Chapter 07: Domestic and Family
Violence Assessment
Physical Examination and Health Assessment, 8th Edition by
Carolyn Jarvis
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
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 skin, and a hematoma is a
localized collection of extravasated blood.
Violence Assessment
Physical Examination and Health Assessment, 8th Edition by
Carolyn Jarvis
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
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 skin, and a hematoma is a
localized collection of extravasated blood.
