NUR 300 WI Maternity & Women’s Health Care 12th Edition (2019/2020) - Chapter 5 – Central Michigan University | Violence Against Women

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NUR 300 WI Maternity & Women’s Health Care 12th Edition - Chapter 5 – Central Michigan University Chapter 5: Violence Against Women MULTIPLE CHOICE 1. Historically, what was the justi... fication for the victimization of women? a. Women were regarded as possessions. b. Women were the weaker sex. c. Control of women was necessary to protect them. d. Women were created subordinate to men. Misogyny, patriarchy, devaluation of women, power imbalance, a view of women as property, gender-role stereotyping, and acceptance of aggressive male behaviors as appropriate contributed and continue to contribute to the subordinate status of women in many of the worlds societies. Viewing women as the weaker sex is a cultural and modern stereotype that contributes to the victimization of women. Control of women to protect them is another cultural and modern stereotype that contributes to the victimization of women. Yet another cultural stereotype that contributes to the victimization of women is the idea that women were created as subordinate to men. DIF: Cognitive Level: Remember REF: pp. 98-99 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 2. What is the primary theme of the feminist perspective regarding violence against women? a. Role of testosterone as the underlying cause of mens violent behavior b. Basic human instinctual drive toward aggression c. Male dominance and coercive control over women d. Cultural norm of violence in Western society The contemporary social view of violence is derived from the feminist theory. With the primary theme of male dominance and coercive control, this view enhances an understanding of all forms of violence against women, including wife battering, stranger and acquaintance rape, incest, and sexual harassment in the workplace. The role of testosterone as an underlying cause of mens violent behavior, the basic human instinctual drive toward aggression, and the cultural norm of violence in Western society are not associated with the feminist perspective regarding violence against women. DIF: Cognitive Level: Remember REF: IMS: 100 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 3. Which trait is least likely to be displayed by a woman experiencing intimate partner violence (IPV)? a. Socially isolated b. Assertive personality c. Struggling with depression d. Dependent partner in a relationship Every segment of society is represented among women who are suffering abuse. However, traits of assertiveness, independence, and willingness to take a stand have been documented as more characteristic of women who are in nonviolent relationships. Women who are financially more dependent have fewer resources and support systems, exhibit symptoms of depression, and are more often seen as victims. DIF: Cognitive Level: Analyze REF: pp. 101-102 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 4. A woman who is 6 months pregnant has sought medical attention, saying she fell down the stairs. What scenario would cause an emergency department nurse to suspect that the woman has been a victim of IPV? a. The woman and her partner are having an argument that is loud and hostile. b. The woman has injuries on various parts of her body that are in different stages of healing. c. Examination reveals a fractured arm and fresh bruises. d. She avoids making eye contact and is hesitant to answer questions. The client may have multiple injuries in various stages of healing that indicates a pattern of violence. An argument is not always an indication of battering. A fractured arm and fresh bruises could be caused by the reported fall and do not necessarily indicate IPV. It may be normal for the woman to be reticent and have a dull affect. DIF: Cognitive Level: Analyze REF: IMS: 107 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 5. Which statement is most accurate regarding the reporting of IPV in the United States? a. Asian women report more IPV than do other minority groups. b. Caucasian women report less IPV than do non-Caucasians. c. Native-American women report IPV at a rate similar to other groups. d. African-American women are less likely to report IPV than Caucasian women. Caucasian women report less IPV than other ethnic groups. Asian women report significantly less IPV than do other racial groups. Native-American and Alaska Native women report significantly more IPV than do women of any other racial background. African-American women tend to report violence at a slightly higher rate than Caucasian women. DIF: Cognitive Level: Understand REF: IMS: 103 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 6. Intervention for the sexual abuse survivor is often not attempted by maternity and womens health nurses because of the concern about increasing the distress of the woman and the lack of expertise in counseling. What initial intervention is appropriate and most important in facilitating the womans care? a. Initiating a referral to an expert counselor b. Setting limits on what the client discloses c. Listening and encouraging therapeutic communication skills d. Acknowledging