Chapter 8 Violence Against Women My Nursing Test Banks

Olds Maternal-Newborn Nursing and Womens Health, 10e (Davidson)

Chapter 8 Violence Against Women

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 victims 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.

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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.

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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 hospitals 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 womens 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 nurses 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.

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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 patients 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.

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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.

6) The nurse at a shelter is counseling a group of battered women. What will the nurse will emphasize?

1. Battering will not stop or decrease if the woman becomes pregnant.

2. About 1 of every 5 women will experience abuse in her lifetime.

3. When these women go back to the situation after the abuser has cooled down, it will be better.

4. The battered woman can readily leave the situation.

Answer: 1

Explanation: 1. Pregnancy does not stop the abuser, and sometimes it increases the intensity of the abuse.

Page Ref: 131

Cognitive Level: Understanding

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

Standards: QSEN Competencies: I. B. 10. Engage patient 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: Diagnosis

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

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

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7) The nurse in the emergency department is caring for a pregnant woman who presents with bruised breasts and abdomen. When asked how this happened, she states she fell down the stairs. The husband stays very close to his wife and does most of the talking. Of what is the nurse aware?

1. The client likely did fall down the stairs.

2. The husband is being attentive and trying to help her feel better.

3. The husband could have battered her and possibly caused her to fall down the stairs.

4. This client is safe to return home after her wrist is fixed.

Answer: 3

Explanation: 3. Battering may occur for the first time during pregnancy or may escalate in intensity if the woman is already being abused. The injury is frequently aimed at the breasts, abdomen, or vagina.

Page Ref: 131

Cognitive Level: Applying

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

Standards: QSEN Competencies: I. B. 3. Provide patient-centered care with sensitivity and respect for the diversity of human experience. | AACN Essentials Competencies: IX. 12. Create a safe environment that results in high quality patient outcomes. | NLN Competencies: Relationship-Centered Care: Respect the patients dignity, uniqueness, integrity, and self-determination and his or her own power and self-healing processes. | Nursing/Integrated Concepts: Nursing Process: Diagnosis

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

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

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8) The nurse is interviewing a client who has admitted to being a victim of domestic violence. What is the most typical description of how the domestic violence developed in a relationship?

1. He changed overnight. Everything was fine, and all of a sudden he flipped out and beat me up; he nearly killed me.

2. It was severe from the beginning. As soon as we got married, he began hitting me and threatening to kill me.

3. Weve both always dated other people. I thought that was understood. He was as emotionally abusive in the beginning as he is now.

4. I dont know when it started, really. It was gradual. First, just yelling, blaming, and shoving. Then the beatings started; and now theyre more frequent.

Answer: 4

Explanation: 4. Typically, these forms of abuse begin slowly and subtly after some form of commitment, such as engagement, onset of a sexual relationship, marriage, pregnancy, or first childbirth.

Page Ref: 130

Cognitive Level: Understanding

Client Need/Sub: Psychosocial Integrity: Abuse/Neglect

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 patients 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.

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9) The nurse working in the emergency department is admitting a woman who has been battered for a second time, and recognizes that the woman is again in the cycle of violence. The nurse knows that which of the following are characteristics of the phases of the cycle of violence?

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

Select all that apply.

1. Batterer demonstrates power and control

2. Active battering from some event

3. A loving, contrite period

4. Defeat and admission of guilt by the victim

5. Blame and punishment for inferiority

Answer: 1, 2, 3

Explanation: 1. In the tension-building phase in the cycle of violence, the batterer demonstrates power and control.

2. The acute battering incident is typically triggered by some external event or internal state of the batterer.

3. The tranquil phase in the cycle of violence is also sometimes called the honeymoon period. This phase may be characterized by extremely loving, kind, and contrite behaviors by the batterer.

Page Ref: 131

Cognitive Level: Understanding

Client Need/Sub: Safe and Effective Care Environment: Management of Care

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 patients emotions, accept and respond to distress in patient and self; facilitate hope, trust, and faith. | Nursing/Integrated Concepts: Nursing Process: Assessment

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.

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10) The nurse working in the emergency department knows that many batterers have feelings of ambivalence. In what way might this be evident?

