Download PDF test bank for olds maternal newborn nursing and womens health across the lifespan 9th edition by davidson

Download PDF 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.
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:
Nursing/Integrated Concepts: Nursing Process:
Implementation Learning Outcome:
Question 3
Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed. Test Bank

Copyright 2012 by Pearson Education, Inc.


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
Nursing/Integrated Concepts: Nursing Process:
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.
Standard Text: Select all that apply.

Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed. Test Bank
Copyright 2012 by Pearson Education, Inc.


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
Nursing/Integrated Concepts: Nursing Process:
Assessment Learning Outcome:
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.

Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed. Test Bank
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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:
Planning Learning Outcome:
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.
Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed. Test Bank
Copyright 2012 by Pearson Education, Inc.


Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Safety and Infection Control
Nursing/Integrated Concepts: Nursing Process:
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:
Diagnosis Learning Outcome:
Question 8
Type: MCSA

Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed. Test Bank
Copyright 2012 by Pearson Education, Inc.


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 battering
to increasingly violent physical abuse.
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 battering to increasingly
violent physical abuse.
Global Rationale:
Cognitive Level: Applying
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process:
Assessment Learning Outcome:
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:
Note: Credit will be given only if all correct and no incorrect choices are selected.
Standard Text: Select all that apply.
Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed. Test Bank
Copyright 2012 by Pearson Education, Inc.


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
Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed. Test Bank
Copyright 2012 by Pearson Education, Inc.


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.
Global Rationale:
Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment
Client Need Sub: Safety and Infection Control
Nursing/Integrated Concepts: Nursing Process:
Assessment Learning Outcome:
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:
Note: Credit will be given only if all correct and no incorrect choices are selected.
Standard Text: Select all that apply.
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.

Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed. Test Bank
Copyright 2012 by Pearson Education, Inc.


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.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Safety and Infection Control
Nursing/Integrated Concepts: Nursing Process:
Assessment Learning Outcome:
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 Lifespan 9th Ed. Test Bank
Copyright 2012 by Pearson Education, Inc.

Nursing/Integrated Concepts: Nursing Process: 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:
Implementation Learning Outcome:
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 Lifespan 9th Ed. Test Bank
Copyright 2012 by Pearson Education, Inc.


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.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Safety and Infection Control
Nursing/Integrated Concepts: Nursing Process:
Implementation Learning Outcome:
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 Lifespan 9th Ed. Test Bank
Copyright 2012 by Pearson Education, Inc.


Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Safety and Infection Control
Nursing/Integrated Concepts: Nursing Process:
Assessment Learning Outcome:
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.
Global Rationale:
Cognitive Level: Analyzing

Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process:
Assessment Learning Outcome:
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 Lifespan 9th Ed. Test Bank
Copyright 2012 by Pearson Education, Inc.


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.
Global Rationale:
Cognitive Level: Applying
Client Need: Psychosocial Integrity

Client Need Sub:
Nursing/Integrated Concepts: Nursing Process:
Implementation Learning Outcome:
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 Lifespan 9th Ed. Test Bank
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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:
Assessment Learning Outcome:
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 Lifespan 9th Ed. Test Bank
Copyright 2012 by Pearson Education, Inc.


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
Nursing/Integrated Concepts: Nursing Process:
Planning Learning Outcome:
Question 20
Type: MCMA
The nurse suspects that a pregnant patient might be experiencing abuse when the patient:
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.
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 Lifespan 9th Ed. Test Bank
Copyright 2012 by Pearson Education, Inc.


Client Need Sub: Safety and Infection Control
Nursing/Integrated Concepts: Nursing Process:
Assessment Learning Outcome:
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 Lifespan 9th Ed. Test Bank
Copyright 2012 by Pearson Education, Inc.


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.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Safety and Infection Control
Nursing/Integrated Concepts: Nursing Process:
Planning Learning Outcome:
Question 23
Type: MCMA
When evaluating the care given a battered woman, the nurse analyzes care plan components to see whether:
Note: Credit will be given only if all correct and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Compassionate, respectful care was delivered.
2. The woman has the necessary information to make decisions.

Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed. Test Bank
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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
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome:
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
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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.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome:
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 Lifespan 9th Ed. Test Bank
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Client Need Sub: Safety and Infection Control
Nursing/Integrated Concepts: Nursing Process:
Diagnosis Learning Outcome:
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 Lifespan 9th Ed. Test Bank
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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.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Safety and Infection Control
Nursing/Integrated Concepts: Nursing Process:
Planning Learning Outcome:
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 Lifespan 9th Ed. Test Bank
Copyright 2012 by Pearson Education, Inc.


Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process:
Implementation Learning Outcome:
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:
Nursing/Integrated Concepts: Nursing Process:
Implementation Learning Outcome:
Question 30
Type: MCMA
Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed. Test Bank
Copyright 2012 by Pearson Education, Inc.


The nurse is caring for a battered woman in the emergency department. Nursing interventions used in the care
include:
Note: Credit will be given only if all correct and no incorrect choices are selected.
Standard Text: Select all that apply.
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.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Safety and Infection Control
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome:
Question 31
Type: MCMA
Vicarious trauma is a phenomenon nurses might experience. Signs the nurse should be aware of
indicating this problem are:

Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Ed. Test Bank
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Note: Credit will be given only if all correct and no incorrect choices are selected.
Standard Text: Select all that apply.
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:
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 Lifespan 9th Ed. Test Bank
Copyright 2012 by Pearson Education, Inc.