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FOUNDATIONS OF MATERNAL-NEWBORN AND
WOMEN'S HEALTH NURSING, 7TH EDITION
## MURRAY & MCKINNEY – TEST BANK
### CHAPTER 02: SOCIAL, ETHICAL, AND LEGAL
ISSUES
## I. CYCLE OF VIOLENCE & INTIMATE PARTNER VIOLENCE
**1. During which phase of the cycle of violence does the batterer become contrite
and remorseful?**
A. Battering
**B. Honeymoon**
C. Tension-building
D. Increased drug taking
**Rationale:** During the honeymoon phase, the battered person wants to believe
that the battering will never happen again, and the batterer will promise anything to
get back into the home . During the battering phase (A), violence actually occurs,
and the victim feels powerless. During the tension-building phase (C), the batterer
becomes increasingly hostile, swears, threatens, throws things, and pushes the
battered person. Often, the batterer increases the use of drugs during the tension-
building phase .
---
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**2. A nurse is assessing a pregnant patient who has multiple bruises in various
stages of healing. The patient is reluctant to discuss how the injuries occurred.
Which nursing action is most appropriate?**
A. Confront the patient about suspected abuse
**B. Provide privacy and ask gentle, non-judgmental screening questions about
safety**
C. Report the findings to adult protective services immediately
D. Document only what the patient voluntarily shares
**Rationale:** Nurses should screen all pregnant women for intimate partner
violence using gentle, non-judgmental questions in a private setting. Confrontation
(A) may increase the patient's anxiety and reduce trust. While reporting may be
required in some states, the nurse should first assess the situation and provide
support. Thorough documentation (D) is important, but assessment and
intervention come first.
---
**3. A nurse is caring for a victim of intimate partner violence. The patient states,
"He promised he will never hit me again." The nurse recognizes this statement as
characteristic of which phase of the cycle of violence?**
A. Battering phase
**B. Honeymoon phase**
C. Tension-building phase
D. Separation phase
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**Rationale:** The honeymoon phase is characterized by the batterer becoming
contrite, apologetic, and promising to change. The victim often wants to believe
the promises, which can make leaving the relationship difficult . The battering
phase (A) involves actual violence. The tension-building phase (C) involves
increasing hostility and minor incidents before an acute battering episode.
---
**4. Which of the following is a risk factor for intimate partner violence during
pregnancy?**
A. High socioeconomic status
B. Planned pregnancy
**C. Unplanned or unwanted pregnancy**
D. Advanced maternal age
**Rationale:** Unplanned or unwanted pregnancy is a recognized risk factor for
intimate partner violence during pregnancy. Other risk factors include young age,
low socioeconomic status (not high, A), substance use, and a history of previous
abuse. Planned pregnancy (B) and advanced maternal age (D) are not risk factors.
---
**5. A nurse suspects that a pregnant patient is experiencing intimate partner
violence. Which action should the nurse take FIRST?**
FOUNDATIONS OF MATERNAL-NEWBORN AND
WOMEN'S HEALTH NURSING, 7TH EDITION
## MURRAY & MCKINNEY – TEST BANK
### CHAPTER 02: SOCIAL, ETHICAL, AND LEGAL
ISSUES
## I. CYCLE OF VIOLENCE & INTIMATE PARTNER VIOLENCE
**1. During which phase of the cycle of violence does the batterer become contrite
and remorseful?**
A. Battering
**B. Honeymoon**
C. Tension-building
D. Increased drug taking
**Rationale:** During the honeymoon phase, the battered person wants to believe
that the battering will never happen again, and the batterer will promise anything to
get back into the home . During the battering phase (A), violence actually occurs,
and the victim feels powerless. During the tension-building phase (C), the batterer
becomes increasingly hostile, swears, threatens, throws things, and pushes the
battered person. Often, the batterer increases the use of drugs during the tension-
building phase .
---
,2|Page
**2. A nurse is assessing a pregnant patient who has multiple bruises in various
stages of healing. The patient is reluctant to discuss how the injuries occurred.
Which nursing action is most appropriate?**
A. Confront the patient about suspected abuse
**B. Provide privacy and ask gentle, non-judgmental screening questions about
safety**
C. Report the findings to adult protective services immediately
D. Document only what the patient voluntarily shares
**Rationale:** Nurses should screen all pregnant women for intimate partner
violence using gentle, non-judgmental questions in a private setting. Confrontation
(A) may increase the patient's anxiety and reduce trust. While reporting may be
required in some states, the nurse should first assess the situation and provide
support. Thorough documentation (D) is important, but assessment and
intervention come first.
---
**3. A nurse is caring for a victim of intimate partner violence. The patient states,
"He promised he will never hit me again." The nurse recognizes this statement as
characteristic of which phase of the cycle of violence?**
A. Battering phase
**B. Honeymoon phase**
C. Tension-building phase
D. Separation phase
, 3|Page
**Rationale:** The honeymoon phase is characterized by the batterer becoming
contrite, apologetic, and promising to change. The victim often wants to believe
the promises, which can make leaving the relationship difficult . The battering
phase (A) involves actual violence. The tension-building phase (C) involves
increasing hostility and minor incidents before an acute battering episode.
---
**4. Which of the following is a risk factor for intimate partner violence during
pregnancy?**
A. High socioeconomic status
B. Planned pregnancy
**C. Unplanned or unwanted pregnancy**
D. Advanced maternal age
**Rationale:** Unplanned or unwanted pregnancy is a recognized risk factor for
intimate partner violence during pregnancy. Other risk factors include young age,
low socioeconomic status (not high, A), substance use, and a history of previous
abuse. Planned pregnancy (B) and advanced maternal age (D) are not risk factors.
---
**5. A nurse suspects that a pregnant patient is experiencing intimate partner
violence. Which action should the nurse take FIRST?**
