TEST BANK FOR OLDS' MATERNAL NEWBORN NURSING AND … · TEST BANK FOR OLDS' MATERNAL NEWBORN NURSING AND WOMEN'S HEALTH ACROSS THE LIFESPAN 9TH EDITION BY DAVIDSON Davidson/London/Ladewig,

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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 9 Question 1 Type: MCSA The patient 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 the primary purpose of

sadistic rape is to:

1. Take pleasure from the victim's struggle and pain.

2. Express feelings of rage.

3. Feel a sense of power or mastery.

4. Relieve intolerable anxiety.

Correct Answer: 1 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.

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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 2 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.

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 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:


Implementation Learning Outcome:

Question 3 Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the


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?

1. The ANA advocates education for all nurses in identifying and preventing violence against

women.

2. The ANA 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 ANA guidelines.

4. The nurse who suspects abuse should ask the hospital’s social work department to deal

with it, per ANA guidelines.

Correct Answer: 1 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 do 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


Assessment Learning Outcome:

Question 4 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.


Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the


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.

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



Question 5 Type: MCSA The nurse is planning a community education presentation on battering. Which statement about

battering should the nurse include?

1. Battering occurs in a small percentage of the population.

2. Battering is mainly a lower-class, blue collar problem.

3. Battered women are at greatest risk for severe violence when they leave the batterer.



4. If the batterer stops drinking, the violence usually stops.

Correct Answer: 3 Rationale 1: Statistics on reported cases do not represent the true incidence. It is believed

that 1 in 3 women might be the victim of domestic violence. However, it is estimated that

only 1 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:


Question 6 Type: MCSA The nurse at a shelter is counseling a group of battered women. The nurse will emphasize that:

1. Battering will not stop or decrease if they become pregnant.

2. About 1 of every 5 women will experience abuse in her lifetime.

3. When these women go back to the situation after the abuser has cooled down, it will be better.

4. The battered woman can readily leave the situation.

Correct Answer: 1 Rationale 1: Pregnancy does not stop the abuser, and sometimes it increases the intensity of the

abuse.

Rationale 2: About 1 of every 3 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.





Diagnosis Learning Outcome:

Question 7 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:

1. The patient likely did fall down the stairs.

2. The husband is being attentive and trying to help her feel better.

3. The husband could have battered her and possibly caused her to fall down the stairs.

4. This patient is safe to return home after her wrist is fixed.

Correct Answer: 3 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 do 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:


Question 8 Type: MCSA



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:

1. "He changed overnight. Everything was fine, and all of a sudden he flipped out and beat me up;

he nearly killed me."

2. "It was severe from the beginning. As soon as we got married, he began hitting me and

threatening to kill me."

3. "We've both always dated other people. I thought that was understood. He was as

emotionally abusive in the beginning as he is now."

4. "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: 4 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


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




Question 9 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:


Standard Text: Select all that apply. Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the


1. Batterer demonstrates power and control.

2. Active battering from some event.

3. A loving, contrite period.

4. Defeat and admission of guilt by the victim.

5. 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?

1. The abuser alternates episodes of unmerciful beatings with periods of remorse and loving

attention.

2. The abuser has alternating periods of sadness and happiness.

3. The abuser has alternating periods of maturity and immaturity.

4. The abuser alternates letting the person he abuses be independent and then dependent.

Correct Answer: 1



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.




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:



1. Emotionally immature.

2. A low tolerance for frustration.

3. Feelings of insecurity and inferiority.

4. A lack of respect in the community.

5. 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.



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.




Question 12 Type: MCSA The nurse is presenting a session on intimate partner violence. Which statement indicates a

need for further education?

1. "My daughter is not to blame for the violence in her marriage."

2. "Everyone experiences anger and hitting in a relationship."

3. "Abusers can be either husbands or boyfriends or girlfriends."

4. "The 'honeymoon period' follows an episode of violence."

Correct Answer: 2 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



Evaluation Learning Outcome:

Question 13 Type: MCSA A 35-year-old patient in the women's health clinic has just told the nurse about being abused by

her husband for the past 10 years. The nurse's most appropriate intervention, initially, is to:

1. Offer to call the police and help her to file charges.

2. Ask her to tell you the details surrounding the abuse.

3. Reassure her that many women experience the same problem.

4. Listen to her account of the situation and offer support.

Correct Answer: 4 Rationale 1: Filing charges will come later.

Rationale 2: Once trust is established, only the detail on what type of violence has

occurred is necessary to collect.

Rationale 3: Although reassuring the patient that she is not alone is important, it is not

the nurse’s initial response.

Rationale 4: The initial step in caring for women who have disclosed abuse is to establish trust

and ensure confidentiality. Once trust is established, the nurse can collect the details on what

type of violence has occurred.