1. The abuser alternates episodes of unmerciful beatings with periods of remorse and loving attention.

2. The abuser has alternating periods of sadness and happiness.

3. The abuser has alternating periods of maturity and immaturity.

4. The abuser alternates letting the person he abuses be independent and then dependent.

Answer: 1

Explanation: 1. Extremes in behavior and overreacting are typical patterns.

Page Ref: 131

Cognitive Level: Analyzing

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

Standards: QSEN Competencies: I. C. 4. Seek learning opportunities with patients who represent all aspects of human diversity. | AACN Essentials Competencies: I. 5. Apply knowledge of social and cultural factors to the care of diverse populations. | NLN Competencies: Relationship-Centered Care: Demonstrate self-awareness, self-care, self-growth; be open and non-judgmental. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4 Summarize the characteristics of batterers and perpetrators of sexual assault.

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

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11) A nurse in the emergency department recognizes in the husband of a client one of which of the following common characteristics of batterers?

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

Select all that apply.

1. Emotionally immature

2. Tend to express their overwhelming feelings of inadequacy through violence

3. Feelings of insecurity and inferiority

4. A lack of respect in the community

5. Limited jealousy or possessiveness

Answer: 1, 2, 3

Explanation: 1. Batterers tend to be emotionally immature.

2. Because they tend to be emotionally immature and aggressive, batterers have a tendency to express their overwhelming feelings of inadequacy through violence.

3. Batterers are insecure, and feel inferior, often feeling that they are undeserving of their partner.

Page Ref: 131

Cognitive Level: Understanding

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

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: Demonstrate self-awareness, self-care, self-growth; be open and non-judgmental. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4 Summarize the characteristics of batterers and perpetrators of sexual assault.

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

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12) The nurse is presenting a session on intimate partner violence. Which statement by a client indicates a need for further education?

1. My daughter is not to blame for the violence in her marriage.

2. Everyone experiences anger and hitting in a relationship.

3. Abusers can be either husbands or boyfriends or girlfriends.

4. The honeymoon period follows an episode of violence.

Answer: 2

Explanation: 2. Violence is not a normal part of intimate relationships. Domestic violence, also called intimate partner violence (IPV), is defined as a pattern of coercive behaviors and methods used to gain and maintain power and control by one individual over another in an adult intimate relationship. This statement indicates that the client has likely been a victim of domestic violence.

Page Ref: 129

Cognitive Level: Applying

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: Evaluation

Learning Outcome: 1 Describe the factors that contribute to the occurrence of domestic violence and sexual assault.

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

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13) When a woman seeks care for an injury, the nurse should be alert to which clues of abuse?

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

Select all that apply.

1. Defensive injuries

2. Immediate reporting of symptoms or seeking care for injuries

3. Lack of eye contact

4. Providing too much detailed information about the injury

5. Vague complaints without accompanying pathology

Answer: 1, 3, 5

Explanation: 1. Defensive injuries may be a sign of abuse.

3. Lack of eye contact may be a sign of abuse.

5. Vague complaints without accompanying pathology may be a sign of abuse.

Page Ref: 133, 134

Cognitive Level: Applying

Client Need/Sub: Psychosocial Integrity: Abuse/Neglect

Standards: QSEN Competencies: I. C. 1. Value seeing health care situations through patients eyes. | AACN Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences. | NLN Competencies: Relationship-Centered Care: Promote and accept the patients emotions; accept and respond to distress in patient and self; facilitate hope, trust, and faith. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 6 Specify physical and psychologic signs that may indicate a woman is in an abusive relationship.

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

14) A woman who has been abused for a number of years asks the nurse for assistance in leaving the relationship. What response by the nurse is most appropriate?

1. Comment that she should have left long ago.

2. Remind the client that that fault was not likely all attributable to her abuser.

3. Encourage her to be sure with her decision, as her abuser will be difficult to deal with.

4. Assist the client to develop a safety plan.

Answer: 4

Explanation: 4. The nurse should provide women who have been abused with information that empowers them in decision making and provide critical assistance in safety planning for women and their children.

Page Ref: 135

Cognitive Level: Understanding

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

Standards: QSEN Competencies: I. B. 15. Communicate care provided and needed at each transition in care. | AACN Essentials Competencies: IX. 12. Create a safe environment that results in high quality patient outcomes. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 5 Delineate the role of the nurse in caring for women who have experienced partner

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abuse.

