The nurse suspects abuse when a 10-year-old child is taken to the urgent care center for a leg injury. The best way to document the history and physical findings is to:
a. Document what the child's caregiver tells the nurse.
b. Use the words the child has said to describe how the injury occurred.
c. Record what the nurse observes during the conversation.
d. Rely on photographs of the injuries.
Question 2The nurse is assessing bruising on an injured patient. Which color indicates a new bruise that is less than 2 hours old?
a. Red
b. Purple-blue
c. Greenish-brown
d. Brownish-yellow
Question 3The nurse assesses an older woman and suspects physical abuse. Which questions are appropriate for screening for abuse? Select all that apply.
a. Has anyone made you afraid, touched you in ways that you did not want, or hurt you physically?
b. Are you being abused?
c. Have you relied on people for any of the following: bathing, dressing, shopping, banking, or meals?
d. Have you been upset because someone talked to you in a way that made you feel shamed or threatened?
e. Have you relied on people for any of the following: bathing, dressing, shopping, banking, or meals?
Question 4The nurse is using the danger assessment (DA) tool to evaluate the risk of homicide. Which of these statements best describes its use?
a. The DA tool is to be administered by law enforcement personnel.
b. The DA tool should be used in every assessment of suspected abuse.
c. The number of yes answers indicates the woman's understanding of her situation.
d. The higher the number of yes answers, the more serious the danger of the woman's situation.
Question 5A female patient has denied any abuse when answering the Abuse Assessment Screen, but the nurse has noticed some other conditions that are associated with IPV. Examples of such conditions include:
a. Asthma.
b. Confusion.
c. Depression.
d. Frequent colds.
Question 6When documenting IPV and elder abuse, the nurse should include:
a. Photographic documentation of the injuries.
b. Summary of the abused patient's statements.
c. Verbatim documentation of every statement made.
d. General description of injuries in the progress notes.
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