. Strangers.
2. Babysitters.
3. Parents.
4. Siblings.

Answer:  3

Explanation:  3. Perpetrators of child abuse tend to be family members, typically parents. More parents are involved in child abuse than are strangers, babysitters, or siblings.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Psychosocial Integrity

Cognitive Level:  Application

Learning Outcome:  30-1

2) During a physical assessment the population health nurse learns that a client is experiencing nightmares, anxiety, and is 20 lbs. below normal weight. The client casually mentions a suicide attempt but refuses to discuss her relationship with her spouse. Which issue should the nurse suspect is occurring with this client?

1. Anorexia.
2. Intimate partner violence.
3. Substance abuse.
4. Child abuse.

Answer:  2

Explanation:  2. Intimate partner violence refers to any behavior within an intimate relationship that causes physical, psychological, or sexual harm to those in the relationship. Psychological indications of intimate partner violence include casual response to an injury, nightmares, and anxiety, anorexia, and suicide attempts. Even though a psychological indication of intimate partner violence may include anorexia, anorexia would not be the best answer as the scenario describes a much greater problem than just anorexia. The scenario does not describe the typical picture of one who is a substance abuser or one who was abused as a child.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Psychosocial Integrity

Cognitive Level:  Analysis

Learning Outcome:  30-1

3) The community is conducting a series of panel discussions about suicide. Information that should be discussed includes:

1. Ten million Americans attempt suicide at some point in their life.
2. Suicide is the tenth leading cause of death in the United States.
3. Suicide ideation is a rare occurrence in Americans
4. Suicide is the top cause of death worldwide.

Answer:  2

Explanation:  2. Suicide has become the tenth leading cause of death in the United States. In 2009, suicide surpassed motor vehicle accidents as the leading cause of injury deaths. The age-adjusted suicide rate for 2010 was 12.1 per 100,000 populations, resulting in 38,000 deaths. Another 1 million people attempted suicide, and 2 million engaged in suicidal ideation. On average, 31,000 suicide deaths occur each year in the United States. Suicide is also one of the top ten causes of death throughout the world, with an estimated 10 to 20 suicide attempts for every completed suicide.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Psychosocial Integrity

Cognitive Level:  Application

Learning Outcome:  30-1

4) The population health nurse is working with a young adult female who admits to being severely abused as a child. The teaching that would be most appropriate initially is about:

1. The results of risky sexual behavior.
2. The possibility of her becoming a child abuser.
3. General hygiene needs.
4. General coping skills.

Answer:  1

Explanation:  1. Experience of abuse as a child has been shown to lead to risky sexual behavior and early pregnancy. Since the young adult admits to being severely abused the most appropriate initial teaching should be the results of risky behavior. A later teaching topic might include the possibility of her becoming a child abuser. General hygiene needs would not be an appropriate initial teaching as compared to the results of risky sexual behavior. Even though she might need some general coping skills that would not be the initial most appropriate teaching topic.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Psychosocial Integrity

Cognitive Level:  Analysis

Learning Outcome:  30-2