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

15) A woman with multiple bruises on her face and arms is seen in the emergency department. Her significant other is with her. When asked about her injuries, the woman states, I ran into a door. Which action by the nurse is of highest priority?

1. Take the womans vital signs.

2. Document the location of the bruises.

3. Assess for additional bruising.

4. Interview the woman in private.

Answer: 4

Explanation: 4. Screening for women experiencing domestic violence must be done privately, with only yourself and the client present, in a safe and quiet place.

Page Ref: 132

Cognitive Level: Analyzing

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

Standards: QSEN Competencies: V. B. 2. Demonstrate effective use of strategies to reduce risk of harm to self or others. | AACN Essentials Competencies: IX. 12. Create a safe environment that results in high quality patient outcomes. | NLN Competencies: Quality and Safety: Communicate effectively with different individuals (team members, other care providers, patients, families, etc.) so as to minimize risks associated with handoffs among providers and across transitions in care. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 5 Delineate the role of the nurse in caring for women who have experienced partner abuse.

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

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16) A woman has come to the emergency department with multiple bruises over her body and a small laceration over her upper lip. She says she fell down the stairs while doing her housework. Which observation would most likely cause the nurse to suspect that she has been a victim of battering?

1. The client is hesitant to provide details about how the injuries occurred.

2. The client was accompanied to the emergency department by her mother instead of her partner.

3. The client has sought care quickly after the incident.

4. The client does not seem to be in pain.

Answer: 1

Explanation: 1. Hesitation to provide detailed information about the injury and how it occurred is a common sign of abuse.

Page Ref: 133

Cognitive Level: Applying

Client Need/Sub: Psychosocial Integrity: Abuse/Neglect

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: Context and Environment: Read and interpret data; apply health promotion/disease prevention strategies; apply health policy; conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 6 Specify physical and psychologic signs that may indicate a woman is in an abusive relationship.

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

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17) The client with limited English language skills has a black eye, and bruises across her face and arms. The clients husband has been acting as an interpreter for her, and answers all of the questions the nurse asks, often without talking to his wife first. The nurse suspects the client has been a victim of domestic abuse. What should the nurse do next?

1. Ask the husband whether he has beaten his wife.

2. Ask the husband to have a female friend come in with his wife.

3. Provide written materials in English for the client to read at home.

4. Ask the husband to step out of the room, and obtain an interpreter.

Answer: 4

Explanation: 4. Screening for women experiencing domestic violence must be done privately. An interpreter should also be provided as necessary.

Page Ref: 132, 140

Cognitive Level: Applying

Client Need/Sub: Psychosocial Integrity: Abuse/Neglect

Standards: QSEN Competencies: V. B. 2. Demonstrate effective use of strategies to reduce risk of harm to self or others. | AACN Essentials Competencies: IX. 12. Create a safe environment that results in high quality patient outcomes. | NLN Competencies: Quality and Safety: Communicate effectively with different individuals (team members, other care providers, patients, families, etc.) so as to minimize risks associated with handoffs among providers and across transitions in care. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 5 Delineate the role of the nurse in caring for women who have experienced partner abuse.

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

18) A woman is seen in the prenatal clinic. The nurse notices that the woman has a swollen eye and a bruise on her cheek. Which statement is most appropriate for the nurse to make?

1. You must leave your partner before you are injured again.

2. It is important that you refrain from doing things that anger your partner.

3. Women who are abused often have injuries like yours.

4. I am required by law to notify the police department of your injuries.

Answer: 3

Explanation: 3. This is an appropriate statement to make.

Page Ref: 134

Cognitive Level: Applying

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: 6 Specify physical and psychologic signs that may indicate a woman is in an abusive relationship.

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

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19) A home health nurse is making a home visit to a new mother who is diabetic and requires some follow-up to make sure her baby is doing well and that her diabetes is in control while she is breastfeeding. The client meets her at the door, crying, with bruises on her face and legs. The nurse knows the client has been in a questionable relationship. What is the first responsibility of the nurse for this client at this time?

1. Assist in getting the client and her baby to a safe situation.

2. Check her blood sugar and make sure it is within normal limits.

3. Ask her how she is doing with the breastfeeding.

4. Check the babys heart rate and other vital signs.

Answer: 1

Explanation: 1. Providing the abused woman with information that empowers her in decision making and providing critical assistance in safety planning for her and her baby is the nurses first responsibility.

