Download PDF test bank for olds maternal newborn nursing and womens health across the lifespan 9th edition by davidson

Download PDF Test bank for Olds' Maternal Newborn Nursing and Women's Health Across the Lifespan 9th Edition by Davidson Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Edition Test Bank Chapter Question Type: MCSA The patient has been a victim of a violent, sadistic rape She is crying, and asks the nurse "Why would someone something like that?" The nurse should explain that the primary purpose of sadistic rape is to: Take pleasure from the victim's struggle and pain Express feelings of rage Feel a sense of power or mastery Relieve intolerable anxiety Correct Answer: Rationale 1: Sadistic rapists inflict pain on victims; this torture and suffering create pleasure for the rapist The assailant often has an antisocial personality and enjoys the torture and mutilation Victim and assailant are usually strangers, but the assault has been planned Rationale 2: Anger rape involves brutality and degradation of the victim, and expresses the rapist's sense of rage and unexpressed anger Attacks on older women are often anger attacks Rationale 3: Power rape provides a sense of dominance and mastery over the victim for the rapist, who often believes the victim enjoys the assault Rationale 4: Anxiety is not associated with a type of rape Global Rationale: Cognitive Level: Applying Client Need: Psychosocial Integrity Client Need Sub: Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: Question Type: MCMA 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 because: Note: Credit will be given only if all correct choices and no incorrect choices are selected Standard Text: Select all that apply There is little the nurse can really to help Healthcare policies and practices are not supportive of abused women Both husband and wife must agree to therapy These women might return to the abusive situation Women often accept that they are the cause of the violence Correct Answer: 4,5 Rationale 1: Healthcare providers can play a critical role in identifying and reducing violence, even in homicide prevention efforts Rationale 2: Since 1980 there have been a number of notable changes in healthcare policy and practices aimed at responding to violence against women Rationale 3: The abuser must seek behavior change therapy to accomplish permanent change Rationale 4: Even if women have experienced nonviolent relationships, they often return to an abusive situation because they lack alternatives or fear reprisal Rationale 5: Women are often convinced by the abusers that it is their own behavior that causes the violence Global Rationale: Cognitive Level: Analyzing Client Need: Psychosocial Integrity Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: Question Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Type: MCSA 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? The ANA advocates education for all nurses in identifying and preventing violence against women The ANA has concluded that there is little nurses can to eliminate violence The nurse who suspects abuse should ask the doctor to deal with it, per ANA guidelines The nurse who suspects abuse should ask the hospital’s social work department to deal with it, per ANA guidelines Correct Answer: Rationale 1: This is a true statement The ANA wants all nurses to be educated in recognizing and caring for victims of domestic violence Rationale 2: The ANA has made no such conclusion Nurses can a lot just by recognizing domestic violence, talking to the victims, and assisting in removing them from the situation Rationale 3: The ANA does not recommend this The nurse should deal with it and try to talk with the patient The doctor may assist if needed Rationale 4: The ANA does not recommend this Social workers might become involved later if the patient requires and wants assistance Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Question Type: MCMA 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 contributing factors to domestic violence are: Note: Credit will be given only if all correct and no incorrect choices are selected Standard Text: Select all that apply Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Experiencing or witnessing abuse as a child Strong patriarchal family traditions Linking masculinity to male honor Low levels of marital conflict Alcohol and drug abuse cause the violence Correct Answer: 1,2,3 Rationale 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 Rationale 2: Men raised in patriarchal families (those that encourage traditional gender roles) are more likely to engage in domestic violence Rationale 3: Cultures that link definitions of manhood to dominance, toughness, or male honor are more likely to demonstrate violence against women Rationale 4: Relationships that are characterized by high levels of conflict, including verbal disagreements, are more likely to include the use of violence Rationale 5: Alcohol and drug abuse have not been proven to be the cause of domestic violence Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Question Type: MCSA The nurse is planning a community education presentation on battering Which statement about battering should the nurse include? Battering