Chapter 07: Domestic and Family Violence Assessment
Jarvis: Physical Examination and Health Assessment, 8th Edition
MULTIPLE CHOICE
1. As a mandatory reporter of older adult abuse, which must be present before a nurse should
notify the authorities?
a.
Statements from victim
b.
Statements from witnesses
c.
Proof of abuse and/or neglect
d.
Suspicion of older adult abuse and/or neglect
2. During a home visit, the nurse notices that an older adult woman is caring for her bedridden
husband. The woman states that this is her duty, she does the best she can, and her children
come to help when they are in town. Her husband is unable to care for himself, and she
appears thin, weak, and exhausted. The nurse notices that several of his prescription
medication bottles are empty. What term best describes this situation?
a.
Physical abuse
b.
Financial neglect
c.
Psychological abuse
d.
Unintentional physical neglect
3. The nurse is caring for a 17-year-old female patient. In which situation should the nurse
screen the patient for intimate partner violence (IPV)?
a.
When intimate partner violence is suspected
b.
When a history of abuse in the family is known
c.
As a routine part of each health care encounter
d.
As part of the exam for a female with an unexplained injury
4. Which term refers to a wound produced by the tearing or splitting of body tissue, usually from
blunt impact over a bony surface?
a.
Hematoma
b.
Abrasion
c.
Contusion
d.
Laceration
5. During an examination, the nurse notices a patterned injury on a patient’s back. What would
cause such an injury?
a.
Blunt force
b.
Friction abrasion
c.
Stabbing from a kitchen knife
d.
Whipping from an extension cord
6. What should the nurse include when documenting IPV and older adult abuse?
a.
Photographic documentation of the injuries
b.
Summary of the abused patient’s statements
c.
General description of injuries in the progress notes
d.
Verbatim documentation of every statement made by the victim
7. A female patient has denied any abuse when answering the questions on an abuse assessment
screening tool, but what finding by the nurse during the interview process is associated with
IPV?
a.
Asthma
b.
Confusion
c.
Depression
d.
Frequent colds
8. The nurse is assessing bruising on an injured patient. Which color indicates a new bruise that
is less than 2 hours old?
a.
Red
b.
Purple-blue
c.
Greenish-brown
d.
Brownish-yellow
9. The nurse suspects abuse when a 10-year-old child is taken to the urgent care center for a leg
injury. Which is the best way for the nurse to document the findings in the patient’s chart?
a.
Rely on photographs of the injuries.
b.
Document what the child’s caregiver tells the nurse.
c.
Record what the nurse observes during the conversation.
d.
Use the words the child has said to describe how the injury occurred.
10. During an interview, a woman has answered “yes” to two of the Slapped, Threatened, and
Throw (STaT) questions. What should the nurse say next?
a.
“So you were abused?”
b.
“Do you know what caused this abuse?”
c.
“I need to report this abuse to the authorities.”
d.
“Tell me about the abuse in your relationship.”
11. The nurse is examining a 3-year-old child who was brought to the emergency department after
a fall. Which bruise, if found, would be of most concern?
a.
Bruises on the knee
b.
Bruises on the elbow
c.
Bruises on the abdomen
d.
Bruises on both of the shins
12. The nurse is caring for an 8-year-old child who has several bruises of varying colors (some
red, some bluish-green, and some brownish-yellow) the size of a hand on the buttocks. What
action should the nurse take next?
a.
Notify the child’s caregivers of the findings.
b.
Document that the bruises appear to be caused by spanking.
c.
When the child is alone, ask “How did you get these sore areas on your butt?”
d.
Inform the child “You can tell me who did this to you and we will not allow them
to see or hurt you again.”
13. The nurse is caring for several patients on a pediatric unit. Which patient should the nurse be
most concerned about possible abuse?
a.
A 4-month-old with bruises on the arms
b.
A 2-year-old with bruises on the knees
c.
An 8-year-old with a broken right arm
d.
A 15-year-old football player with a broken leg
14. The nurse is caring for several patients. Which patient is at highest risk for Intimate Partner
Violence (IPV)?
a.
An Asian female who speaks no English
b.
A female multi-racial illegal immigrant
c.
A non-Hispanic white female living in poverty
d.
A female American Indian living above the poverty line
MULTIPLE RESPONSE
1. The nurse assesses an older woman and suspects physical abuse. Which questions are
appropriate for screening for abuse? (Select all that apply.)
a.
“Has anyone made you afraid, touched you in ways that you did not want, or hurt
you physically?”
b.
“Are you being abused?”
c.
“Have you relied on people for any of the following: bathing, dressing, shopping,
banking, or meals?”
d.
“Have you been upset because someone talked to you in a way that made you feel
shamed or threatened?”
e.
“Has anyone tried to force you to sign papers or to use your money against your
will?”