Test Bank for Olds’ Maternal-Newborn Nursing and Women’s Health Across the Lifespan 8th

Test Bank for Olds’ Maternal-Newborn Nursing

and Women’s Health Across the Lifespan 8th
Edition

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1. MC The nurse has been talking to a woman about the reorganization phase
following a rape. Which of the following responses would indicate that the
client understands this phase?
A. "By using denial and suppression in this phase, I will eventually
be able to accept what has happened to me."
B. "During this time I won't talk much about the rape because I am
examining my inward feelings regarding the rape."
C.* "During this time I will repeatedly replay the role of the victim
until I come to terms with the experience."
D. "My perception of a normal sexual relationship will be similar to
my perception prior to the rape."

2. MC A man has brought his wife to the emergency room. Because of her visible
injuries and demeanor, the nurse suspects partner abuse. The man is doing most
of the talking, and the wife sits quietly with her head down. In preparing to
examine the woman, the nurse should:
A. Ask her if she would like her husband to wait in the waiting room.
B. Find a chair so that the husband can sit by her during the
examination.
C. Ask the husband if he would like to be present during the
examination.
D.* Tell the husband to wait in the waiting room while his wife is
being examined.

3. MC The nurse is planning a community education presentation on battering.

Which statements about battering should the nurse include?
A. Battering occurs in a small percentage of the population.
B. Battering is mainly a lower-class, blue-collar problem.
C.* Battered women are at greatest risk for severe violence when they
leave the batterer.
D. If the batterer stops drinking, the violence usually stops.

4. MC The nurse is interviewing a client that has admitted to being a victim

of spousal abuse. Which of the following is the most typical description of
how the spousal violence developed in her relationship?
A. "He changed overnight. Everything was fine, and all of a sudden he
flipped out and beat me up; he nearly killed me."
B. "It was severe from the beginning. As soon as we got married, he
began hitting me and threatening to kill me."
C.* "We've both always dated other people. I thought that was
understood. He was as emotionally abusive in the beginning as he is now."
D. "I don't know when it started, really. It was gradual. First, just
yelling and shoving. Then the beatings started; and now they're more
frequent."

5. MC A 35-year-old client in the women's health clinic has just told the
nurse about being abused by her husband for the past ten years. The nurse's
most appropriate intervention, initially, is to:
A. Offer to call the police and help her to file charges.
 B. Ask her to tell you the details surrounding the abuse.
C. Reassure her that many women experience the same problem.
D.* Listen to her account of the situation and offer support.

6. MC Which of the following is most important when screening a woman for

partner abuse?
A.* Ensuring privacy and confidentiality
B. Conveying warmth and empathy
C. Asking specific, direct questions about abuse
D. Clarifying her myths about battering

7. MC A woman has come to the emergency room 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 of the following observations would
most likely cause you to suspect that she has been a victim of battering? The
client:
A.* Is hesitant to provide details about how the injuries occurred.
B. Was accompanied to the ER by her mother instead of her partner.
C. Seems eager to go back home.
D. Does not seem to be in pain.

8. MC The client with limited English language skills has a black eye, and
bruises across her face and arms. The client's husband has been acting as an
interpreter for the client, and answers all of the questions the nurse asks,
often without talking to his wife first. The nurse suspects the client has
been a victim of domestic abuse. What should the nurse do next?
A. Ask the husband if he has beaten his wife.
B. Ask the husband to have a female friend come in with his wife.
C. Provide written materials in English for the client to read at
home.
D.* Ask the husband to step out of the room and obtain a professional
interpreter.

9. MC The client reports being beaten by her spouse two weeks ago. The client
tells the nurse "my husband was so apologetic after he hit me, and brought me
flowers". The nurse understands that the husband's behavior indicates which
phase of the cycle of violence?
A. Tension building
B. Acute battering
C.* Honeymoon period
D. End of violence

10. MC The client 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:
A.* Take pleasure from the victim's struggle and pain.
B. Express feelings of rage.
 C. Feel a sense of power or mastery.
D. Relieve intolerable anxiety.

11. MC Which woman would you expect to experience the most intense post-
traumatic stress disorder as a result of being raped?
A. A woman who fought back during the rape
B.* A woman who had a psychiatric disorder prior to being assaulted
C. A woman who was afraid to fight back during the rape
D. A woman who had no visible physical injuries from the assault

12. MC A client 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 client 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 client?
A. "Drinking alcohol can lead to uninhibited sexual behavior, which
is not the same as rape."
B.* "Some men use drugs mixed into a drink to subdue a potential
victim prior to a rape."
C. "It is rare that a woman doesn't remember what happened if she
were actually raped."
D. "We need to check for forensic evidence of rape before we can be
sure what happened."

13. MC The nurse is teaching an in-service educational presentation about

working with battered women. The nurse should discuss that it is often
frustrating for nurses to work with battered women because: (Select all that
apply.)
A.* There is little the nurse can really do to help.
B. The woman is looking for a temporary solution to the problem.
C. Both husband and wife must agree to therapy.
D.* These women may return to the abusive situation.
E.* Women often accept that they are the cause of the violence.

14. MC A woman comes to the crisis prevention center anxious and upset. She
tells the volunteer nurse who is working as a client advocate that she has
been raped. The client says, "I think it is my fault this happened. I should
never have worn that tight skirt." Which response by the nurse would be most
appropriate?
A. "You should not dwell on why it happened. Now you need to deal
with the complications that may occur because of the rape."
B.* "Your reaction represents a myth. Women do not have to provoke the
assailant to be raped."
C. "You need to stop blaming yourself."
D. "Even if you did provoke the assailant by wearing a tight skirt,
he is responsible for his behavior."
Test Bank for Olds’ Maternal-Newborn Nursing and Women’s Health Across the Lifespan 8th

15. MC The emergency room nurse is admitting a client who has been sexually
assaulted. The nurse is explaining how the physical evidence will be
collected. Which statement made by the client indicates that teaching has been
effective?
A. "All the evidence will be kept in a cupboard until the police
arrive."
B. "You have to collect evidence to prove I wasn't sexually active."
C.* "The evidence you collect may be able to identify the rapist."
D. "I will find out if the rapist has HIV from the evidence."

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