Chapter 8 Violence Against Women
1) The client has been a victim of a violent, sadistic rape. She is crying, and
asks the nurse Why would someone do something like that? The nurse should
explain that which of the following is the primary purpose of sadistic rape?
1. Take pleasure from the victims struggle and pain
2. Express feelings of rage
3. Feel a sense of power or mastery
4. Relieve intolerable anxiety
Answer: 1
Explanation: 1. In sadistic rape, the assailant has an antisocial personality and
delights in torture and mutilation. In this type of rape, the victim and assailant
are generally strangers, and the assault is planned. Sadistic rapes cause the most
injuries, including homicide.
Page Ref: 138
Cognitive Level: Understanding
Client Need/Sub: Psychosocial
Integrity: Crisis Intervention
Standards: QSEN Competencies: I. C. 9. Recognize that patient expectations
influence outcomes in management of pain or suffering. | AACN Essentials
Competencies: IX. 5. Deliver compassionate, patient-centered, evidence- based
care that respects patient and family preferences. | NLN Competencies:
Relationship-Centered Care: Appreciate the patient as a whole person, with
his or her own life story and ideas about the meaning of health or illness. |
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 8 Identify the phases of the rape trauma syndrome.
MNL LO: 6.1.3 Determine strategies to assist the victim of domestic
violence.
1
Copyright 2016 Pearson Education, Inc.
2) The nurse is teaching an in-service educational presentation about working
with battered women. The nurse should explain that it is often frustrating for
nurses to work with battered women for which reasons?
,Note: Credit will be given only if all correct choices and no incorrect choices
are selected.
Select all that apply.
1. There is little the nurse can really do to help.
2. Healthcare policies and practices are not supportive of abused women.
3. Both husband and wife must agree to therapy.
4. These women might return to the abusive situation.
5. Women often believe that they are the cause of the abuse.
Answer: 4, 5
Explanation: 4. Women often believe that escape is futile, or escape and then
return when the crisis is over.
5. Women are often convinced by the abusers that it is their own behavior
that causes the abuse.
Page Ref: 131
Cognitive Level: Applying
,Client Need/Sub: Psychosocial Integrity: Abuse/Neglect
Standards: QSEN Competencies: I. C. 5. Recognize personally held attitudes
about working with patients from different ethnic, cultural, and social
backgrounds. | AACN Essentials Competencies: IX. 5. Deliver
compassionate, patient-centered, evidence-based care that respects patient
and family preferences. | NLN Competencies: Relationship-Centered Care:
Appreciate the patient as a whole person, with his or her own life story and
ideas about the meaning of health or illness. | Nursing/Integrated Concepts:
Nursing Process: Implementation
Learning Outcome: 3 Identify the phases of the cycle of violence.
MNL LO: 6.1.3 Determine strategies to assist the victim of domestic
violence.
2
Copyright 2016 Pearson Education, Inc.
3) The nurse is addressing a college class on the topic of domestic violence.
Which information would the nurse be sure to convey to her students?
1. The American Nurses Association advocates client advocacy for all nurses
to help identify and prevent violence against women.
2. The American Nurses Association has concluded that there is little nurses
can do to eliminate violence.
3. The nurse who suspects abuse should ask the doctor to deal with it, per
American Nurses Association guidelines.
4. The nurse who suspects abuse should ask the hospitals social work
department to deal with it, per American Nurses Association guidelines.
Answer: 1
Explanation: 1. This is a true statement. Nurses can follow and become
involved in legislative advocacy for issues related to domestic violence and
other issues related to womens health through participation in their local and
state chapters of the American Nurses Association.
Page Ref: 136
Cognitive Level: Understanding
Client Need/Sub: Safe and Effective Care Environment: Safety and Infection
, Control
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships that promote health, safety and well-being and
self-care management. | AACN Essentials Competencies: IX. 5. Deliver
compassionate, patient-centered, evidence-based care that respects patient
and family preferences. | NLN Competencies: Relationship-Centered Care:
Communicate information effectively; listen openly and cooperatively. |
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9 Discuss the nurses role as patient advocate with domestic
violence and sexual assault survivors.
MNL LO: 6.1.3 Determine strategies to assist the victim of domestic
violence.
3
Copyright 2016 Pearson Education, Inc.
4) The nurse working in the emergency department of a hospital is caring for
a woman whom the nurse suspects is the victim of domestic violence. The nurse
knows that which of the following are contributing factors to domestic
violence?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Experiencing or witnessing abuse as a child
2. Strong patriarchal family traditions
3. Linking masculinity to male honor
4. Low levels of marital conflict
5. Alcohol and drug abuse cause the violence
Answer: 1, 2, 3
Explanation: 1. Children who witness or experience abuse and battering are
more likely to become batterers (men) or to be abused (women) in their own
relationships.
2. Men raised in patriarchal families (those that encourage traditional gender
roles) are more likely to engage in domestic violence.
