Basic Concepts Of Psychiatric Mental Health Nursing 8th Edition by Louise Rebraca Shives
Basic Concepts Of Psychiatric Mental Health Nursing 8th Edition by Louise Rebraca Shives
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Chapter 33- Clients Experiencing Abuse and Violence
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | All except which of the following are risk factors for child sexual abuse? | |
| A) | The child is aged 10 years or younger. | |
| B) | The child suffers from developmental delays. | |
| C) | The child lives in a home where substance abuse occurs. | |
| D) | The child has primary caretaker who is mentally ill. | |
| Ans: | A | |
| Feedback: | ||
| Children at high risk for sexual abuse include those who
• Are aged 3 years or younger • Suffer from a developmental delay • Live in a home where substance abuse occurs • Have adolescent parents or a single parent • Are in foster care • Have primary caretakers who were sexually abused themselves • Have primary caretakers who are mentally ill or have a developmental delay |
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| 2. | Five common physical findings that indicate that a child has been abused are what? | |
| A) | Eye, head, and skeletal injuries; swollen glands; and breaks in skin | |
| B) | Broken bones and finger joints, bruises, scars, and eye injuries | |
| C) | Bruises, burns, lacerations, missing teeth, and skeletal injuries | |
| D) | Missing teeth, scars on genitalia, loose bones, broken legs, and burn marks | |
| Ans: | C | |
| Feedback: | ||
| The most common indicators of physical abuse of a child are as follows: (1) bruises involving no breaks in skin integrity, (2) burns, usually due to immersion in hot water, contact with cigarettes, tying with a rope, or the application of a hot iron, (3) lacerations, abrasions, welts, and scars noted on the lips, eyes, face, and external genitalia, (4) missing or loosened teeth, and (5) skeletal injuries such as fractured bones, epiphyseal separation, or stiff, swollen, enlarged joints. | ||
| 3. | Four causative factors related to domestic violence are what? | |
| A) | Lack of money, lack of time, higher education, and low self-esteem | |
| B) | Drug or alcohol abuse, lack of nurturing, poor socioeconomic status, and poor communication skills | |
| C) | Low educational level, physical illness, high social support, and learned behaviors | |
| D) | Learned behaviors, physical illness, low social support, and higher education | |
| Ans: | B | |
| Feedback: | ||
| The following factors have been identified as being causative in relationship to domestic violence:
• Individuals with neurologic impairments, agitated depression, or antisocial or borderline behavior, or who abuse drugs and alcohol, are often unable to control impulsive behavior owing to increased frustration or anxiety. • Lack of nurturing and mothering during childhood results in the inability to nurture others as an adult. • Poor socioeconomic conditions resulting in increased stress, anxiety, or frustration may precipitate domestic violence within the family. • Poor communication skills may result in the use of verbal or physical abuse. • Specific behaviors learned during various developmental stages become part of a person’s interactions with spouse and family. |
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| 4. | Nurses who work with children should be alert for which of the following physical signs of child abuse? | |
| A) | Excessive crying, temper tantrums, and talkativeness | |
| B) | Unexplained cuts, bruises, burns, and scars | |
| C) | Poor appetite, hypoactivity, and listlessness | |
| D) | Stomach aches, skin rashes, and obesity | |
| Ans: | B | |
| Feedback: | ||
| Cuts, bruises, burns, and scars are common indicators of physical abuse in children. The other choices include symptoms that are common in children (crying, temper tantrums, poor appetite) and may occur with specific physical illnesses (ie, stomach aches, skin rashes) but are not necessarily indicators that abuse has occurred. | ||
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