Question 1
An adult has recently been absent from work for 3-day periods on several occasions. Each time, the individual returns to work
wearing dark glasses. Facial and body bruises are apparent. What is the occupational health nurse’s priority assessment?
A. Interpersonal relationships
B. Physical injuries
C. Socialization skills
D. Work responsibilities
Answer: B. Physical injuries
Question 2
An adult tells the nurse, “My partner abuses me only when drinking. The drinking has increased lately, but I always get an
apology afterward and a box of candy. I’ve considered leaving but haven’t been able to bring myself to actually do it.” Which
phase in the cycle of violence prevents the patient from leaving?
A. Tension building
B. Recovery
C. Acute battering
D. Honeymoon
Answer: D. Honeymoon
Question 3
An older adult diagnosed with dementia lives with family and attends an adult day care center. A nurse at the center notices the
adult has a disheveled appearance, a strong odor of urine, and bruises on the limbs and back. What type of abuse might be
occurring?
A. Financial
B. Physical
C. Sexual
D. Psychological
Answer: B. Physical
Question 4
Which referral is most appropriate for a woman who is severely beaten by her husband, has no relatives or friends in the
community, is afraid to return home, and has limited financial resources?
A. Law enforcement
B. Women’s shelter
C. Support group
D. Vocational counseling
Answer: B. Women’s shelter
Question 5
Which referral is most appropriate for a woman who is severely beaten by her husband, has no relatives or s in the community, is
afraid to return home, and has limited financial resources?
A. Law enforcement
B. Vocational counseling
, C. Women’s shelter
D. Support group
Answer: C. Women’s shelter
Question 6
A child was abducted and raped. Which personal reaction by the nurse could interfere with the child’s care?
A. Compassion
B. Empathy
C. Anger
D. Concern
Answer: C. Anger
Question 7
The nurse cares for a victim of a violent sexual assault. What is the most therapeutic intervention?
A. Educate the victim about strategies to avoid attacks in the future
B. Use accepting, nurturing, and empathetic communication techniques
C. Discourage the expression of feelings until the victim stabilizes
D. Maintain a matter-of-fact manner and objectivity
Answer: B. Use accepting, nurturing, and empathetic communication techniques
Question 8
What is the primary motivator for most rapists?
A. Desire to humiliate or control others
B. Need for humiliation
C. Overwhelming sexual desires
D. Anxiety
Answer: A. Desire to humiliate or control others
Question 9
Which scenario predicts the highest risk for directing violent behavior toward others?
A. Completion of alcohol withdrawal and beginning a rehabilitation program
B. Obsessive-compulsive disorder; performing many rituals
C. Major depressive disorder with delusions of worthlessness
D. Paranoid delusions of being followed by a military attack team
Answer: D. Paranoid delusions of being followed by a military attack team
Question 10
A patient is hospitalized after an arrest for breaking windows in the home of a former intimate partner. The history reveals
childhood abuse by a punitive parent, torturing family pets, and an arrest for disorderly conduct. Which nursing diagnosis has
priority?
An adult has recently been absent from work for 3-day periods on several occasions. Each time, the individual returns to work
wearing dark glasses. Facial and body bruises are apparent. What is the occupational health nurse’s priority assessment?
A. Interpersonal relationships
B. Physical injuries
C. Socialization skills
D. Work responsibilities
Answer: B. Physical injuries
Question 2
An adult tells the nurse, “My partner abuses me only when drinking. The drinking has increased lately, but I always get an
apology afterward and a box of candy. I’ve considered leaving but haven’t been able to bring myself to actually do it.” Which
phase in the cycle of violence prevents the patient from leaving?
A. Tension building
B. Recovery
C. Acute battering
D. Honeymoon
Answer: D. Honeymoon
Question 3
An older adult diagnosed with dementia lives with family and attends an adult day care center. A nurse at the center notices the
adult has a disheveled appearance, a strong odor of urine, and bruises on the limbs and back. What type of abuse might be
occurring?
A. Financial
B. Physical
C. Sexual
D. Psychological
Answer: B. Physical
Question 4
Which referral is most appropriate for a woman who is severely beaten by her husband, has no relatives or friends in the
community, is afraid to return home, and has limited financial resources?
A. Law enforcement
B. Women’s shelter
C. Support group
D. Vocational counseling
Answer: B. Women’s shelter
Question 5
Which referral is most appropriate for a woman who is severely beaten by her husband, has no relatives or s in the community, is
afraid to return home, and has limited financial resources?
A. Law enforcement
B. Vocational counseling
, C. Women’s shelter
D. Support group
Answer: C. Women’s shelter
Question 6
A child was abducted and raped. Which personal reaction by the nurse could interfere with the child’s care?
A. Compassion
B. Empathy
C. Anger
D. Concern
Answer: C. Anger
Question 7
The nurse cares for a victim of a violent sexual assault. What is the most therapeutic intervention?
A. Educate the victim about strategies to avoid attacks in the future
B. Use accepting, nurturing, and empathetic communication techniques
C. Discourage the expression of feelings until the victim stabilizes
D. Maintain a matter-of-fact manner and objectivity
Answer: B. Use accepting, nurturing, and empathetic communication techniques
Question 8
What is the primary motivator for most rapists?
A. Desire to humiliate or control others
B. Need for humiliation
C. Overwhelming sexual desires
D. Anxiety
Answer: A. Desire to humiliate or control others
Question 9
Which scenario predicts the highest risk for directing violent behavior toward others?
A. Completion of alcohol withdrawal and beginning a rehabilitation program
B. Obsessive-compulsive disorder; performing many rituals
C. Major depressive disorder with delusions of worthlessness
D. Paranoid delusions of being followed by a military attack team
Answer: D. Paranoid delusions of being followed by a military attack team
Question 10
A patient is hospitalized after an arrest for breaking windows in the home of a former intimate partner. The history reveals
childhood abuse by a punitive parent, torturing family pets, and an arrest for disorderly conduct. Which nursing diagnosis has
priority?