1) The client has been a victim of a violent, sadistic rape. She is crying, and
asks the nurse Why would someone do something like that? The nurse should
explain that which of the following is the primary purpose of sadistic rape?
1. Take pleasure from the victims struggle and pain
2. Express feelings of rage
3. Feel a sense of power or mastery
4. Relieve intolerable anxiety
Answer: 1
Explanation: 1. In sadistic rape, the assailant has an antisocial personality and
delights in torture and mutilation. In this type of rape, the victim and assailant
are generally strangers, and the assault is planned. Sadistic rapes cause the most
injuries, including homicide.
Page Ref: 138
Cognitive Level: Understanding
Client Need/Sub: Psychosocial
Integrity: Crisis Intervention
Standards: QSEN Competencies: I. C. 9. Recognize that patient expectations
influence outcomes in management of pain or suffering. | AACN Essentials
Competencies: IX. 5. Deliver compassionate, patient-centered, evidence- based
care that respects patient and family preferences. | NLN Competencies:
Relationship-Centered Care: Appreciate the patient as a whole person, with
his or her own life story and ideas about the meaning of health or illness. |
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 8 Identify the phases of the rape trauma syndrome.
MNL LO: 6.1.3 Determine strategies to assist the victim of domestic
violence.
1
Copyright 2016 Pearson Education, Inc.
2) The nurse is teaching an in-service educational presentation about working
with battered women. The nurse should explain that it is often frustrating for
nurses to work with battered women for which reasons?
,Note: Credit will be given only if all correct choices and no incorrect choices
are selected.
Select all that apply.
1. There is little the nurse can really do to help.
2. Healthcare policies and practices are not supportive of abused women.
3. Both husband and wife must agree to therapy.
4. These women might return to the abusive situation.
5. Women often believe that they are the cause of the abuse.
Answer: 4, 5
Explanation: 4. Women often believe that escape is futile, or escape and then
return when the crisis is over.
5. Women are often convinced by the abusers that it is their own behavior
that causes the abuse.
Page Ref: 131
Cognitive Level: Applying
,Client Need/Sub: Psychosocial Integrity: Abuse/Neglect
Standards: QSEN Competencies: I. C. 5. Recognize personally held attitudes
about working with patients from different ethnic, cultural, and social
backgrounds. | AACN Essentials Competencies: IX. 5. Deliver
compassionate, patient-centered, evidence-based care that respects patient
and family preferences. | NLN Competencies: Relationship-Centered Care:
Appreciate the patient as a whole person, with his or her own life story and
ideas about the meaning of health or illness. | Nursing/Integrated Concepts:
Nursing Process: Implementation
Learning Outcome: 3 Identify the phases of the cycle of violence.
MNL LO: 6.1.3 Determine strategies to assist the victim of domestic
violence.
2
Copyright 2016 Pearson Education, Inc.
3) The nurse is addressing a college class on the topic of domestic violence.
Which information would the nurse be sure to convey to her students?
1. The American Nurses Association advocates client advocacy for all nurses
to help identify and prevent violence against women.
2. The American Nurses Association has concluded that there is little nurses
can do to eliminate violence.
3. The nurse who suspects abuse should ask the doctor to deal with it, per
American Nurses Association guidelines.
4. The nurse who suspects abuse should ask the hospitals social work
department to deal with it, per American Nurses Association guidelines.
Answer: 1
Explanation: 1. This is a true statement. Nurses can follow and become
involved in legislative advocacy for issues related to domestic violence and
other issues related to womens health through participation in their local and
state chapters of the American Nurses Association.
Page Ref: 136
Cognitive Level: Understanding
Client Need/Sub: Safe and Effective Care Environment: Safety and Infection
, Control
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships that promote health, safety and well-being and
self-care management. | AACN Essentials Competencies: IX. 5. Deliver
compassionate, patient-centered, evidence-based care that respects patient
and family preferences. | NLN Competencies: Relationship-Centered Care:
Communicate information effectively; listen openly and cooperatively. |
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 9 Discuss the nurses role as patient advocate with domestic
violence and sexual assault survivors.
MNL LO: 6.1.3 Determine strategies to assist the victim of domestic
violence.
3
Copyright 2016 Pearson Education, Inc.
4) The nurse working in the emergency department of a hospital is caring for
a woman whom the nurse suspects is the victim of domestic violence. The nurse
knows that which of the following are contributing factors to domestic
violence?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Experiencing or witnessing abuse as a child
2. Strong patriarchal family traditions
3. Linking masculinity to male honor
4. Low levels of marital conflict
5. Alcohol and drug abuse cause the violence
Answer: 1, 2, 3
Explanation: 1. Children who witness or experience abuse and battering are
more likely to become batterers (men) or to be abused (women) in their own
relationships.
2. Men raised in patriarchal families (those that encourage traditional gender
roles) are more likely to engage in domestic violence.