occurs in a small percentage of the population Battering is mainly a lower-class, blue collar problem Battered women are at greatest risk for severe violence when they leave the batterer Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc If the batterer stops drinking, the violence usually stops Correct Answer: Rationale 1: Statistics on reported cases not represent the true incidence It is believed that in women might be the victim of domestic violence However, it is estimated that only in 10 will report the assault Rationale 2: Domestic violence occurs among all sectors of society It happens to women of all socioeconomic statuses, races, ethnicities, and religious faiths Rationale 3: The greatest risk for severe violence is when victims of abuse attempt to leave the abuser This can be as severe as homicide Rationale 4: Victims of domestic violence often believe that if the partner stops using alcohol or drugs, the battering will stop Statistics have shown that this is usually not the case Global Rationale: Cognitive Level: Applying Client Need: Psychosocial Integrity Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: Question Type: MCSA The nurse at a shelter is counseling a group of battered women The nurse will emphasize that: Battering will not stop or decrease if they become pregnant About of every women will experience abuse in her lifetime When these women go back to the situation after the abuser has cooled down, it will be better The battered woman can readily leave the situation Correct Answer: Rationale 1: Pregnancy does not stop the abuser, and sometimes it increases the intensity of the abuse Rationale 2: About of every women will experience abuse in her lifetime Rationale 3: This is not true Sometimes when women return, the abuse is worse Rationale 4: It is difficult for the battered woman to leave the situation, often because of children and finances Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Nursing Process: Diagnosis Learning Outcome: Question Type: MCSA The nurse in the emergency department is caring for a pregnant Middle Eastern woman in the emergency department who presents with a broken wrist and multiple bruises When asked how this happened, she states she fell down the stairs The husband stays very close to his wife and does most of the talking The nurse is aware that: The patient likely did fall down the stairs The husband is being attentive and trying to help her feel better The husband could have battered her and possibly caused her to fall down the stairs This patient is safe to return home after her wrist is fixed Correct Answer: Rationale 1: It is not likely that she just fell down the stairs on her own Rationale 2: It is possible that the husband is not to blame, but the nurse cannot determine that while he is present Rationale 3: The husband likely did something to his wife and caused her to fall down the stairs Rationale 4: It would be questionable whether it would be safe for this patient to return home Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Nursing Process: Diagnosis Learning Outcome: Question Type: MCSA Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc The nurse is interviewing a patient who has admitted to being a victim of spousal abuse The most typical description of how the spousal violence developed in a relationship is: "He changed overnight Everything was fine, and all of a sudden he flipped out and beat me up; he nearly killed me." "It was severe from the beginning As soon as we got married, he began hitting me and threatening to kill me." "We've both always dated other people I thought that was understood He was as emotionally abusive in the beginning as he is now." "I don't know when it started, really It was gradual First, just yelling, blaming, and shoving Then the beatings started; and now they're more frequent." Correct Answer: Rationale 1: Domestic violence does not begin suddenly, and will always escalate Rationale 2: Escalation occurs after the commitment, progressing from minor verbal battering to increasingly violent physical abuse Rationale 3: Escalation occurs after the commitment, progressing from minor verbal battering to increasingly violent physical abuse Rationale 4: Spousal violence usually begins slowly and subtly after a form of commitment such as engagement Escalation occurs after the commitment, progressing from minor verbal battering to increasingly violent physical abuse Global Rationale: Cognitive Level: Applying Client Need: Psychosocial Integrity Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Question Type: MCMA The nurse working in the emergency department is admitting a woman who has been battered for a second time, and recognizes that the woman is again in the cycle of violence The nurse knows that the characteristics of the phases of the cycle of violence include: Note: Credit will be given only if all correct and no incorrect choices are selected Standard Text: Select all that apply Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Batterer demonstrates power and control Active battering from some event A loving, contrite period Defeat and admission of guilt by the victim Blame and punishment for inferiority Correct Answer: 1,2,3 Rationale 1: null Rationale 