Page Ref: 135

Cognitive Level: Applying

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

Standards: QSEN Competencies: V. B. 2. Demonstrate effective use of strategies to reduce risk of harm to self or others. | AACN Essentials Competencies: IX. 12. Create a safe environment that results in high quality patient outcomes. | NLN Competencies: Quality and safety: Encourage patients and families to communicate their observations and concerns regarding safety. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 6 Specify physical and psychologic signs that may indicate a woman is in an abusive relationship.

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

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20) The nurse suspects that a pregnant client might be experiencing abuse when the client does which of the following?

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

Select all that apply.

1. Gives an inappropriate explanation for the injuries

2. Hesitates in providing detailed information about the injury

3. Makes eye contact with the nurse while answering questions

4. Allows her partner to answer the nurses questions

5. Frequently calls to change appointment times

Answer: 1, 2, 4, 5

Explanation: 1. Whenever a client gives an inappropriate explanation for injuries, such as being accident prone, the nurse should suspect abuse.

2. Clients experiencing abuse often hesitate in providing detailed information about an injury and how it occurred.

4. The client experiencing abuse may show signs of increased anxiety in the presence of the possible batterer, who frequently does most of the talking or hovers around the woman.

5. If a client has injuries sustained from abuse, she will often delay reporting of symptoms or seeking care for injuries.

Page Ref: 133, 134

Cognitive Level: Applying

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: Quality and safety: Promote communication and open reporting as a priority in health care. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 6 Specify physical and psychologic signs that may indicate a woman is in an abusive relationship.

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

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21) If a woman returns to an abusive situation, the nurse should encourage her to develop an exit, or safety, plan for herself and her children, if she has any. What should the plan include?

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

Select all that apply.

1. Identify friends and family who know about the situation and will help her.

2. Call the police if violence begins.

3. Pack a change of clothes for herself and the children.

4. Have a plan for where she will go.

5. Have a planned escape route.

Answer: 1, 3, 4, 5

Explanation: 1. She should identify friends and family who know about the situation and will help her. Ask that she establish a code word for danger with those family and friends.

3. She should pack a change of clothes for herself and the children, including toilet articles and an extra set of car and house keys stored away from her house with a friend or neighbor.

4. She should have a plan for where she will go, regardless of the day or time.

5. She should have a planned escape route and emergency telephone numbers she can call.

Page Ref: 135

Cognitive Level: Understanding

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

Standards: QSEN Competencies: V. B. 2. Demonstrate effective use of strategies to reduce risk of harm to self or others. | AACN Essentials Competencies: IX. 12. Create a safe environment that results in high quality patient outcomes. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 7 Describe the needs that women with abusive partners and their children may have beyond the healthcare setting.

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

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22) The nurse is caring for an abused mother in the postpartum department. The client is afraid to go home, but has no money to do anything else. What can the nurse do to assist this individual and her baby?

1. Work with community services to have the client and her baby go to a safe place, complete paperwork to obtain financial assistance, and obtain some temporary assistance.

2. Explain that she will have to go home at this time, but provide her with paperwork to complete to obtain assistance.

3. Offer to have her partner come in and attend a counseling session with her.

4. Suggest that once she gets home, she should pursue getting a restraining order against her abuser.

Answer: 1

Explanation: 1. Nurses and medical personnel need to be alert to symptoms of battering, recognize these cues, and encourage women to seek assistance from community agencies. The most innovative and effective domestic violence programs in hospitals and urgent care facilities work collaboratively with domestic violence service agencies, develop a comprehensive community referral network, and work with multidisciplinary intervention teams.

Page Ref: 135

Cognitive Level: Applying

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

Standards: QSEN Competencies: V. B. 2. Demonstrate effective use of strategies to reduce risk of harm to self or others. | AACN Essentials Competencies: IX. 12. Create a safe environment that results in high quality patient outcomes. | NLN Competencies: Quality and safety: Encourage patients and families to communicate their observations and concerns regarding safety. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 7 Describe the needs that women with abusive partners and their children may have beyond the healthcare setting.

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

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23) When evaluating the care given a battered woman, the nurse analyzes care plan components to determine which of the following?

