Module 32 Violence

Module 32   Violence

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

The Concept of Violence

 

1) A young client is brought into the Emergency Department by a friend who says the client was “beat up” at school. The client is reluctant to provide the names of parents or a home address. What should the nurse suspect has occurred with this client?

1. A) The client does not want the individual who did the beating to get in trouble.
2. B) The client does not know his parents.
3. C) The client does not want the school to get in trouble.
4. D) The client is a victim of interpersonal violence.

Answer:  D

Explanation:  A) Although the nurse may initially believe that the client is telling the truth about being beaten up at school, the client’s reluctance to provide parents’ names or address could suggest the client is a victim of interpersonal violence. Reluctance to provide personal information could mean fear of further abuse. It is unlikely that the client does not know his parents. It is also unlikely that the client does not want to get the school or the individual who did the beating in trouble.

1. B) Although the nurse may initially believe that the client is telling the truth about being beaten up at school, the client’s reluctance to provide parents’ names or address could suggest the client is a victim of interpersonal violence. Reluctance to provide personal information could mean fear of further abuse. It is unlikely that the client does not know his parents. It is also unlikely that the client does not want to get the school or the individual who did the beating in trouble.
2. C) Although the nurse may initially believe that the client is telling the truth about being beaten up at school, the client’s reluctance to provide parents’ names or address could suggest the client is a victim of interpersonal violence. Reluctance to provide personal information could mean fear of further abuse. It is unlikely that the client does not know his parents. It is also unlikely that the client does not want to get the school or the individual who did the beating in trouble.
3. D) Although the nurse may initially believe that the client is telling the truth about being beaten up at school, the client’s reluctance to provide parents’ names or address could suggest the client is a victim of interpersonal violence. Reluctance to provide personal information could mean fear of further abuse. It is unlikely that the client does not know his parents. It is also unlikely that the client does not want to get the school or the individual who did the beating in trouble.

Page Ref: 1954

Cognitive Level:  Analyzing

Client Need:  Psychosocial Integrity

Nursing Process:  Assessment

Learning Outcome:  4. Differentiate common assessment procedures used to examine violent behavior across the life span.

 

2) A client with a walking disability tells the nurse that going out alone at night is not an option for fear of being a target for a crime. The nurse realizes this client has identified a:

1. A) Predisposing factor.
2. B) Risk factor.
3. C) Vulnerability factor.
4. D) Precipitating factor.

Answer:  C

Explanation:  A) Vulnerability factors increase one’s risk of being a victim of violence. The client with a walking disability avoids the possibility of a crime by not going out alone at night. Predisposing factors are those that increase one’s risk of violent victimization or perpetration of violence. Risk factors increase the potential that one will perpetrate violence on others. Precipitating factors are those that give rise to a specific incident of violence.

1. B) Vulnerability factors increase one’s risk of being a victim of violence. The client with a walking disability avoids the possibility of a crime by not going out alone at night. Predisposing factors are those that increase one’s risk of violent victimization or perpetration of violence. Risk factors increase the potential that one will perpetrate violence on others. Precipitating factors are those that give rise to a specific incident of violence.
2. C) Vulnerability factors increase one’s risk of being a victim of violence. The client with a walking disability avoids the possibility of a crime by not going out alone at night. Predisposing factors are those that increase one’s risk of violent victimization or perpetration of violence. Risk factors increase the potential that one will perpetrate violence on others. Precipitating factors are those that give rise to a specific incident of violence.
3. D) Vulnerability factors increase one’s risk of being a victim of violence. The client with a walking disability avoids the possibility of a crime by not going out alone at night. Predisposing factors are those that increase one’s risk of violent victimization or perpetration of violence. Risk factors increase the potential that one will perpetrate violence on others. Precipitating factors are those that give rise to a specific incident of violence.

Page Ref: 1954

Cognitive Level:  Analyzing

Client Need:  Psychosocial Integrity

Nursing Process:  Assessment

Learning Outcome:  2. Examine the relationship between violence and other concepts/systems.

 

3) A client is admitted with injuries sustained from a domestic dispute. When planning care, the nurse will include which short-term interventions?

Select all that apply.

1. A) Explore options for self-development.
2. B) Improve quality of life by increasing self-esteem.
3. C) Explore options for help.
4. D) Convey safety.
5. E) Determine immediacy of danger.

