Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 86
Chapter 07: Domestic and Family Violence Assessment
MULTIPLE CHOICE
1. As a mandatory reporter of elder abuse, which must be present before a nurse should notify the authorities?
a. Statements from the victim
b. Statements from witnesses
c. Proof of abuse and/or neglect
d. Suspicion of elder abuse and/or neglect
ANS: D
Many health care workers are under the erroneous assumption that proof is required before notification of
suspected abuse can occur. Only the suspicion of elder abuse or neglect is necessary.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
2. During a home visit, the nurse notices that an older adult woman is caring for her bedridden husband. The
woman states that this is her duty, she does the best she can, and her children come to help when they are in
town. Her husband is unable to care for himself, and she appears thin, weak, and exhausted. The nurse notices
that several of his prescription medication bottles are empty. This situation is best described by the term:
a. Physical abuse.
b. Financial neglect.
c. Psychological abuse.
d. Unintentional physical neglect.
ANS: D
Unintentional physical neglect may occur, despite good intentions, and is the failure of a family member or
caregiver to provide basic goods or services. Physical abuse is defined as violent acts that result or could result
in injury, pain, impairment, or disease. Financial neglect is defined as the failure to use the assets of the older
person to provide services needed by him or her. Psychological abuse is defined as behaviors that result in
mental anguish.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
3. The nurse is aware that intimate partner violence (IPV) screening should occur with which situation?
a. When IPV is suspected
,Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 87
b. When a woman has an unexplained injury
c. As a routine part of each health care encounter
d. When a history of abuse in the family is known
ANS: C
Many nursing professional organizations have called for routine, universal screening for IPV to assist women
in getting help for the problem.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
4. Which statement is best for the nurse to use when preparing to administer the Abuse Assessment Screen?
a. We are required by law to ask these questions.
b. We need to talk about whether you believe you have been abused.
c. We are asking these questions because we suspect that you are being abused.
d. We need to ask the following questions because domestic violence is so common in our society.
ANS: D
Such an introduction alerts the woman that questions about domestic violence are coming and ensures the
woman that she is not being singled out for these questions.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
5. Which term refers to a wound produced by the tearing or splitting of body tissue, usually from blunt impact
over a bony surface?
a. Abrasion
b. Contusion
c. Laceration
d. Hematoma
ANS: C
The term laceration refers to a wound produced by the tearing or splitting of body tissue. An abrasion is
caused by the rubbing of the skin or mucous membrane. A contusion is injury to tissues without breakage of
,Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 88
skin, and a hematoma is a localized collection of extravasated blood.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
6. During an examination, the nurse notices a patterned injury on a patients back. Which of these would cause
such an injury?
a. Blunt force
b. Friction abrasion
c. Stabbing from a kitchen knife
d. Whipping from an extension cord
ANS: D
A patterned injury is an injury caused by an object that leaves a distinct pattern on the skin or organ. The other
actions do not cause a patterned injury.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
7. When documenting IPV and elder abuse, the nurse should include:
a. Photographic documentation of the injuries.
b. Summary of the abused patients statements.
c. Verbatim documentation of every statement made.
d. General description of injuries in the progress notes.
ANS: A
Documentation of IPV and elder abuse must include detailed nonbiased progress notes, the use of injury maps,
and photographic documentation. Written documentation needs to be verbatim, within reason. Not every
statement can be documented.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
8. A female patient has denied any abuse when answering the Abuse Assessment Screen, but the nurse has
noticed some other conditions that are associated with IPV. Examples of such conditions include:
a. Asthma.
, Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 89
b. Confusion.
c. Depression.
d. Frequent colds.
ANS: C
Depression is one of the conditions that is particularly associated with IPV. Abused women also have been
found to have more chronic health problems, such as neurologic, gastrointestinal, and gynecologic symptoms;
chronic pain; and symptoms of suicidality and posttraumatic stress disorder.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
9. The nurse is using the danger assessment (DA) tool to evaluate the risk of homicide. Which of these
statements best describes its use?
a. The DA tool is to be administered by law enforcement personnel.
b. The DA tool should be used in every assessment of suspected abuse.
c. The number of yes answers indicates the womans understanding of her situation.
d. The higher the number of yes answers, the more serious the danger of the womans situation.