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

Select all that apply.

1. Compassionate, respectful care was delivered.

2. The woman has the necessary information to make decisions.

3. Medical records are deliberately vague.

4. Psychological care was given in the hospital.

5. The woman identifies culturally appropriate resources.

Answer: 1, 2, 5

Explanation: 1. One expected outcome of nursing care is that the woman receives compassionate, respectful, and individualized medical attention.

2. One expected outcome of nursing care is that the woman has the information she needs to make a decision about her future based on thoughtful consideration of alternatives.

5. Two expected outcomes of nursing care are that the woman is able to identify culturally appropriate community resources available to her and develops strategies for keeping herself, her children, and her family as safe as possible.

Page Ref: 136, 137

Cognitive Level: Applying

Client Need/Sub: Safe and Effective Care Environment: Management of Care

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. 12. Create a safe environment that results in high quality patient outcomes. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 5 Delineate the role of the nurse in caring for women who have experienced partner abuse.

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

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24) The nurse has been talking to a woman about the reorganization phase following a rape. Which response would indicate that the client understands this phase?

1. By using denial and suppression in this phase, I will eventually be able to accept what has happened to me.

2. During this time, I wont talk much about the rape, because I am examining my inward feelings regarding the rape.

3. During this time, I will repeatedly replay the role of the victim until I come to terms with the experience.

4. My perception of a normal sexual relationship will be similar to my perception prior to the rape.

Answer: 3

Explanation: 3. During reorganization, a victim adjusts her self-concept to include the rape.

Page Ref: 139

Cognitive Level: Applying

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: Evaluation

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.

25) The nurse suspects that a client has been physically abused, but the woman refuses to report the abuse to the police. Which statement by the client suggests to the nurse that the relationship might be in the honeymoon period of the cycle of violence?

1. My boyfriend says he will never hurt me again.

2. My boyfriend only drinks alcohol on the weekends.

3. My boyfriend yells less than he used to.

4. My boyfriend has frequent bouts of insomnia.

Answer: 1

Explanation: 1. This is an example of a statement made during the honeymoon period of the cycle of violence.

Page Ref: 131

Cognitive Level: Applying

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: Diagnosis

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

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

26) Among women who have been sexually assaulted, which of the following are the most frequently diagnosed sexually transmitted infections (STIs)?

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

Select all that apply.

1. Bacterial vaginosis

2. HIV

3. Chlamydia

4. Syphilis

5. Gonorrhea

Answer: 1, 3, 5

Explanation: 1. Among women who have been sexually assaulted, trichomoniasis, bacterial vaginosis, gonorrhea, and chlamydia are the most frequently diagnosed sexually transmitted infections (STIs).

3. Among women who have been sexually assaulted, trichomoniasis, bacterial vaginosis, gonorrhea, and chlamydia are the most frequently diagnosed sexually transmitted infections (STIs).

5. Among women who have been sexually assaulted, trichomoniasis, bacterial vaginosis, gonorrhea, and chlamydia are the most frequently diagnosed sexually transmitted infections (STIs).

Page Ref: 141

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: Appreciate the patient as a whole person, with his or her own life story and ideas about the meaning of health and illness. | Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 9 Discuss the nurses 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.

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27) When a woman who has been raped is admitted to the emergency department, the nurse caring for the woman knows that which of the following is the priority nursing intervention?

1. Explaining exactly what will need to be done to preserve legal evidence

2. Assuring the woman that everything will be all right

3. Creating a safe, secure environment for her

4. Contacting family members

Answer: 3

Explanation: 3. The first priority in caring for a survivor of a sexual assault is to create a safe, secure environment.

Page Ref: 141

Cognitive Level: Understanding

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

Standards: QSEN Competencies: I. B. 3. Provide patient-centered care with sensitivity and respect for the diversity of human experience. | AACN Essentials Competencies: IX. 6. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan and in all healthcare settings. | 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: 9 Discuss the nurses 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.

28) What is the most important aspect of care for the nurse to remember when screening a woman for partner abuse?

1. Ensuring privacy and confidentiality

2. Conveying warmth and empathy

3. Asking specific, direct questions about abuse

4. Clarifying her myths about battering

Answer: 1

Explanation: 1. Screening for women experiencing domestic violence must be done privately, with only the nurse and the client present, in a safe and quiet place.

