Chapter 20 - Violence Affecting Families
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Questions and Answers

Which of the following activities would be most appropriate for a community health nurse to engage in at the primary prevention level for a situational crisis?

  • The work of professionals during the situational crisis
  • Early detection and response when a situational crisis occurs
  • Meeting basic needs through anticipatory guidance and education (correct)
  • Rehabilitation and restoration of the victim's life
  • After teaching a class about family and domestic violence as a community health problem, which of the following if stated by the class indicates to the instructor that the teaching was effective?

  • It is new as a result of our fast-paced technological society
  • It is decreasing in industrialized countries in the world
  • It has occurred in most countries for centuries (correct)
  • It occurs mostly in the urbanized areas of the United States
  • A community health nurse is designated as a 'mandated reporter.' Which of the following best describes this designation?

  • The nurse must report any case of suspected abuse and neglect (correct)
  • The nurse must witness abuse and neglect before being mandated to report
  • The nurse commands that battered women report the abuse
  • Another agency community health nurse reports abuse to the state
  • A community health nurse suspects Munchausen syndrome by proxy when a child:

    <p>Experiences 'seizures' only when a parent is present, not if a third party is present</p> Signup and view all the answers

    A community health nurse is reviewing the medical records of several families who have experienced varying crises. The nurse identifies which of the following as developmental crises? (Select all that apply)

    <p>The Smiths getting a divorce</p> Signup and view all the answers

    Which of the following would lead a community health nurse to suspect possible child neglect? (Select all that apply)

    <p>11-year-old Samantha comes to school without lunch or lunch money each day</p> Signup and view all the answers

    After teaching a group of students about abuse and families, the instructor determines that the students need additional instruction when they state which of the following?

    <p>Women who accept battering are mentally ill</p> Signup and view all the answers

    A community health nurse is preparing a presentation for a community group about crisis. Which of the following would the nurse include as the first event?

    <p>Force disrupting the balance</p> Signup and view all the answers

    In preparation for an examination on the history of family violence, a group of students reviews the various laws enacted for protection. The students demonstrate understanding when they identify which of the following as one of the earliest laws enacted?

    <p>Child Abuse Prevention and Treatment Act</p> Signup and view all the answers

    Which of the following would the community health nurse identify as an act of sexual exploitation of a child?

    <p>Child pornography</p> Signup and view all the answers

    A community health nurse assesses a child during a home visit. Which of the following would lead the nurse to suspect that the child is a victim of sexual abuse?

    <p>Complaints of pain on urination</p> Signup and view all the answers

    A group of families are attending a local community group for a class on Internet safety and children. Which of the following statements by the group indicate effective teaching?

    <p>'We'll move the computer to the family room so we can keep an eye.'</p> Signup and view all the answers

    When describing the cycle of violence to a group of students, the instructor includes which of the following as occurring as the cycle continues?

    <p>Acute battering occurs more often</p> Signup and view all the answers

    Which of the following would a community health nurse expect to find in a perpetrator of intimate partner violence?

    <p>Belief in gender dominance</p> Signup and view all the answers

    While visiting a family in their home, a community health nurse hears a parent screaming, 'Everything you do is wrong. Can't you do anything right ever?' The nurse suspects which of the following?

    <p>Emotional abuse</p> Signup and view all the answers

    A community health nurse is providing a community education program about suicide. Which of the following would the nurse include as a common method used by women?

    <p>Overdose</p> Signup and view all the answers

    When discussing elder abuse with a senior citizen group, which of the following would the community health nurse include?

    <p>Multiple interrelated variables are associated with elder abuse.</p> Signup and view all the answers

    Which of the following would be least appropriate for a community health nurse to include in a plan of care at the primary prevention level for families in crises?

    <p>Helping to reestablish a sense of safety</p> Signup and view all the answers

    When assessing a family in crisis, which of the following would the community health nurse need to do first?

    <p>Assess the nature of the crisis</p> Signup and view all the answers

    A community health nurse is developing a plan of care for families in crisis. Which of the following would be most appropriate for the nurse to include?

    <p>Urge clients to acknowledge the problem</p> Signup and view all the answers

    Study Notes

    Primary Prevention in Situational Crisis

    • Community health nurses should engage in meeting basic needs through anticipatory guidance and education for effective primary prevention.

    Understanding Family and Domestic Violence

    • Recognizing that family and domestic violence has occurred in most countries for centuries highlights its pervasive nature and the need for ongoing education.

    Mandated Reporting Responsibilities

    • Mandated reporters, like community health nurses, are required to report any suspected cases of abuse and neglect, regardless of direct observation.

    Indicators of Munchausen Syndrome by Proxy

    • A key indicator includes a child exhibiting symptoms, such as seizures, solely in the presence of a parent, indicating potential abuse.

    Developmental Crises Identification

    • Events such as the death of a grandparent, engagement, and divorce are classified as developmental crises, reflecting life transitions.

    Signs of Possible Child Neglect

    • Indicators of neglect include a teenager missing school to care for a sibling, children arriving at school in dirty clothing, and a child consistently lacking lunch money.

    Misconceptions About Domestic Violence

    • A need for additional teaching is indicated when students claim that women who accept battering are mentally ill, showcasing a misunderstanding of victimization.

    Understanding Crisis Events

    • The initiation of a crisis is marked by a force disrupting the existing balance, which leads to coping challenges.

    Historical Laws on Child Protection

    • The Child Abuse Prevention and Treatment Act is recognized as one of the earliest laws focused on protecting children from abuse.

    Acts of Child Sexual Exploitation

    • Child pornography is classified as a form of sexual exploitation, necessitating legal and protective responses.

    Signs of Sexual Abuse in Children

    • Complaints of pain during urination can serve as a critical indicator of potential sexual abuse in children that warrants further investigation.

    Effective Internet Safety Education

    • Moving the computer into a family room for better supervision reflects an understanding of safeguarding children in relation to internet usage.

    Cycle of Violence in Domestic Situations

    • The cycle of violence tends to escalate, with acute battering occurring more frequently as the cycle continues.

    Characteristics of Intimate Partner Violence Perpetrators

    • A common trait among perpetrators includes a belief in gender dominance, reflecting underlying societal attitudes that contribute to violence.

    Recognizing Emotional Abuse

    • Emotional abuse can be recognized through a parent's derogatory remarks, which severely impact the child's self-esteem.

    Methods of Suicide Among Women

    • Overdose stands out as the most common method of suicide utilized by women, emphasizing the need for targeted mental health interventions.

    Understanding Elder Abuse

    • Multiple interrelated variables are associated with elder abuse, indicating the complexity of its causes and the necessity for comprehensive prevention strategies.

    Primary Prevention Plan Components

    • Plans at the primary prevention level should focus on teaching social problem-solving skills, assertiveness, and providing parenting classes, while not prioritizing physical safety measures.

    Initial Assessment in Crisis Situations

    • The first step in assessing a family in crisis is to evaluate the nature of the crisis, laying the groundwork for subsequent support.

    Acknowledgment in Crisis Management

    • Encouraging clients to acknowledge their problems is crucial in developing an effective care plan in familial crises, promoting accountability and healing.

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    Description

    This quiz focuses on the key concepts from Chapter 20, which explores violence affecting families. It emphasizes the role of community health nurses in primary prevention and the appropriate interventions that can be utilized. Test your understanding of situational crises and effective response strategies.

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