2: null Rationale 3: null Rationale 4: These characteristics are not indicative of a phase in the cycle of violence Rationale 5: Blame and punishment for inadequacy or inferiority are characteristics of batterers, not a phase in the cycle Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Question 10 Type: MCSA The nurse working in the emergency department knows that many batterers have feelings of ambivalence In what way might this be evident? The abuser alternates episodes of unmerciful beatings with periods of remorse and loving attention The abuser has alternating periods of sadness and happiness The abuser has alternating periods of maturity and immaturity The abuser alternates letting the person he abuses be independent and then dependent Correct Answer: Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Rationale 1: The typical abuser is violent and then remorseful Rationale 2: Alternating periods of sadness and happiness are not a common characteristic of an abuser Rationale 3: Batterers tend to be emotionally immature and aggressive Rationale 4: The abuser tries to keep the person he is abusing dependent on him Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Question 11 Type: MCMA A nurse in the emergency department recognizes in the husband of a patient one of the common characteristics of batterers, which are: Note: Credit will be given only if all correct and no incorrect choices are selected Standard Text: Select all that apply Emotionally immature A low tolerance for frustration Feelings of insecurity and inferiority A lack of respect in the community Limited jealousy or possessiveness Correct Answer: 1,2,3 Rationale 1: Batterers tend to be emotionally immature Rationale 2: Combined with low tolerance for frustration and poor impulse control, the batterer’s pervasive sense of powerlessness leads him to strike out at life’s inequities by abusing women Rationale 3: Batterers are insecure, and feel inferior, often feeling that they are undeserving of their partner Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Rationale 4: Batterers might be well respected in the community This is important because it is one of the reasons why women are sometimes not believed or taken seriously when they seek support and assistance from friends, family members, and other resources Rationale 5: Extreme jealousy and possessiveness are the hallmarks of abusers Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Question 12 Type: MCSA The nurse is presenting a session on intimate partner violence Which statement indicates a need for further education? "My daughter is not to blame for the violence in her marriage." "Everyone experiences anger and hitting in a relationship." "Abusers can be either husbands or boyfriends or girlfriends." "The 'honeymoon period' follows an episode of violence." Correct Answer: Rationale 1: Avoiding blaming and shaming of victims of domestic violence is important to establish a therapeutic relationship Rationale 2: Violence is not a normal part of intimate relationships This statement indicates that the patient has likely been a victim of domestic violence Rationale 3: Abusers can be spouses or boyfriends or girlfriends Intimate partner violence can be experienced in any intimate relationship Rationale 4: An acute episode of battering is followed by the tranquil phase, or honeymoon period, when the abuser is often repentant and promising never to abuse the victim again Global Rationale: Cognitive Level: Analyzing Client Need: Psychosocial Integrity Client Need Sub: Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Correct Answer: Rationale 1: The nurse should develop a rapport with the patient before accusing the partner of abuse Rationale 2: This statement implies that the partner was justified in abusing the patient This is inappropriate Rationale 3: This is an appropriate statement to make Rationale 4: The nurse is not required by law to report the injuries Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Question 19 Type: MCSA A home health nurse is making a home visit to a new mother who is diabetic and requires some follow-up to make sure her baby is doing well and that her diabetes is in control while she is breastfeeding The patient meets her at the door, crying, with bruises on her face and legs The nurse knows the patient has been in a questionable relationship What is the first responsibility of the nurse for this patient at this time? Assist in getting the patient and her baby to a safe situation Check her blood sugar and make sure it is within normal limits Ask her how she is doing with the breastfeeding Check the baby’s heart rate and other vital signs Correct Answer: Rationale 1: Getting the patient and her baby to a safe place is the priority for this patient at this time, as she is obviously in some danger, and is very scared and upset Rationale 2: Checking the patient’s blood sugar is important, but it is not the priority, and can wait until the patient is safe Rationale 3: Asking the patient about breastfeeding is important, but it is not the priority, and can wait until the patient is safe Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Rationale 4: Checking the baby’s vital signs is important, but it is not