Chapter 21: Child, Partner, and Elder Violence

Question 1

“Partner abuses me when drunk. Considered leaving, don't believe in it. Partner feels bad, apologies. Nursing diagnosis?

Accepted Answer

Risk for injury, related to partner’s physical abuse when intoxicated

Question 2

Adult has a disheveled appearance, a strong odor of urine, and bruises on the limbs and back. What type of

Accepted Answer

Physical

Question 3

Adult, absent from work. Wears dark glasses. Facial, body bruises. "Partner beat me, work issues". Next action?

Accepted Answer

Document injuries with a body map.

Question 4

Victim of abuse, “Stay together, no matter what happens.” Which outcome should be met before pt leaves ED? The pt will:

Accepted Answer

name two community resources that can be contacted.

Question 5

Possible existence of abuse related to a 4 year old. Which statement by the nurse requires immediate intervention?

Accepted Answer

“4 yr old can be unreliable source they have such wonderful imaginations.”

Question 6

Older adult, physical/ emotional abuse by family. Client’s request to live together. Intervention to meet client/family?

Accepted Answer

Home will have regular, unscheduled visits by adult protective services.

Question 7

Family assessment, identify possible triggers for abusive behaviors. Family characteristic identified as trigger?

Accepted Answer

The parents were teenagers when the children were born.

Question 8

Several children seen in ED for illness/injuries. Which finding would create a high index of suspicion for child abuse?

Accepted Answer

Bite marks

Question 9

Pt. with AD lives with family, attends day care, family provides care evening. Factor makes pt most vulnerable to abuse?

Accepted Answer

Dementia

Question 10

Father angered, “Why are you such a stupid kid?” Wife, “Difficulty discipline" Comments facilitate interview? (SATA)

Accepted Answer

“Tell me how you punish your children.”, “How do you stop your baby from crying?”, “Caring for four small children must be difficult.”

Question 11

Adult, absent from work several occasions. Wears dark glasses. Facial, body bruises. Priority question?

Accepted Answer

“How did this happen to you?”

Question 12

11-yr-old, “Parents don’t like me. Call me stupid, I never do anything right, I’m too dumb." Nursing diagnosis applies?

Accepted Answer

Chronic low self-esteem, related to negative feedback from parents

Question 13

Adult, AD, lives with family, poor hygiene. Daughter defensive, no sleep, mom difficult. Priority intervention?

Accepted Answer

Secure additional resources for the mother’s evening and night care.

Question 14

Older adult with AD lives with family, multiple bruises. Daughter defensive, mom wanders, fell. Priority nursing diag?

Accepted Answer

Risk for injury, r/t cognitive impairment and lack of caregiver supervision

Question 15

Which family scenario presents the greatest risk for family violence?

Accepted Answer

Husband no job, low self-esteem, wife loses job, develop delayed 3 yr old

Question 16

Adult, absent from work several occasions. Wears dark glasses. Facial, body bruises. Priority assessment?

Accepted Answer

Physical injuries

Question 17

Which intervention will the nurse implement to best determine if the child has been physically abused?

Accepted Answer

Insist child be further assessed without the parents being present.

Question 18

What risk factor was most predictive for the husband to become abusive?

Accepted Answer

History of family violence

Question 19

Adult pt with partner has fatigue, back pain, headaches. Pt. reluctant provide information, in hurry. How best serve pt?

Accepted Answer

Have the partner leave the patient alone to continue the assessment.

Question 20

Best explains why nurse should be aware of personal feelings while working with family experiencing family violence?

Accepted Answer

Strong negative feelings interfere with assessment and judgment.

Question 21

Nurse assists victim of IPV create plan for escape if it becomes necessary. Plan should include which components. (SATA)

Accepted Answer

Secure a supply of current medications for self and children., Have the telephone number for the nearest shelter., Determine a code word to signal children that it is time to leave., Assemble birth certificates, Social Security cards, and licenses., Keep a cell phone fully charged.

Question 22

Pt concussion, spouse in room answering questions. Pt avoids eye contact, sad affect. Which additional problem priority?

Accepted Answer

Risk of intimate partner violence

Question 23

10-yr-old cares for siblings, parents work. "Father doesn’t like me, calls me stupid." No discipline. Resources? (SATA)

Accepted Answer

Anger management counseling for the father, Parental sessions to teach child-rearing practices, Continuing home visits to provide support

Question 24

11-yr-old caring for younger siblings. Parents at work. Wants to go to school, states "no money" Preliminary assessment?

Accepted Answer

Child and siblings are experiencing neglect.

Question 25

What is a nurse’s legal responsibility if child abuse or neglect is suspected?

Accepted Answer

Report the suspected abuse or neglect according to state regulations.

Question 26

Pt hx physical violence against family, remorse afterwards. Anger management classes. Finding indicates success in POC?

Accepted Answer

The patient expresses frustration verbally instead of physically.

Question 27

Partner abuses me. Has increased lately. Considered leaving. Phase in cycle of violence prevents pt from leaving.

Accepted Answer

Honeymoon

Question 28

11-yr-old child, no school, cares for siblings, parents at work. “Parents don’t like me. Call me stupid." Type of abuse?

Accepted Answer

Emotional

Question 29

Referral most appropriate for woman beaten by husband, no relatives/friends, afraid return home, limited finances.

Accepted Answer

Women’s shelter

Question 30

Question demonstrates nurse’s understanding need assess client has been physically abused for additional forms trauma?

Accepted Answer

“Can you tell me when the physical abuse began?”

Question 31

What feelings are most commonly experienced by nurses working with abusive families?

Accepted Answer

Sympathy for the victim and anger toward the abuser

Chapter 21: Child, Partner, and Elder Violence

Questions 31

Chapter 21: Child, Partner, and Elder Violence

Questions 31