Download PDF test bank for olds maternal newborn nursing and womens health across the lifespan 9th edition by davidson

Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Nursing Process:

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Download PDF Test bank for Olds' Maternal Newborn Nursing and

Women's Health Across the Lifespan 9th Edition by Davidson

Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing

and Women’s Health Across the Lifespan 9th Edition Test Bank

Chapter 9

Question 1

Type: MCSA

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

Correct Answer: 1

Rationale 1: Sadistic rapists inflict pain on victims; this torture and suffering create pleasure for the rapist The assailant often has an antisocial personality and enjoys the torture and mutilation Victim and assailant are

usually strangers, but the assault has been planned

Rationale 2: Anger rape involves brutality and degradation of the victim, and expresses the rapist's sense

of rage and unexpressed anger Attacks on older women are often anger attacks

Rationale 3: Power rape provides a sense of dominance and mastery over the victim for the rapist,

who often believes the victim enjoys the assault

Rationale 4: Anxiety is not associated with a type of rape

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank

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Nursing/Integrated Concepts: Nursing Process:

Planning Learning Outcome:

Question 2

Type: MCMA

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:

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

Standard Text: 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 accept that they are the cause of the violence

Correct Answer: 4,5

Rationale 1: Healthcare providers can play a critical role in identifying and reducing violence, even

in homicide prevention efforts

Rationale 2: Since 1980 there have been a number of notable changes in healthcare policy and practices

aimed at responding to violence against women

Rationale 3: The abuser must seek behavior change therapy to accomplish permanent change

Rationale 4: Even if women have experienced nonviolent relationships, they often return to an

abusive situation because they lack alternatives or fear reprisal

Rationale 5: Women are often convinced by the abusers that it is their own behavior that causes the violence Global Rationale:

Cognitive Level: Analyzing

Implementation Learning Outcome:

Question 3

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Type: MCSA

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

Rationale 1: This is a true statement The ANA wants all nurses to be educated in recognizing and caring

for victims of domestic violence

Rationale 2: The ANA has made no such conclusion Nurses can do a lot just by recognizing

domestic violence, talking to the victims, and assisting in removing them from the situation

Rationale 3: The ANA does not recommend this The nurse should deal with it and try to talk with the patient

The doctor may assist if needed

Rationale 4: The ANA does not recommend this Social workers might become involved later if the

patient requires and wants assistance

Client Need: Safe Effective Care Environment

Client Need Sub: Safety and Infection Control

Assessment Learning Outcome:

Question 4

Type: MCMA

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:

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

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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

Correct Answer: 1,2,3

Rationale 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

Rationale 2: Men raised in patriarchal families (those that encourage traditional gender roles) are more likely

to engage in domestic violence

Rationale 3: Cultures that link definitions of manhood to dominance, toughness, or male honor are more likely

to demonstrate violence against women

Rationale 4: Relationships that are characterized by high levels of conflict, including verbal

disagreements, are more likely to include the use of violence

Rationale 5: Alcohol and drug abuse have not been proven to be the cause of domestic violence

Question 5

Type: MCSA

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

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4 If the batterer stops drinking, the violence usually stops

Rationale 1: Statistics on reported cases do not represent the true incidence It is believed that 1 in 3 women

might be the victim of domestic violence However, it is estimated that only 1 in 10 will report the assault

Rationale 2: Domestic violence occurs among all sectors of society It happens to women of all

socioeconomic statuses, races, ethnicities, and religious faiths

Rationale 3: The greatest risk for severe violence is when victims of abuse attempt to leave the abuser

This can be as severe as homicide

Rationale 4: Victims of domestic violence often believe that if the partner stops using alcohol or

drugs, the battering will stop Statistics have shown that this is usually not the case

Planning Learning Outcome:

Question 6

Type: MCSA

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

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

Rationale 2: About 1 of every 3 women will experience abuse in her lifetime

Rationale 3: This is not true Sometimes when women return, the abuse is worse

Rationale 4: It is difficult for the battered woman to leave the situation, often because of children and finances

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Diagnosis Learning Outcome:

Question 7

Type: MCSA

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

Rationale 1: It is not likely that she just fell down the stairs on her own

Rationale 2: It is possible that the husband is not to blame, but the nurse cannot determine that while he

is present

Rationale 3: The husband likely did do something to his wife and caused her to fall down the stairs

Rationale 4: It would be questionable whether it would be safe for this patient to return home

Diagnosis Learning Outcome:

Question 8

Type: MCSA

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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."