the priority, and can wait until the patient is safe Global Rationale: Cognitive Level: Evaluating Client Need: Safe Effective Care Environment Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: Question 20 Type: MCMA The nurse suspects that a pregnant patient might be experiencing abuse when the patient: Note: Credit will be given only if all correct choices and no incorrect choices are selected Standard Text: Select all that apply Denies that any injuries occurred, even though bruising is visible Gives an implausible explanation for any injuries Makes eye contact with the nurse while answering questions Allows her partner to answer the nurse’s questions Frequently calls to change appointment times Correct Answer: 1,2,4,5 Rationale 1: Whenever a patient denies injury, the nurse should suspect abuse Rationale 2: Often, injuries are not supported by the story the patient tells Rationale 3: Patients experiencing abuse often not make eye contact Rationale 4: The abuser often dominates the conversation when with the victim Rationale 5: If a patient has injuries sustained from abuse, she will often delay or change appointments until the injuries resolve Global Rationale: Cognitive Level: Evaluating Client Need: Safe Effective Care Environment Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Question 21 Type: MCSA A woman comes into the emergency department and states that her husband has abused her physically She has a number of bruises, and is obviously pregnant She states she is months pregnant She states that her husband arrived home drunk and just started hitting her She states that her main concern at this time is her three young children, who are still in the home with her husband She had a neighbor bring her in to emergency department What can the nurse to assist with this situation? The nurse can ask the neighbor to go and get the children The nurse can call the authorities to go with social service workers to get the children, with the patient’s permission The nurse can call the husband at home to bring the children into the emergency department, with the patient’s permission The nurse can call social services and have them go pick up the children, with the patient’s permission Correct Answer: Rationale 1: Asking the neighbor to go to the home to get the children would not be appropriate in view of the state the husband is in at this time Rationale 2: The nurse should call authorities to accompany the social service workers to the home to get the children This action is appropriate, given the husband’s condition Rationale 3: Calling the husband and asking him to bring the children to the hospital would not be appropriate, especially since he is drunk Rationale 4: It would not be appropriate for social services to go out to the house alone Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Learning Outcome: Question 22 Type: MCSA Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc The nurse is caring for an abused mother in the postpartum department The patient is afraid to go home, but has no money to anything else What can the nurse to assist this individual and her baby? Work with social services to have the patient and her baby go to a safe place, complete paperwork to obtain financial assistance, and obtain some temporary assistance Explain that she will have to go home at this time, but provide her with paperwork to complete to obtain assistance Offer to have her partner come in and attend a counseling session with her Suggest that once she gets home, she should pursue getting a restraining order against her abuser Correct Answer: Rationale 1: The nurse can ask social services to find a safe place for the woman and her baby and help the woman complete paperwork for financial assistance The first issue is to get her to a safe house Rationale 2: It would not be safe to send this patient home Rationale 3: Asking the patient whether she will attend counseling with her husband would not be appropriate at this time, because the patient would still be in danger Rationale 4: It would not be safe to let this patient go home Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: Question 23 Type: MCMA When evaluating the care given a battered woman, the nurse analyzes care plan components to see whether: Note: Credit will be given only if all correct and no incorrect choices are selected Standard Text: Select all that apply Compassionate, respectful care was delivered The woman has the necessary information to make decisions Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Medical records are deliberately vague Psychological care was given in the hospital The woman identifies culturally appropriate resources Correct Answer: 1,2,5 Rationale 1: One expected outcome of nursing care is that the woman receives compassionate, respectful care Rationale 2: One expected outcome of nursing care is that the woman has the information she needs to make a decision about her future based on thoughtful consideration of alternatives Rationale 3: Expected outcomes include all necessary documentation, so that if the woman chooses to apply for a restraining order or to prosecute her assailant, the information is available Rationale 4: Psychological care would be given, if needed, in