Page Ref: 132

Cognitive Level: Applying

Client Need/Sub: Psychosocial Integrity: Abuse/Neglect

Standards: QSEN Competencies: I. B. 3. Provide patient-centered care with sensitivity and respect for the diversity of human experience. | AACN Essentials Competencies: IX. 12. Create a safe environment that results in high quality patient outcomes. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 5 Delineate the role of the nurse in caring for women who have experienced partner abuse.

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

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29) A client comes to the reproductive health clinic and reports that she woke up in a strange room this morning, her perineal area is sore, and she cant clearly remember what happened the previous evening. The client says that she is afraid that she was a victim of a drug-facilitated sexual assault. Which statement should the nurse include when discussing this possibility with the client?

1. Drinking alcohol can lead to uninhibited sexual behavior, which is not the same as rape.

2. Some men use drugs mixed into a drink to subdue a potential victim prior to a rape.

3. It is rare that a woman doesnt remember what happened if she is actually raped.

4. We need to check for forensic evidence of rape before we can be sure what happened.

Answer: 2

Explanation: 2. Drug-facilitated sexual assault occurs when a drug such as Rohypnol, which dissolves easily and is odorless, is slipped into the drink of an unsuspecting woman.

Page Ref: 138

Cognitive Level: Analyzing

Client Need/Sub: Psychosocial Integrity: Abuse/Neglect

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. 5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences. | NLN Competencies: Relationship-Centered Care: Respect the patients dignity, uniqueness, integrity, and self-determination, and his or her own power and self-healing process. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 9 Discuss the nurses 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.

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30) The nurse is caring for a battered woman in the emergency department. Which nursing guidelines are used in the care of this client?

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

Select all that apply.

1. Letting the woman tell her story at her own pace

2. Anticipating ambivalence toward the batterer

3. Acknowledging the womans feelings as reasonable

4. Letting the woman figure out how to identify specific problems on her own

5. Allowing her to believe in false beliefs if it makes her feel more secure

Answer: 1, 2, 3

Explanation: 1. The nurse should let the woman work through her story, problems, and situation at her own pace.

2. The nurse should anticipate ambivalence in the womans love-hate relationship with the batterer.

3. The nurse should let the woman know that she is believed, and that her feelings are reasonable and normal.

Page Ref: 135

Cognitive Level: Applying

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

Standards: QSEN Competencies: I. B. 3. Provide patient-centered care with sensitivity and respect for the diversity of human experience. | AACN Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences. | NLN Competencies: Relationship-Centered Care: Promote and accept the patients emotions; accept and respond to distress in patient and self; facilitate hope, trust, and faith. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 5 Delineate the role of the nurse in caring for women who have experienced partner abuse.

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

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31) Vicarious trauma is a phenomenon nurses might experience. What are the signs indicating this problem that the nurse should be aware of?

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

Select all that apply.

1. Reduced sense of accomplishment

2. A positive effect on commitment to ones work

3. Questioning of personal belief systems

4. Balance of time for family, self, friends, and work

5. Frustration with the judicial system

Answer: 1, 3

Explanation: 1. Vicarious trauma refers to a gradual internal transformation that can negatively affect commitment to ones work, reduce any sense of accomplishment, and lead to a questioning of personal belief systems.

3. Vicarious trauma refers to a gradual internal transformation that can negatively affect commitment to ones work, reduce any sense of accomplishment, and lead to a questioning of personal belief systems.

Page Ref: 143

Cognitive Level: Applying

Client Need/Sub: Safe and Effective Care Environment: Management of Care

Standards: QSEN Competencies: I. C. 5. Recognize personally held attitudes about working with patients form different ethnic, cultural and social backgrounds. | AACN Essentials Competencies: I. 8. Demonstrate tolerance for the ambiguity and unpredictability of the world and its effect on the healthcare system as related to nursing practice. | NLN Competencies: Relationship-Centered Care: Demonstrate self-awareness, self-care, self-growth; be open and non-judgmental. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 9 Discuss the nurses 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.

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32) In educating a group of women at a community center, the nurse talks about the myths surrounding sexual assault. What topics would the nurse include?

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

Select all that apply.