the nurses discomfort to the client as an expression of empathy The survivor needs support on many different levels, and a womens health nurse may be the first person to whom she relates her story. Therapeutic communication skills and listening are initial interventions. Referring this client to a counselor is an appropriate measure but not the most important initial intervention. A client should be allowed to disclose any information she feels the need to discuss. A nurse should provide a safe environment in which she can do so. Either verbal or nonverbal shock and horror reactions from the nurse are particularly devastating. Professional demeanor and professional empathy are essential. DIF: Cognitive Level: Analyze REF: IMS: 107 TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity 7. A young woman arrives at the emergency department and states that she thinks she has been raped. She is sobbing and expresses disbelief that this could happen because the perpetrator was a very close friend. Which statement is most appropriate at this time? a. Rape is not limited to strangers and frequently occurs by someone who is known to the victim. b. I would be very upset if my best friend did that to me; that is very unusual. c. You must feel very betrayed. In what way do you think you might have led him on? d. This does not sound like rape. Didnt you just change your mind about having sex after the fact? Acquaintance rape involves individuals who know one another. Sexual assault occurs when the trust of a relationship is violated. Victims may be less prone to recognize what is happening to them because the dynamics are different from those of stranger rape. It is not at all unusual for the victim to know and trust the perpetrator. Stating that the woman might have led the man to attack her indicates that the sexual assault was somehow the victims fault. This type of mentality is not constructive. Nurses must first reflect on their own feelings and learn to be unbiased when dealing with victims. A statement of this type can be very psychologically damaging to the victim. Nurses must display compassion by first believing what the victim states. The nurse is not responsible for deciphering the facts involving the victims claim. DIF: Cognitive Level: Apply REF: IMS: 107 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity - - - - - - - - - - - - - - - - - - - Although victims of sex trafficking can be young boys and girls, the vast majority are women and girls. They are often lured by false promises, such as a job or marriage, sold by their parents, or kidnapped by traffickers. These individuals are forced into sex work, hard labor, and organ donation. This $32 billion business exists in the United States and internationally. The Stockholm syndrome occurs when the slaves become attached to their enslavers. Health care professionals may interact with victims who are in captivity should they require emergent health care. The nurse is challenged to find an opportunity to speak with the client alone and assess for victimization. DIF: Cognitive Level: Understand REF: IMS: 115 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 16. Which statement is the most comprehensive description of sexual violence? a. Sexual violence is limited to rape. b. Sexual violence is an act of force during which an unwanted and uncomfortable sexual act occurs. c. Sexual violence encompasses a number of sexual acts. d. Sexual violence includes degrading sexual comments and behaviors. Sexual violence is a broad term that includes a range of sexual victimization including sexual assault, sexual harassment, and rape. It may include but is not limited to rape. Sexual assault includes unwanted or uncomfortable touches, kisses, hugs, petting, intercourse, or other sexual acts. It is a component of sexual violence. Unwelcome or degrading e-mail messages, comments, contact, or behavior, such as exhibitionism, that makes any environment feel unsafe is known as sexual harassment. DIF: Cognitive Level: Understand REF: IMS: 110 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 17. Women with severe and persistent mental illness are likely to be more vulnerable to being involved in controlling and/or violent relationships; however, many women develop mental health problems as a result of long-term abuse. Which condition is unlikely to be a psychologic consequence of continued abuse? a. Substance abuse b. Posttraumatic stress disorder (PTSD) c. Eating disorders d. Bipolar disorder Bipolar disorder is a specific illness (also known as manic depressive disorder) not related to abuse. Substance abuse is a common method of coping with long-term abuse. The abuser is also more likely to use alcohol and other chemical substances. PTSD is the most prevalent mental health sequela of long-term abuse. The traumatic event is persistently re-experienced through distress recollection and dreams. Eating disorders, depression, psychologic-physiologic illness, and anxiety reactions are all mental health problems associated with repeated abuse. DIF: Cognitive Level: Analyze REF: pp. 99-100 TOP: Nursing Process: Diagnosis MSC: Client Needs: Psychosocial Integrity [Show More]

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