Chapter 8 Violence Against Women

Chapter 8   Violence Against Women

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1) The client has been a victim of a violent, sadistic rape. She is crying, and asks the nurse “Why would someone do something like that?” The nurse should explain that which of the following is the primary purpose of sadistic rape?

1. Take pleasure from the victim’s struggle and pain
2. Express feelings of rage
3. Feel a sense of power or mastery
4. Relieve intolerable anxiety

Answer:  1

Explanation:  1. In sadistic rape, the assailant has an antisocial personality and delights in torture and mutilation. In this type of rape, the victim and assailant are generally strangers, and the assault is planned. Sadistic rapes cause the most injuries, including homicide.

Page Ref: 138

Cognitive Level:  Understanding

Client Need/Sub:  Psychosocial Integrity: Crisis Intervention

Standards:  QSEN Competencies: I. C. 9. Recognize that patient expectations influence outcomes in management of pain or suffering. | AACN Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences. | NLN Competencies: Relationship-Centered Care: Appreciate the patient as a whole person, with his or her own life story and ideas about the meaning of health or illness. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:  8 Identify the phases of the rape trauma syndrome.

MNL LO:  6.1.3 Determine strategies to assist the victim of domestic violence.

 

 

2) The nurse is teaching an in-service educational presentation about working with battered women. The nurse should explain that it is often frustrating for nurses to work with battered women for which reasons?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply.

1. There is little the nurse can really do to help.
2. Healthcare policies and practices are not supportive of abused women.
3. Both husband and wife must agree to therapy.
4. These women might return to the abusive situation.
5. Women often believe that they are the cause of the abuse.

Answer:  4, 5

Explanation:  4. Women often believe that escape is futile, or escape and then return when the crisis is over.

5. Women are often convinced by the abusers that it is their own behavior that causes the abuse.

Page Ref: 131

Cognitive Level:  Applying

Client Need/Sub:  Psychosocial Integrity: Abuse/Neglect

Standards:  QSEN Competencies: I. C. 5. Recognize personally held attitudes about working with patients from different ethnic, cultural, and social backgrounds. | AACN Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences. | NLN Competencies: Relationship-Centered Care: Appreciate the patient as a whole person, with his or her own life story and ideas about the meaning of health or illness. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  3 Identify the phases of the cycle of violence.

MNL LO:  6.1.3 Determine strategies to assist the victim of domestic violence.

 

3) The nurse is addressing a college class on the topic of domestic violence. Which information would the nurse be sure to convey to her students?

1. The American Nurses Association advocates client advocacy for all nurses to help identify and prevent violence against women.
2. The American Nurses Association has concluded that there is little nurses can do to eliminate violence.
3. The nurse who suspects abuse should ask the doctor to deal with it, per American Nurses Association guidelines.
4. The nurse who suspects abuse should ask the hospital’s social work department to deal with it, per American Nurses Association guidelines.

Answer:  1

Explanation:  1. This is a true statement. Nurses can follow and become involved in legislative advocacy for issues related to domestic violence and other issues related to women’s health through participation in their local and state chapters of the American Nurses Association.

Page Ref: 136

Cognitive Level:  Understanding

Client Need/Sub:  Safe and Effective Care Environment: Safety and Infection Control

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being and self-care management. | AACN Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:  9 Discuss the nurse’s role as patient advocate with domestic violence and sexual assault survivors.

MNL LO:  6.1.3 Determine strategies to assist the victim of domestic violence.

 

4) The nurse working in the emergency department of a hospital is caring for a woman whom the nurse suspects is the victim of domestic violence. The nurse knows that which of the following are contributing factors to domestic violence?

Note: Credit will be given only if all correct and no incorrect choices are selected.

Select all that apply.

1. Experiencing or witnessing abuse as a child
2. Strong patriarchal family traditions
3. Linking masculinity to male honor
4. Low levels of marital conflict
5. Alcohol and drug abuse cause the violence

Answer:  1, 2, 3

Explanation:  1. Children who witness or experience abuse and battering are more likely to become batterers (men) or to be abused (women) in their own relationships.

2. Men raised in patriarchal families (those that encourage traditional gender roles) are more likely to engage in domestic violence.
3. Cultures that link definitions of manhood to dominance, toughness, or male honor are more likely to demonstrate violence against women.

Page Ref: 130

Cognitive Level:  Understanding

Client Need/Sub:  Safe and Effective Care Environment: Safety and Infection Control

Standards:  QSEN Competencies: I. B. 1. Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan and evaluation of care. | AACN Essentials 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: Promote and accept the patient’s emotions; accept and respond to distress in patient and self; facilitate hope, trust, and faith. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:  2 Identify factors that contribute to domestic violence.

MNL LO:  6.1.3 Determine strategies to assist the victim of domestic violence.

 

 

5) The nurse is planning a community education presentation on battering. Which statement about battering should the nurse include?

1. Battering occurs in a small percentage of the population.
2. Battering is mainly a lower-class, blue collar problem.
3. Battered women are at greatest risk for severe violence when they leave the batterer.
4. If the batterer stops drinking, the violence usually stops.

Answer:  3

Explanation:  3. Battered women are at greatest risk for injury or domestic homicide when they leave the abuser.

Page Ref: 131

Cognitive Level:  Understanding

Client Need/Sub:  Psychosocial Integrity: Abuse/Neglect

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:  2 Identify factors that contribute to domestic violence.

MNL LO:  6.1.3 Determine strategies to assist the victim of domestic violence.