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Question 1

The patient 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 the primary purpose of sadistic rape is to:

1. Take pleasure from the victim's struggle and pain.

2. Express feelings of rage.

3. Feel a sense of power or mastery.

4. Relieve intolerable anxiety.

Question 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 because:

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 accept that they are the cause of the violence.

Question 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 ANA advocates education for all nurses in identifying and preventing violence against women.

2. The ANA 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 ANA guidelines.

4. The nurse who suspects abuse should ask the hospital’s social work department to deal with it, per ANA guidelines.

Question 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 contributing factors to domestic violence are:

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.

Question 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.

Question 6

The nurse at a shelter is counseling a group of battered women. The nurse will emphasize that:

1. Battering will not stop or decrease if they become 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.

Question 7

The nurse in the emergency department is caring for a pregnant Middle Eastern woman in the emergency department who presents with a broken wrist and multiple bruises. 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. The nurse is aware that:

1. The patient 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 patient is safe to return home after her wrist is fixed.

Question 8

The nurse is interviewing a patient who has admitted to being a victim of spousal abuse. The most typical description of how the spousal violence developed in a relationship is:

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. "We've both always dated other people. I thought that was understood. He was as emotionally abusive in the beginning as he is now."

4. "I don't know when it started, really. It was gradual. First, just yelling, blaming, and shoving. Then the beatings started; and now they're more frequent."

Question 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 the characteristics of the phases of the cycle of violence include:

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.

Question 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.

 

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