Exam (elaborations)
Chapter 18. Violence Against Women, An Epidemic and a Health Issue
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- West Virginia School Of Osteopathic Medicine
Chapter 18. Violence Against Women, An Epidemic and a Health Issue
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Chapter 18: Violence Against Women: An Epidemic and a Health IssueMULTIPLE CHOICE
1. The nurse can expect to find that what percentage of women encountered during practice will
be victims of violence?
a. 10%
b. 25%
c. 35%
d. 40%
ANS: C
Violence against women is a global epidemic affecting 35% of women worldwide.
DIF: Cognitive Level: Remember REF: 323
TOP: Integrated Process: Teaching/Learning
MSC: NCLEX Client Needs: Psychosocial Integrity
2. A nurse is talking to a friend who thinks the importance of intimate partner violence (IPV) is
overrated because only a small percentage of the population is affected. The best response by
the nurse is,
a. “Although few in number, victims take enormous time and resources.”
b. “It is a legal requirement that all nurses screen all women for abuse.”
c. “About 25% to 33% of women are affected by IPV, and they often experience
poor health outcomes.”
d. “This still is a significant number when considering the population.”
ANS: C
About 25% to 33% of women in the United States will experience IPV in their lifetimes, and
being a survivor of IPV is often associated with poor physical and mental health outcomes.
Victims should not be blamed for using resources. Working with victims of IPV to create a
plan of care that responds to their needs is no more time consuming than working with other
types of patients.
It is not a legal requirement to screen all women for IPV, but consensus practice guidelines are
available that provide recommendations for when screening should occur.
There are a significant number of people affected by IPV, but this response is not specific
enough.
DIF: Cognitive Level: Understand REF: 323
TOP: Integrated Process: Teaching/Learning
MSC: NCLEX Client Needs: Psychosocial Integrity
3. A married woman being seen in the clinic has symptoms of a sexually transmitted infection
(STI). The best action by the nurse is to
a. ask the woman whether she feels safe to leave the clinic now.
b. find out whether the woman is cheating on her husband.
c. gently suggest that she ask her husband whether he is cheating.
d. teach how STIs are transmitted and can be prevented.
ANS: A
, Higher rates of STIs are seen in women who are victims of intimate partner violence. The
nurse should suspect the woman is in a violent relationship, and because patient safety comes
first, the nurse should assess whether the patient feels safe to go home.
Asking whether the patient is “cheating” is judgmental and inappropriate. It also implies that
the woman is to blame for her medical problem.
Suggesting that the patient’s husband is “cheating” is judgmental and does not consider the
safety of the patient. The other thing to consider is that some STIs can be asymptomatic in
women for long periods of time. Placing blame on either partner is counterproductive and
misses the opportunity to assess for violence. Women in violent relationships have higher
rates of STIs.
Education on how STIs are transmitted and can be prevented is important for any patient who
has a suspected STI, but this does not consider the patient’s safety, so it is not the best answer.
DIF: Cognitive Level: Apply TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs: Psychosocial Integrity
4. A nursing student asks the clinic nurse why it is important to find out whether a woman in a
violent relationship feels safe leaving the clinic. The best response by the nurse would be to
tell the student that
a. femicide is a major cause of death, especially in African American women.
b. if the woman is not safe, the nurse can have the police escort her.
c. the law requires asking about patient safety in this situation.
d. women who are not safe need to be given referral information.
ANS: A
Femicide, the murder of a woman, is the seventh leading cause of premature death in women
overall, and it is the most serious consequence of intimate partner violence. The student (and
nursing staff) need to ensure the woman feels safe going home.
Offering to have police escort the woman home does not explain where the police would
escort the woman to, nor does it consider that police may not be available at the time.
The law does not require asking specifically whether a woman is safe to leave a medical
facility, but there are consensus guidelines on appropriate questioning.
Women who are not safe do need referral information, but this answer is too narrow in scope
to be the best answer.
DIF: Cognitive Level: Understand REF: 324
TOP: Nursing Process: Assessment MSC: NCLEX Client Needs: Psychosocial Integrity
5. A new nurse working in an obstetrics (OB) practice questions the rationale for screening all
OB patients for intimate partner violence (IPV). The best answer by the nurse’s mentor is,
a.“Battering slows down during pregnancy, so it’s an ideal time to intervene.”
b.“It should just be a routine part of every nurse’s practice to screen for IPV.”
c.“Most women seek health care when pregnant, so we can make a big difference.”
d.“Pregnant women tend to be more emotional and more willing to confide in us.”
ANS: C
Most women do seek care during their pregnancy, so OB nurses see a high number of women.
This makes OB visits an ideal time to screen for IPV.
Battering does not slow down during pregnancy. IPV rates are similar to the rates in the rest of
the population, but being pregnant does increase a woman’s risk for femicide.
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