Answer:  C, D, E

Explanation:  A) Short-term interventions for abuse include determining the immediacy of danger, conveying that the client has the right to be safe, and exploring options for help. Exploring options for self-development and improving the quality of life by increasing self-esteem are long-term interventions for abused adults.

1. B) Short-term interventions for abuse include determining the immediacy of danger, conveying that the client has the right to be safe, and exploring options for help. Exploring options for self-development and improving the quality of life by increasing self-esteem are long-term interventions for abused adults.
2. C) Short-term interventions for abuse include determining the immediacy of danger, conveying that the client has the right to be safe, and exploring options for help. Exploring options for self-development and improving the quality of life by increasing self-esteem are long-term interventions for abused adults.
3. D) Short-term interventions for abuse include determining the immediacy of danger, conveying that the client has the right to be safe, and exploring options for help. Exploring options for self-development and improving the quality of life by increasing self-esteem are long-term interventions for abused adults.
4. E) Short-term interventions for abuse include determining the immediacy of danger, conveying that the client has the right to be safe, and exploring options for help. Exploring options for self-development and improving the quality of life by increasing self-esteem are long-term interventions for abused adults.

Page Ref: 1962-1963

Cognitive Level:  Applying

Client Need:  Psychosocial Integrity

Nursing Process:  Planning

Learning Outcome:  3. Identify commonly occurring alterations in violent acts and their related therapies.

 

4) After an assessment, the nurse suspects a client with multiple injuries is a victim of domestic violence. What should occur next?

1. A) Conduct a team assessment.
2. B) Medicate for anxiety as prescribed.
3. C) Notify the police.
4. D) Treat the injuries.

Answer:  A

Explanation:  A) If the nursing assessment reveals possible domestic violence, a team assessment needs to take place. The police may need to be notified later. The extent of injuries will dictate when they should be treated. The degree of anxiety will also determine whether the client needs medication.

1. B) If the nursing assessment reveals possible domestic violence, a team assessment needs to take place. The police may need to be notified later. The extent of injuries will dictate when they should be treated. The degree of anxiety will also determine whether the client needs medication.
2. C) If the nursing assessment reveals possible domestic violence, a team assessment needs to take place. The police may need to be notified later. The extent of injuries will dictate when they should be treated. The degree of anxiety will also determine whether the client needs medication.
3. D) If the nursing assessment reveals possible domestic violence, a team assessment needs to take place. The police may need to be notified later. The extent of injuries will dictate when they should be treated. The degree of anxiety will also determine whether the client needs medication.

Page Ref: 1960

Cognitive Level:  Analyzing

Client Need:  Psychosocial Integrity

Nursing Process:  Planning

Learning Outcome:  7. Demonstrate the nursing process in providing culturally competent and caring interventions across the life span for individuals with common alterations in violence.

 

5) The nurse is caring for a client that is the victim of domestic violence and is visited by the spouse in the hospital. What should the nurse do to support the client?

1. A) Call the police to have the spouse arrested for assault.
2. B) Refuse to permit the spouse to visit with the client.
3. C) Call security to have the spouse removed.
4. D) Ask the client if there is anything that is needed at this time.

Answer:  D

Explanation:  A) The nurse needs to maintain a nonjudgmental attitude when caring for victims of abuse and their family members. The nurse should ask the client if there is anything that is needed at this time. The nurse should not refuse to let the spouse visit unless it is the client’s wish to do so. The nurse should not contact security or the police.

1. B) The nurse needs to maintain a nonjudgmental attitude when caring for victims of abuse and their family members. The nurse should ask the client if there is anything that is needed at this time. The nurse should not refuse to let the spouse visit unless it is the client’s wish to do so. The nurse should not contact security or the police.
2. C) The nurse needs to maintain a nonjudgmental attitude when caring for victims of abuse and their family members. The nurse should ask the client if there is anything that is needed at this time. The nurse should not refuse to let the spouse visit unless it is the client’s wish to do so. The nurse should not contact security or the police.
3. D) The nurse needs to maintain a nonjudgmental attitude when caring for victims of abuse and their family members. The nurse should ask the client if there is anything that is needed at this time. The nurse should not refuse to let the spouse visit unless it is the client’s wish to do so. The nurse should not contact security or the police.

Page Ref: 1963

Cognitive Level:  Applying

Client Need:  Psychosocial Integrity

Nursing Process:  Implementation

Learning Outcome:  6. Explain prevention efforts for violence.