Global Rationale: Cognitive Level: Analyzing Client Need: Psychosocial Integrity Client Need Sub: Nursing/Integrated Concepts: Nursing Process:


Question 14 Type: MCSA A woman who has been abused for a number of years asks the nurse for assistance in leaving

the relationship. What response by the nurse is most appropriate?

1. Comment that she should have left long ago.

2. Remind the patient that that fault was not likely all attributable to her abuser. Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the


3. Encourage her to be sure with her decision, as her abuser will be difficult to deal with.

4. Assist the patient to develop a safety plan.

Correct Answer: 4 Rationale 1: This is an inappropriate comment.

Rationale 2: This is an inappropriate comment. Nursing needs to assure the patient that it is not

her fault.

Rationale 3: This might be true, but is an inappropriate comment.

Rationale 4: The nurse should help the patient develop a plan for safely exiting the situation.




Question 15 Type: MCSA A woman with multiple bruises on her face and arms is seen in the emergency department. Her

significant other is with her. When asked about her injuries, the woman states, “I ran into a door.”

Which action by the nurse is of highest priority?

1. Take the woman’s vital signs.

2. Document the location of the bruises.

3. Assess for additional bruising.

4. Interview the woman in private.

Correct Answer: 4 Rationale 1: Taking the woman’s vital signs is important, but not the highest priority.

Rationale 2: Documenting the location of the bruises is important, but not the highest priority.

Rationale 3: Assessing for additional bruising is something that will have to be done, but is not

the first priority.

Rationale 4: Interviewing the patient in private is the first priority, as the nurse needs to get the

patient away from her partner and ask her some questions. Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the





Question 16 Type: MCSA A woman has come to the emergency department with multiple bruises over her body and a

small laceration over her upper lip. She says she fell down the stairs while doing her housework.

Which observation would most likely cause the nurse to suspect that she has been a victim of

battering? The patient:

1. Is hesitant to provide details about how the injuries occurred.

2. Was accompanied to the emergency department by her mother instead of her partner.

3. Has sought care quickly after the incident.

4. Does not seem to be in pain.

Correct Answer: 1 Rationale 1: Hesitation to provide details about how the injury occurred is a common sign of

abuse.

Rationale 2: Who accompanies the patient is not significant for abuse.

Rationale 3: Often a woman delays seeking care when there has been abuse.

Rationale 4: Pain level is not indicative of abuse. The experience of pain and how it is

expressed is often a cultural issue.



Question 17 Type: MCSA

The patient with limited English language skills has a black eye, and bruises across her face

and arms. The patient's husband has been acting as an interpreter for her, and answers all of the

questions the nurse asks, often Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the


without talking to his wife first. The nurse suspects the patient has been a victim of domestic

abuse. What should the nurse do next?

1. Ask the husband whether he has beaten his wife.

2. Ask the husband to have a female friend come in with his wife.

3. Provide written materials in English for the patient to read at home.

4. Ask the husband to step out of the room, and obtain a professional interpreter.

Correct Answer: 4 Rationale 1: Asking the abuser whether he has abused his spouse is useless, as most abusers see

their behavior as appropriate.

Rationale 2: Asking the husband to have a female friend come with his wife is not the best

action for the nurse to take next.

Rationale 3: Written proficiency develops after verbal fluency; therefore, written

materials in English are inappropriate for this patient.

Rationale 4: A professional medical interpreter, preferably of the same gender as the patient,

will provide the most accurate translation of the nurse's words as well as the patient’s.



Question 18 Type: MCSA A woman is seen in the prenatal clinic. The nurse notices that the woman has a swollen eye

and a bruise on her cheek. Which statement is most appropriate for the nurse to make?

1. “You must leave your partner before you are injured again.”

2. “It is important that you refrain from doing things that anger your partner.”

3. “Women who are abused often have injuries like yours.”

4. “I am required by law to notify the police department of your injuries.” Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the


Correct Answer: 3 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:


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?

1. Assist in getting the patient and her baby to a safe situation.

2. Check her blood sugar and make sure it is within normal limits.

3. Ask her how she is doing with the breastfeeding.

4. Check the baby’s heart rate and other vital signs.

Correct Answer: 1 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


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



Question 20 Type: MCMA The nurse suspects that a pregnant patient might be experiencing abuse when the patient:



1. Denies that any injuries occurred, even though bruising is visible.

2. Gives an implausible explanation for any injuries.

3. Makes eye contact with the nurse while answering questions.

4. Allows her partner to answer the nurse’s questions.

5. 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 do 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


Client Need Sub: Safety and Infection Control



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 7 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 do to

assist with this situation?

1. The nurse can ask the neighbor to go and get the children.

2. The nurse can call the authorities to go with social service workers to get the children,

with the patient’s permission.

3. The nurse can call the husband at home to bring the children into the emergency department,

with the patient’s permission.

4. The nurse can call social services and have them go pick up the children, with the patient’s

permission.

