STUDY GUIDE SOLVED QUESTIONS
◉ 2. Sharon, a woman with multiple cuts and abrasions, arrives at
the emergency department with her three small children. She tells
the nurse her husband inflicted the wounds. In the interview, Sharon
tells the nurse, "He's been getting more and more violent lately. He's
been under a lot of stress at work the last few weeks, so he drinks a
lot when he gets home. He always gets mean when he drinks. I was
getting scared. So I just finally told him I was going to take the kids
and leave. He got furious when I said that and began beating me with
his fists." With knowledge about the cycle of battering, what does
this situation represent?
a. Phase I. Sharon was desperately trying to stay out of his way and
keep everything calm.
b. Phase I. A minor battering incident for which Sharon assumes all
the blame.
c. Phase II. The acute battering incident that Sharon provoked with
her threat to leave.
d. Phase III. The honeymoon pha Answer: c
◉ 3. A battered woman presents to the emergency department with
multiple cuts and abrasions. Her right eye is swollen shut. She says
,that her husband did this to her. What is the priority nursing
intervention?
a. Tending to the immediate care of her wounds
b. Providing her with information about a safe place to stay
c. Administering the prn tranquilizer ordered by the physician
d. Explaining how she may go about bringing charges against her
husband Answer: a
◉ 4. A woman who has a long history of being battered by her
husband is staying at the woman's shelter. She has received
emotional support from staff and peers and has been made aware of
the alternatives open to her. Nevertheless, she decides to return to
her home and marriage. The best response by the nurse to the
woman's decision is:
a. "I just can't believe you have decided to go back to that horrible
man."
b. "I'm just afraid he will kill you or the children when you go back."
c. "What makes you think things have changed with him?"
d. "I hope you have made the right decision. Call this number if you
need help." Answer: d
, ◉ 5. Jana, age 5, is sent to the school nurse's office with an upset
stomach. She has vomited and soiled her blouse. When the nurse
removes her blouse, she notices that Jana has numerous bruises on
her arms and torso in various stages of healing. She also notices
some small scars. Jana's abdomen protrudes on her small, thin
frame. From the objective physical assessment, the nurse suspects
that:
a. Jana is experiencing physical and sexual abuse.
b. Jana is experiencing physical abuse and neglect.
c. Jana is experiencing emotional neglect.
d. Jana is experiencing sexual and emotional abuse. Answer: b
◉ 6. A school nurse notices bruises and scars on a child's body, but
the child refuses to say how she received them. Another way in
which the nurse can get information from the child is to:
a. Have her evaluated by the school psychologist.
b. Tell her she may select a "treat" from the treat box (e.g., sucker,
balloon, junk jewelry) if she answers the nurse's questions.
c. Explain to her that if she answers the questions, she may stay in
the nurse's office and not have to go back to class.
d. Use a "family" of dolls to role-play the child's family with her.
Answer: d