Chapter 05- Violence Against Women
Lowdermilk- Maternity & Women's Health Care,
12th Edition (Latest Update Solution 2022 A+)
1. What is the primary
... [Show More] theme of the feminist perspective regarding violence against
women?
a. Role of testosterone as the underlying cause of men's violent behavior
b. Basic human instinctual drive toward aggression
c. Male dominance and coercive control over women
d. Cultural norm of violence in Western society - ANS: C
The contemporary social view of violence is derived from the feminist theory. With the
primary theme of male dominance and coercive control, this view enhances an
understanding of all forms of violence against women, including wife battering, stranger
and acquaintance rape, incest, and sexual harassment in the workplace. The role of
testosterone as an underlying cause of men's violent behavior, the basic human
instinctual drive toward aggression, and the cultural norm of violence in Western society
are not associated with the feminist perspective regarding violence against women.
2. Which trait is least likely to be displayed by a woman experiencing intimate partner
violence (IPV)?
a. Social isolation
b. Assertive personality
c. Reoccurring depression
d. Dependent personality - ANS: B
Every segment of society is represented among women who are suffering abuse.
However, traits of assertiveness, independence, and willingness to take a stand have
been documented as more characteristic of women who are in nonviolent relationships.
Women who are financially more dependent have fewer resources and support
systems, exhibit symptoms of depression, and are more often seen as victims.
3. A woman who is 6 months pregnant has sought medical attention, saying she fell
down the stairs. What scenario would cause an emergency department nurse to
suspect that the woman has been a victim of intimate partner violence (IPV)?
a. The woman and her partner are having an argument that is loud and hostile.
b. The woman has injuries on various parts of her body that are in different stages of
healing.
c. Examination reveals a fractured arm and fresh bruises. d. She avoids making eye
contact and is hesitant to answer questions. - ANS: B
The client may have multiple injuries in various stages of healing that indicates a pattern
of violence. An argument is not always an indication of battering. A fractured arm and
fresh bruises could be caused by the reported fall and do not necessarily indicate IPV. It
may be normal for the woman to be reticent and have a dull affect.
4. Intervention for the sexual abuse survivor is often not attempted by maternity and
women's health nurses because of the concern about increasing the distress of the
woman and the lack of expertise in counseling. What initial intervention is appropriate
and most important in facilitating the woman's care?
a. Initiating a referral to an expert counselor
b. Setting limits on what the client discloses
c. Listening and encouraging therapeutic communication skills
d. Acknowledging the nurse's discomfort to the client as an expression of empathy -
ANS: C
The survivor needs support on many different levels, and a women's health nurse may
be the first person to whom she relates her story. Therapeutic communication skills and
listening are initial interventions. Referring this client to a counselor is an appropriate
measure but not the most important initial intervention. A client should be allowed to
disclose any information she feels the need to discuss. A nurse should provide a safe
environment in which she can do so. Either verbal or nonverbal shock and horror
reactions from the nurse are particularly devastating. Professional demeanor and
professional empathy are essential.
5. A young woman arrives at the emergency department and states that she thinks she
has been raped. She is sobbing and expresses disbelief that this could happen because
the perpetrator was a very close friend. Which statement is most appropriate nursing
response?
a. "Rape is not limited to strangers and frequently occurs by someone who is known to
the victim."
b. "I would be very upset if my best friend did that to me; that is very unusual."
c. "You must feel very betrayed. In what way do you think you might have led him on?"
d. "This does not sound like rape. Didn't you just change your mind about having sex
after the fact?" - ANS: A
Acquaintance rape involves individuals who know one another. Sexual assault occurs
when the trust of a relationship is violated. Victims may be less prone to recognize what
is happening to them because the dynamics are different from those of stranger rape. It
is not at all unusual for the victim to know and trust the perpetrator. Stating that the
woman might have led the man to attack her indicates that the sexual assault was
somehow the victim's fault. This type of mentality is not constructive. Nurses must first
reflect on their own feelings and learn to be unbiased when dealing with victims. A
statement of this type can be very psychologically damaging to the victim. Nurses must
display compassion by first believing what the victim states. The nurse is not
responsible for deciphering the facts involving the victim's claim.
6. Nurses are often the first health care professional with whom a woman comes into
contact after being sexually assaulted. Which statement best describes the initial care of
a rape victim?... [Show Less]