Chapter 9 Violence and Abuse

Chapter 9 Violence and Abuse Test Bank for Maternity and Pediatric Nursing, 4th Edition by Ricci, Kyle, And Carman

1. The nurse is presenting a class at a local community health center on violence during pregnancy. Which possible complication would the nurse include? A. gestational hypertension B. chorioamnionitis C. placenta previa D. postterm labor Answer: B Rationale: Women assaulted during pregnancy are at risk for choarbiiorba.cmomn/itoesnt itis, placental abruption, preterm labor, stillbirth, miscarriage, uterine rupture, and injuries to the mother and fetus. Gestational hypertension is not associated with violence during pregnancy. Question format: Multiple Choice Chapter 9: Violence and Abuse Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Reference: p. 298 2. Which approach would be most appropriate when counseling a client who is a suspected victim of intimate partner violence? A. Offer the client a pamphlet about the local shelter for victims ao b f irb in.c t o i mm/ta es te t partner violence. B. Call the client at home to ask some questions about the marriage. C. Wait until the client comes in a few more times to make a better assessment. D. Ask, "Have you ever been physically hurt by your partner?" Answer: D Rationale: If intimate partner violence is suspected, the nurse mu a s b t iru b. s ce omd /ti e r se t ct or indirect questions to screen for abuse. Asking the client if he or she has ever been physically hurt by the partner is most appropriate. Offering the client a pamphlet, calling the client at home, or waiting until the client returns are inappropriate and do not validate the suabsiprbi.ccoimon/te. st Question format: Multiple Choice Chapter 9: Violence and Abuse Cognitive Level: Apply Client Needs: Psychosocial Integrity Reference: p. 301 3. When describing an episode of intimate partner violence, the vaibci rtbi.mcomre/t epsot rts attempting to calm the partner down to keep things from escalating. The nurse interprets this behavior as reflecting which phase of the cycle of violence? A. battering B. honeymoon C. tension-building D. reconciliation Answer: C Rationale: During the first phase of intimate partner violence, tension-building, the victim attempts to keep the situation from exploding based on the beliefatbhirba.tcothme/tepstartner's anger is legitimately directed at him or her. The battering phase involves the explosion of violence. The honeymoon or reconciliation phase is manifested by a period of calm, loving, contrite behavior on the part of the batterer. The batterer may be genuinely sorry for the pain caused. Question format: Multiple Choice Chapter 9: Violence and Abuse Cognitive Level: Analyze Client Needs: Psychosocial Integrity Reference: p. 295 4. A physically abused pregnant woman reports to the nurse that her spouse has stopped hitting her and promises never to hurt her again. Which response by the an bu i rb r . s ce omw/ t eo su t ld be most appropriate? A. "That's great. I wish you both the best." B. "Remember, the cycle of violence often repeats itself." C. "He probably didn't mean to hurt you." D. "You need to consider leaving him."