a community setting Rationale 5: Two expected outcomes of nursing care are that the woman is able to identify culturally appropriate community resources available to her and develops strategies for keeping herself, her children, and her family as safe as possible Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Evaluation Learning Outcome: Question 24 Type: MCSA The nurse has been talking to a woman about the reorganization phase following a rape Which response would indicate that the patient understands this phase? "By using denial and suppression in this phase, I will eventually be able to accept what has happened to me." "During this time, I won't talk much about the rape, because I am examining my inward feelings regarding the rape." "During this time, I will repeatedly replay the role of the victim until I come to terms with the experience." "My perception of a normal sexual relationship will be similar to my perception prior to the rape." Correct Answer: Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Rationale 1: Denial and suppression indicate the patient is experiencing the outward adjustment phase of rape trauma syndrome Rationale 2: Denial and suppression indicate the patient is experiencing the outward adjustment phase of rape trauma syndrome Rationale 3: During reorganization, a victim adjusts her self-concept to include the rape Rationale 4: Sexual relationships often develop dysfunction after rape Global Rationale: Cognitive Level: Analyzing Client Need: Psychosocial Integrity Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Evaluation Learning Outcome: Question 25 Type: MCSA The nurse suspects that a patient has been physically abused, but the woman refuses to report the abuse to the police Which statement by the patient suggests to the nurse that the relationship might be in the “honeymoon stage”? “My boyfriend says he will never hurt me again.” “My boyfriend only drinks alcohol on the weekends.” “My boyfriend yells less than he used to.” “My boyfriend has frequent bouts of insomnia.” Correct Answer: Rationale 1: This is an example of a statement made during the honeymoon phase of the cycle of violence Rationale 2: Some abused women blame their abuser’s behavior on certain behaviors, like drinking Rationale 3: The yelling takes place in the tension-building phase, and can be accompanied by physical abuse Rationale 4: Insomia is not part of the cycle of violence Global Rationale: Cognitive Level: Evaluating Client Need: Safe Effective Care Environment Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Nursing Process: Diagnosis Learning Outcome: Question 26 Type: MCSA A young woman was a victim of a sexual assault After the rape exam is finished, the patient requests emergency contraception Which information should the nurse teach the patient regarding the therapy? Emergency contraception is illegal in all 50 states The most common side effect of emergency contraception is excessive vaginal bleeding The medicine that is used for emergency contraception is used to induce abortions Emergency contraception is best when used within 72 hours of contact Correct Answer: Rationale 1: This is not true Emergency contraception is available in the United States Rationale 2: This is not true The most common side effects are headache, nausea, and vomiting Rationale 3: This is not true This medicine is a high-dose birth control pill Rationale 4: This is true It is most effective if taken within 72 hours of exposure Global Rationale: Cognitive Level: Evaluating Client Need: Safe Effective Care Environment Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Nursing Process: Evaluation Learning Outcome: Question 27 Type: MCSA When a woman who has been raped is admitted to the emergency department, the nurse caring for the woman knows that the priority nursing intervention is: Explaining exactly what will need to be done to preserve legal evidence Assuring the woman that everything will be all right Creating a safe, secure atmosphere for her Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Contacting family members Correct Answer: Rationale 1: The legal interventions would not take priority over safety at this time Rationale 2: Assuring the woman that everything will be all right is not the first priority nursing intervention in caring for a survivor of a sexual assault Rationale 3: The first priority in caring for a survivor of a sexual assault is to create a safe, secure atmosphere Rationale 4: Contacting family members is important, but is not the priority nursing intervention Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: Question 28 Type: MCSA The most important aspect of care for the nurse to remember when screening a woman for partner abuse is: Ensuring privacy and confidentiality Conveying warmth and empathy Asking specific, direct questions about abuse Clarifying her myths about battering Correct Answer: Rationale 1: Any screening must be done in private, and the patient must be assured that any answers are kept confidential Rationale 2: Warmth and empathy are helpful, but confidentiality is more important Rationale 3: General questions about possible abuse both will facilitate trust building and are more likely to obtain accurate information