Correct Answer: 2 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


The nurse is caring for an abused mother in the postpartum department. The patient is afraid to

go home, but has no money to do anything else. What can the nurse do to assist this individual

and her baby?

1. 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.

2. Explain that she will have to go home at this time, but provide her with paperwork to

complete to obtain assistance.

3. Offer to have her partner come in and attend a counseling session with her.

4. Suggest that once she gets home, she should pursue getting a restraining order against her

abuser.

Correct Answer: 1 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.




Question 23 Type: MCMA When evaluating the care given a battered woman, the nurse analyzes care plan components to

see whether:



1. Compassionate, respectful care was delivered.

2. The woman has the necessary information to make decisions.



3. Medical records are deliberately vague.

4. Psychological care was given in the hospital.

5. 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



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?

1. "By using denial and suppression in this phase, I will eventually be able to accept what has

happened to me."

2. "During this time, I won't talk much about the rape, because I am examining my inward

feelings regarding the rape."

3. "During this time, I will repeatedly replay the role of the victim until I come to terms with the

experience."

4. "My perception of a normal sexual relationship will be similar to my perception prior to the

rape."

Correct Answer: 3 Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the


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.



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”?

1. “My boyfriend says he will never hurt me again.”

2. “My boyfriend only drinks alcohol on the weekends.”

3. “My boyfriend yells less than he used to.”

4. “My boyfriend has frequent bouts of insomnia.”

Correct Answer: 1 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





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?

1. Emergency contraception is illegal in all 50 states.

2. The most common side effect of emergency contraception is excessive vaginal bleeding.

3. The medicine that is used for emergency contraception is used to induce abortions.

4. Emergency contraception is best when used within 72 hours of contact.

Correct Answer: 4 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:

1. Explaining exactly what will need to be done to preserve legal evidence.

2. Assuring the woman that everything will be all right.

3. Creating a safe, secure atmosphere for her. Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the


4. Contacting family members.

Correct Answer: 3 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.




Question 28 Type: MCSA The most important aspect of care for the nurse to remember when screening a woman for

partner abuse is:

1. Ensuring privacy and confidentiality.

2. Conveying warmth and empathy.

3. Asking specific, direct questions about abuse.

4. Clarifying her myths about battering

Correct Answer: 1 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


Cognitive Level: Analyzing Client Need: Psychosocial Integrity Client Need Sub: Nursing/Integrated Concepts: Nursing Process:


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?

1. "Drinking alcohol can lead to uninhibited sexual behavior, which is not the same as rape."

2. "Some men use drugs mixed into a drink to subdue a potential victim prior to a rape."

3. "It is rare that a woman doesn't remember what happened if she is actually raped."

4. "We need to check for forensic evidence of rape before we can be sure what happened."

Correct Answer: 2 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:



Question 30 Type: MCMA Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the


The nurse is caring for a battered woman in the emergency department. Nursing interventions

used in the care include:



1. Letting the woman tell her story at her own pace.

2. Anticipating ambivalence toward the batterer.

3. Acknowledging the woman’s feelings as reasonable.

4. Letting the woman figure out how to identify specific problems on her own.

5. 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.




Question 31 Type: MCMA

Vicarious trauma is a phenomenon nurses might experience. Signs the nurse should be aware

of indicating this problem are:





1. Reduced sense of accomplishment.

2. A positive effect on commitment to one’s work.

3. Questioning of personal belief systems.

4. Balance of time for family, self, friends, and work.

5. 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:





1. Older women are less likely to be sexually assaulted.

2. Rape is universal, and all societies have rape.

3. Women who party and do drugs set themselves up for sexual assault.

4. If the woman just relaxes, it will be over, and she might even like it.

5. 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:


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?

1. "All the evidence will be kept in a locked cupboard until the police arrive."

2. "You have to collect evidence to prove I wasn't sexually active."

3. "The evidence you collect might be able to identify the rapist."

4. "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


Correct Answer: 3 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.



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?



1. Swabs of body stains and secretions

2. Samples of pubic hair

3. Toenail scrapings

4. Samples of head hair

5. 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


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.




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?

1. “I understand why you felt dirty, but you know you should not have taken a shower.”

2. “We will probably never find out who raped you, since you destroyed evidence.”

3. “Do you want an emergency contraceptive pill?”

4. “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: 4 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





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:



1. Prosecution proceedures are described as a second rape.

2. The prosecution will victimize her in court during testimony.

3. Publicity can intensify her feelings of humiliation.

4. Prosecution of the assailant is a community responsibility.

5. 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


Documents

TEST BANK FOR OLDS' MATERNAL NEWBORN NURSING AND … · TEST BANK FOR OLDS' MATERNAL NEWBORN NURSING AND WOMEN'S HEALTH ACROSS THE LIFESPAN 9TH EDITION BY DAVIDSON Davidson/London/Ladewig,