1. Older women are less likely to be sexually assaulted.

2. Rape is universal, and all societies have rape.

3. Women who party and do drugs set themselves up for sexual assault.

4. If the woman just relaxes, it will be over, and she might even like it.

5. Women lie about rape as an act of revenge.

Answer: 2, 4, 5

Explanation: 2. Rape is not universal to all societies, and not all men rape women.

4. Rape is an act of violence in which the perpetrator uses sex as a weapon to control, intimidate, and violate the victim.

5. While false allegations of rape do occur, they are the exception, not the rule.

Page Ref: 137

Cognitive Level: Applying

Client Need/Sub: Health Promotion and Maintenance: 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: Implementation

Learning Outcome: 9 Discuss the nurses 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.

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33) The emergency department nurse is admitting a client who has been sexually assaulted. The nurse is explaining how the physical evidence will be collected. Which statement by the client indicates that teaching has been effective?

1. All the evidence will be kept in a locked cupboard until the police arrive.

2. You collect urine samples to make sure the rapist did not get me pregnant.

3. The evidence you collect might be able to identify the rapist.

4. Blood samples are taken to help identify whether the rapist had HIV.

Answer: 3

Explanation: 3. DNA can be obtained from collected evidence to identify the rapist.

Page Ref: 140

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: Evaluation

Learning Outcome: 10 Summarize the procedures for collecting and preserving physical evidence of sexual assault.

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

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34) The nurse is conducting a rape exam on a client in the emergency department after a sexual assault. What specimens will the nurse collect?

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

Select all that apply.

1. Swabs of body stains and secretions

2. Samples of pubic hair

3. Toenail scrapings

4. Samples of head hair

5. Sputum, for disease analysis

Answer: 1, 2, 4

Explanation: 1. The nurse will take swabs of body stains and secretions to analyze for semen or sperm.

2. The nurse will take pubic hair samples to analyze root structure and identify foreign hairs that might have been transferred from the rapist.

4. The nurse will take head hair samples to analyze root structure and identify foreign hairs that might have been transferred from the rapist.

Page Ref: 140, 141

Cognitive Level: Understanding

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

Standards: QSEN Competencies: V. B. 2. Demonstrate effective use of strategies to reduce risk of harm to self or others. | AACN Essentials Competencies: IX. 12. Create a safe environment that results in high quality patient outcomes. | NLN Competencies: Quality and Safety: Use technologies that contribute to safety. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10 Summarize the procedures for collecting and preserving physical evidence of sexual assault.

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

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35) A client arrives at the emergency department stating that she was raped, but she felt so dirty that she went home and showered. She states that she has on clean clothes but has her other clothes in a bag. What will the nurse tell the client?

1. I understand why you felt dirty, but you know you should not have taken a shower.

2. We will probably never find out who raped you because you destroyed evidence.

3. Do you want an emergency contraceptive pill?

4. I understand that was important to you. We will see what we can get from your clothes, and give them to the authorities.

Answer: 4

Explanation: 4. This is the correct statement. This is not the time to tell her what she did wrong, as she is psychologically upset. The ability to collect evidence that is comprehensive, appropriate, and reliable contributes to successful prosecution of perpetrators of sexual assault.

Page Ref: 140

Cognitive Level: Analyzing

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: 10 Summarize the procedures for collecting and preserving physical evidence of sexual assault.

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

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36) The nurse is counseling a rape victim on her choices in pursuing legal action. The nurse will explain which of the following to the client?

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

Select all that apply.

1. Prosecution procedures are described as a second rape.

2. The prosecution will victimize her in court during testimony.

3. Publicity can intensify her feelings of humiliation.

4. Prosecution of the assailant is a community responsibility.

5. The clients sexual history will be publicized.

Answer: 1, 3, 4

Explanation: 1. Many sexual assault survivors who have gone through the judicial process refer to it as a second rapeand sometimes a more damaging one.

3. Publicity can intensify her feelings of humiliation.

4. Prosecution of the assailant is a community responsibility in which the prosecuting attorney will act on the victims behalf.

Page Ref: 143

Cognitive Level: Applying

Client Need/Sub: Safe and Effective Care Environment: Management of Care

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: Implementation

Learning Outcome: 11 Discuss the legal responsibilities of the community to prevent and address violence against women.

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

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