Rationale 4: Clarifying myths is not essential during screening Global Rationale: Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Cognitive Level: Analyzing Client Need: Psychosocial Integrity Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: Question 29 Type: MCSA A patient comes to the reproductive health clinic and reports that she woke up in a strange room this morning, that her perineal area is sore, and she can't clearly remember what happened the previous evening The patient says that she is afraid that she was a victim of a drug-facilitated sexual assault Which statement should the nurse include when discussing this possibility with the patient? "Drinking alcohol can lead to uninhibited sexual behavior, which is not the same as rape." "Some men use drugs mixed into a drink to subdue a potential victim prior to a rape." "It is rare that a woman doesn't remember what happened if she is actually raped." "We need to check for forensic evidence of rape before we can be sure what happened." Correct Answer: Rationale 1: Although an effect of alcohol consumption is decreased inhibition, which can lead to less cautious sexual behavior, if a woman is drugged, the sexual act is nonconsensual and, therefore, rape Rationale 2: Drug-facilitated sexual assault occurs when a drug such as Rohypnol, which dissolves easily and is odorless, is slipped into the drink of an unsuspecting woman Rationale 3: Rohypnol, which dissolves easily and is odorless, is slipped into the drink of an unsuspecting woman and causes amnesia of the attack Rationale 4: Forensic evidence is collected for possible legal prosecution of the attacker, but the absence of collectable evidence does not eliminate the possibility of rape Global Rationale: Cognitive Level: Analyzing Client Need: Psychosocial Integrity Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: Question 30 Type: MCMA Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc The nurse is caring for a battered woman in the emergency department Nursing interventions used in the care include: Note: Credit will be given only if all correct and no incorrect choices are selected Standard Text: Select all that apply Letting the woman tell her story at her own pace Anticipating ambivalence toward the batterer Acknowledging the woman’s feelings as reasonable Letting the woman figure out how to identify specific problems on her own Allowing the family to stay with the woman during the interview Correct Answer: 1,2,3 Rationale 1: The nurse should let the woman work through her story, problems, and situation at her own pace Rationale 2: The nurse should anticipate ambivalence in the woman’s love–hate relationship with the batterer Rationale 3: The nurse should let the woman know that she is believed, and that her feelings are reasonable and normal Rationale 4: The nurse should assist the woman in identifying specific problems, and support realistic ideas for reducing or eliminating those problems Rationale 5: The person who might have battered the woman and any family members should be asked to stay in the waiting room Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: Question 31 Type: MCMA Vicarious trauma is a phenomenon nurses might experience Signs the nurse should be aware of indicating this problem are: Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Note: Credit will be given only if all correct and no incorrect choices are selected Standard Text: Select all that apply Reduced sense of accomplishment A positive effect on commitment to one’s work Questioning of personal belief systems Balance of time for family, self, friends, and work Frustration with the judicial system Correct Answer: 1,3 Rationale 1: Vicarious trauma refers to a gradual internal transformation that can negatively affect aspects of personality, including a reduction of any sense of accomplishment Rationale 2: Vicarious trauma negatively affects commitment to one’s work Rationale 3: Vicarious trauma refers to a gradual internal transformation that can negatively affect aspects of personality, including a questioning of personal belief systems Rationale 4: A balance of time for family, self, friends, and work is not a problem, and is not indicative of vicarious trauma Rationale 5: Frustration with the judicial system is not indicative of vicarious trauma It is not the nurse but the victim and the victim’s family and friends who feel frustration with the judicial system Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Question 32 Type: MCMA In educating a group of women at a community center, the nurse talks about the myths surrounding sexual assault Topics included are: Note: Credit will be given only if all correct and no incorrect choices are selected Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Standard Text: Select all that apply Older women are less likely to be sexually assaulted Rape is universal, and all societies have rape Women who party and drugs set themselves up for sexual assault If the woman just relaxes, it will be over, and she might even like it Women lie about rape as an act of revenge Correct Answer: 2,3,4,5 Rationale 1: No woman is safe from a rape attempt Rationale 2: Rape is not universal to all societies, and not all men rape women