ANS: D
No predetermined cutoff scores exist on the DA. The higher the number yes answers, the more serious the
danger of the womans situation. The use of this tool is not limited to law enforcement personnel and is not
required in every case of suspected abuse.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
10. The nurse is assessing bruising on an injured patient. Which color indicates a new bruise that is less than 2
hours old?
a. Red
b. Purple-blue
c. Greenish-brown
d. Brownish-yellow
ANS: A
Chapter 07: Domestic and Family Violence Assessment
MULTIPLE CHOICE
1. As a mandatory reporter of elder abuse, which must be present before a nurse should notify the authorities?
a. Statements from the victim
b. Statements from witnesses
c. Proof of abuse and/or neglect
d. Suspicion of elder abuse and/or neglect
ANS: D
Many health care workers are under the erroneous assumption that proof is required before notification of
suspected abuse can occur. Only the suspicion of elder abuse or neglect is necessary.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
2. During a home visit, the nurse notices that an older adult woman is caring for her bedridden husband. The
woman states that this is her duty, she does the best she can, and her children come to help when they are in
town. Her husband is unable to care for himself, and she appears thin, weak, and exhausted. The nurse notices
that several of his prescription medication bottles are empty. This situation is best described by the term:
a. Physical abuse.
b. Financial neglect.
c. Psychological abuse.
d. Unintentional physical neglect.
ANS: D
Unintentional physical neglect may occur, despite good intentions, and is the failure of a family member or
caregiver to provide basic goods or services. Physical abuse is defined as violent acts that result or could result
in injury, pain, impairment, or disease. Financial neglect is defined as the failure to use the assets of the older
person to provide services needed by him or her. Psychological abuse is defined as behaviors that result in
mental anguish.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
3. The nurse is aware that intimate partner violence (IPV) screening should occur with which situation?
a. When IPV is suspected
,Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 87
b. When a woman has an unexplained injury
c. As a routine part of each health care encounter
d. When a history of abuse in the family is known
ANS: C
Many nursing professional organizations have called for routine, universal screening for IPV to assist women
in getting help for the problem.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
4. Which statement is best for the nurse to use when preparing to administer the Abuse Assessment Screen?
a. We are required by law to ask these questions.
b. We need to talk about whether you believe you have been abused.
c. We are asking these questions because we suspect that you are being abused.
d. We need to ask the following questions because domestic violence is so common in our society.
ANS: D
Such an introduction alerts the woman that questions about domestic violence are coming and ensures the
woman that she is not being singled out for these questions.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
5. Which term refers to a wound produced by the tearing or splitting of body tissue, usually from blunt impact
over a bony surface?
a. Abrasion
b. Contusion
c. Laceration
d. Hematoma
ANS: C
The term laceration refers to a wound produced by the tearing or splitting of body tissue. An abrasion is
caused by the rubbing of the skin or mucous membrane. A contusion is injury to tissues without breakage of
,Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 88
skin, and a hematoma is a localized collection of extravasated blood.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
6. During an examination, the nurse notices a patterned injury on a patients back. Which of these would cause
such an injury?
a. Blunt force
b. Friction abrasion
c. Stabbing from a kitchen knife
d. Whipping from an extension cord
ANS: D
A patterned injury is an injury caused by an object that leaves a distinct pattern on the skin or organ. The other
actions do not cause a patterned injury.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
7. When documenting IPV and elder abuse, the nurse should include:
a. Photographic documentation of the injuries.
b. Summary of the abused patients statements.
c. Verbatim documentation of every statement made.
d. General description of injuries in the progress notes.
ANS: A
Documentation of IPV and elder abuse must include detailed nonbiased progress notes, the use of injury maps,
and photographic documentation. Written documentation needs to be verbatim, within reason. Not every
statement can be documented.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
8. A female patient has denied any abuse when answering the Abuse Assessment Screen, but the nurse has
noticed some other conditions that are associated with IPV. Examples of such conditions include:
a. Asthma.
, Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 89
b. Confusion.
c. Depression.
d. Frequent colds.
ANS: C
Depression is one of the conditions that is particularly associated with IPV. Abused women also have been
found to have more chronic health problems, such as neurologic, gastrointestinal, and gynecologic symptoms;
chronic pain; and symptoms of suicidality and posttraumatic stress disorder.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
9. The nurse is using the danger assessment (DA) tool to evaluate the risk of homicide. Which of these
statements best describes its use?
a. The DA tool is to be administered by law enforcement personnel.
b. The DA tool should be used in every assessment of suspected abuse.
c. The number of yes answers indicates the womans understanding of her situation.
d. The higher the number of yes answers, the more serious the danger of the womans situation.
ANS: D
No predetermined cutoff scores exist on the DA. The higher the number yes answers, the more serious the
danger of the womans situation. The use of this tool is not limited to law enforcement personnel and is not
required in every case of suspected abuse.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
10. The nurse is assessing bruising on an injured patient. Which color indicates a new bruise that is less than 2
hours old?
a. Red
b. Purple-blue
c. Greenish-brown
d. Brownish-yellow
ANS: A