Rationale 1: Domestic violence does not begin suddenly, and will always escalate

Rationale 2: Escalation occurs after the commitment, progressing from minor verbal battering

to increasingly violent physical abuse

Rationale 3: Escalation occurs after the commitment, progressing from minor verbal battering

to increasingly violent physical abuse

Rationale 4: Spousal violence usually begins slowly and subtly after a form of commitment such as

engagement Escalation occurs after the commitment, progressing from minor verbal battering to increasingly violent physical abuse

Question 9

Type: MCMA

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:

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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

Rationale 1: null

Rationale 4: These characteristics are not indicative of a phase in the cycle of violence

Rationale 5: Blame and punishment for inadequacy or inferiority are characteristics of batterers, not a

phase in the cycle

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:

Question 10

Type: MCSA

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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Rationale 1: The typical abuser is violent and then remorseful

Rationale 2: Alternating periods of sadness and happiness are not a common characteristic of an abuser

Rationale 3: Batterers tend to be emotionally immature and aggressive

Rationale 4: The abuser tries to keep the person he is abusing dependent on him

Question 11

Type: MCMA

A nurse in the emergency department recognizes in the husband of a patient one of the common

characteristics of batterers, which are:

1 Emotionally immature

2 A low tolerance for frustration

3 Feelings of insecurity and inferiority

4 A lack of respect in the community

5 Limited jealousy or possessiveness

Rationale 1: Batterers tend to be emotionally immature

Rationale 2: Combined with low tolerance for frustration and poor impulse control, the batterer’s

pervasive sense of powerlessness leads him to strike out at life’s inequities by abusing women

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

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Rationale 4: Batterers might be well respected in the community This is important because it is one of the

reasons why women are sometimes not believed or taken seriously when they seek support and assistance

from friends, family members, and other resources

Rationale 5: Extreme jealousy and possessiveness are the hallmarks of abusers

Question 12

Type: MCSA

The nurse is presenting a session on intimate partner violence Which statement 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."

Rationale 1: Avoiding blaming and shaming of victims of domestic violence is important to establish a

therapeutic relationship

Rationale 2: Violence is not a normal part of intimate relationships This statement indicates that the

patient has likely been a victim of domestic violence

Rationale 3: Abusers can be spouses or boyfriends or girlfriends Intimate partner violence can be

experienced in any intimate relationship

Rationale 4: An acute episode of battering is followed by the tranquil phase, or honeymoon period, when the

abuser is often repentant and promising never to abuse the victim again

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Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome:

Question 13

Type: MCSA

A 35-year-old patient in the women's health clinic has just told the nurse about being abused by her

husband for the past 10 years The nurse's most appropriate intervention, initially, is to:

1 Offer to call the police and help her to file charges

2 Ask her to tell you the details surrounding the abuse

3 Reassure her that many women experience the same problem

4 Listen to her account of the situation and offer support

Rationale 1: Filing charges will come later

Rationale 2: Once trust is established, only the detail on what type of violence has occurred is necessary

to collect

Rationale 3: Although reassuring the patient that she is not alone is important, it is not the nurse’s initial

response

Rationale 4: The initial step in caring for women who have disclosed abuse is to establish trust and ensure

confidentiality Once trust is established, the nurse can collect the details on what type of violence has occurred

Question 14

Type: MCSA

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 patient that that fault was not likely all attributable to her abuser

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

4 Assist the patient to develop a safety plan

Rationale 1: This is an inappropriate comment

Rationale 2: This is an inappropriate comment Nursing needs to assure the patient that it is not her fault

Rationale 3: This might be true, but is an inappropriate comment

Rationale 4: The nurse should help the patient develop a plan for safely exiting the situation

Question 15

Type: MCSA

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 woman’s vital signs

2 Document the location of the bruises

3 Assess for additional bruising

4 Interview the woman in private

Rationale 1: Taking the woman’s vital signs is important, but not the highest priority

Rationale 2: Documenting the location of the bruises is important, but not the highest priority

Rationale 3: Assessing for additional bruising is something that will have to be done, but is not the first priority Rationale 4: Interviewing the patient in private is the first priority, as the nurse needs to get the patient away from

her partner and ask her some questions

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Question 16

Type: MCSA

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? The patient:

1 Is hesitant to provide details about how the injuries occurred

2 Was accompanied to the emergency department by her mother instead of her partner

3 Has sought care quickly after the incident

4 Does not seem to be in pain

Rationale 1: Hesitation to provide details about how the injury occurred is a common sign of abuse

Rationale 2: Who accompanies the patient is not significant for abuse

Rationale 3: Often a woman delays seeking care when there has been abuse

Rationale 4: Pain level is not indicative of abuse The experience of pain and how it is expressed is

often a cultural issue

Question 17

Type: MCSA

The patient with limited English language skills has a black eye, and bruises across her face and arms The

patient's husband has been acting as an interpreter for her, and answers all of the questions the nurse asks, often

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without talking to his wife first The nurse suspects the patient 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 patient to read at home

4 Ask the husband to step out of the room, and obtain a professional interpreter

Rationale 1: Asking the abuser whether he has abused his spouse is useless, as most abusers see their behavior as

appropriate

Rationale 2: Asking the husband to have a female friend come with his wife is not the best action for the

nurse to take next

Rationale 3: Written proficiency develops after verbal fluency; therefore, written materials in

English are inappropriate for this patient

Rationale 4: A professional medical interpreter, preferably of the same gender as the patient, will provide

the most accurate translation of the nurse's words as well as the patient’s

Question 18

Type: MCSA

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.”

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