Rationale 3: No one asks for or deliberately “sets herself up” to be sexually violated Rationale 4: Rape is an act of violence in which the perpetrator uses sex as a weapon to control, intimidate, and violate the victim Rationale 5: False rape charges are rare Global Rationale: Cognitive Level: Applying Client Need: Health Promotion and Maintenance Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: Question 33 Type: MCSA The emergency department nurse is admitting a patient who has been sexually assaulted The nurse is explaining how the physical evidence will be collected Which statement made by the patient indicates that teaching has been effective? "All the evidence will be kept in a locked cupboard until the police arrive." "You have to collect evidence to prove I wasn't sexually active." "The evidence you collect might be able to identify the rapist." "I will find out whether the rapist has HIV from the evidence." Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Correct Answer: Rationale 1: The evidence must remain in the hands of the nurse until handed directly to the police Rationale 2: Evidence is not collected to determine whether the patient was sexually active previous to the rape One function of collecting evidence is to corroborate that sexual activity has taken place Rationale 3: DNA can be obtained from collected evidence to identify the rapist Rationale 4: Diagnosis of infection cannot be made from evidence Consequently, rape victims are given preventative therapy against sexually transmitted infections (including gonorrhea, syphilis, and HIV) as soon as possible after the assault Global Rationale: Cognitive Level: Analyzing Client Need: Psychosocial Integrity Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Evaluation Learning Outcome: Question 34 Type: MCMA The nurse is conducting a rape exam on a patient in the emergency department after a sexual assault What specimens will the nurse collect? Note: Credit will be given only if all correct choices and no incorrect choices are selected Standard Text: Select all that apply Swabs of body stains and secretions Samples of pubic hair Toenail scrapings Samples of head hair Sputum, for disease analysis Correct Answer: 1,2,4 Rationale 1: The nurse will take swabs of body stains and secretions to analyze for semen or sperm Rationale 2: The nurse will take pubic hair samples to analyze root structure and identify foreign hairs that might have been transferred from the rapist Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Rationale 3: Toenail scrapings are not usually taken, but clippings or scrapings from the woman’s fingernails often are examined for blood or tissue from the assailant Rationale 4: The nurse will take head hair samples to analyze root structure and identify foreign hairs that might have been transferred from the rapist Rationale 5: Sputum is not analyzed Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: Question 35 Type: MCSA A patient arrives at the emergency department stating that she was raped, but she felt so “dirty” that she went home and showered She states that she has on clean clothes but has her other clothes in a bag What will the nurse tell the patient? “I understand why you felt dirty, but you know you should not have taken a shower.” “We will probably never find out who raped you, since you destroyed evidence.” “Do you want an emergency contraceptive pill?” “I understand that was important to you We will see what we can get from your clothes, and give them to the authorities.” Correct Answer: Rationale 1: This is not an appropriate statement Rationale 2: This is not an appropriate statement Rationale 3: This is not the most important issue with which to start Rationale 4: This is the correct statement This is not the time to tell her what she did wrong, as she is psychologically upset as it is Global Rationale: Cognitive Level: Evaluating Client Need: Safe Effective Care Environment Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Question 36 Type: MCMA The nurse is counseling a rape victim on her choices in pursuing legal action The nurse will explain to the patient that: Note: Credit will be given only if all correct and no incorrect choices are selected Standard Text: Select all that apply Prosecution proceedures are described as a second rape The prosecution will victimize her in court during testimony Publicity can intensify her feelings of humiliation Prosecution of the assailant is a community responsibility The patient’s sexual history will be publicized Correct Answer: 1,3,4 Rationale 1: Many sexual assault survivors who have gone through the judicial process refer to it as a second rape–and sometimes a more damaging one Rationale 2: The defendant’s attorney might try to discredit her testimony, causing a second victimization Rationale 3: Publicity can intensify her feelings of humiliation Rationale 4: Prosecution of the assailant is a community responsibility in which the prosecuting attorney will act on the victim’s behalf Rationale 5: Rape shield laws are quite common, and nearly every state prohibits the publicizing of a victim’s sexual history Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed Test Bank Copyright 2012 by Pearson Education, Inc