A community health nurse is designated as a mandated reporter Which best describes this designation

1. Which of the following activities would be most appropriate for a community health nurse to engage in at the primary prevention level for a situational crisis?

A) Early detection and response when a situational crisis occurs

B) Meeting basic needs through anticipatory guidance and education

C) Rehabilitation and restoration of the victim's life

D) The work of professionals during the situational crisis

2. After teaching a class about family and domestic violence as a community health problem, which of the following if stated by the class indicates to the instructor that the teaching was effective?

A) It is new as a result of our fast-paced technological society.

B) It has occurred in most countries for centuries.

C) It occurs mostly in the urbanized areas of the United States.

D) It is decreasing in industrialized countries in the world.

3. A community health nurse is designated as a “mandated reporter.” Which of the following best describes this designation?

A) The nurse must witness abuse and neglect before being mandated to report.

B) The nurse commands that battered women report the abuse.

C) Another agency community health nurse reports abuse to the state.

D) The nurse must report any case of suspected abuse and neglect.

4. A community health nurse suspects Munchausen syndrome by proxy when a child:

A) Experiences “seizures” only when a parent is present, not if a third party is present

B) Has stunted growth and shortened limbs that have been noticeable since birth

C) Has a noticeable limp when wearing shoes but not in bare feet

D) Has periods of “acting out” and misbehaving, especially when there is company

5. A community health nurse is reviewing the medical records of several families who have experienced varying crises. The nurse identifies which of the following as developmental crises? Select all that apply.

A) A windstorm that damaged 20 homes in a community

B) Grandpa Jones dying at age 82 years

C) A couple getting engaged

D) The Smiths getting a divorce

E) The Jones experiencing a home invasion robbery

F) Seven people dying in an automobile crash

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6. Which of the following would lead a community health nurse to suspect possible child neglect? Select all that apply.

A) 15-year-old Lucy misses school once a week to watch her baby sister while her mother works

B) Six-year-old Sam plays in the yard with a sweater on when it is 60 degrees outside

C) Twins Bobby and Billy arrive at school in dirty and smelly clothing most school days

D) 11-year-old Samantha comes to school without lunch or lunch money each day

E) Nine-year-old Bobby misses school two or three times a month due to asthma attacks

F) 14-year-old Jennifer watches her neighbor's 2-year-old every Saturday

7. After teaching a group of students about abuse and families, the instructor determines that the students need additional instruction when they state which of the following?

A) Women who accept battering are mentally ill.

B) Those being battered have low self-esteem and a damaged spirit.

C) Family violence occurs across all incomes.

D) Domestic violence has no gender or sexual boundaries.

8. A community health nurse is preparing a presentation for a community group about crisis. Which of the following would the nurse include as the first event?

A) Disruption in equilibrium

B) Coping activities

C) Force disrupting the balance

D) Alteration in function

9. In preparation for an examination on the history of family violence, a group of students reviews the various laws enacted for protection. The students demonstrate understanding when they identify which of the following as one of the earliest laws enacted?

A) Child Abuse Prevention and Treatment and Adoption Reform Act

B) Family Violence Prevention and Services Act

C) Keeping Children and Families Safe Act

D) Child Abuse Prevention and Treatment Act

10. Which of the following would the community health nurse identify as an act of sexual exploitation of a child?

A) Child pornography

B) Child molestation

C) Fondling of child's genitals

D) Vaginal penetration with an object

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11. A community health nurse assesses a child during a home visit. Which of the following would lead the nurse to suspect that the child is a victim of sexual abuse?

A) Bruising of the arms and back

B) Evidence of numerous dental caries

C) Complaints of pain on urination

D) Burns on the hands and feet

12. A group of families are attending a local community group for a class on Internet safety and children. Which of the following statements by the group indicate effective teaching?

A) “It's not so much the time they spend but the sites they use.”

B) “We'll move the computer to the family room so we can keep an eye.”

C) “We'll set the Internet security browser to medium.”

D) “The firewall program we have from 2 years ago should still be good.”

13. When describing the cycle of violence to a group of students, the instructor includes which of the following as occurring as the cycle continues?

A) Frequency of the cycle slows

B) Tension-building occurs less often

C) Loving reconciliation lasts longer

D) Acute battering occurs more often

14. Which of the following would a community health nurse expect to find in a perpetrator of intimate partner violence?

A) Occasional marijuana use

B) High academic achievement

C) Belief in gender dominance

D) Desire for complacency

15. While visiting a family in their home, a community health nurse hears a parent screaming, “Everything you do is wrong. Can't you do anything right ever?” The nurse suspects which of the following?

A) Neglect

B) Emotional abuse

C) Sexual abuse

D) Physical abuse

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16. A community health nurse is providing a community education program about suicide. Which of the following would the nurse include as a common method used by women?

A) Hanging

B) Firearms

C) Vehicle crash

D) Overdose

17. When discussing elder abuse with a senior citizen group, which of the following would the community health nurse include?

A) Statistics on elder abuse are compiled from actual cases reported.

B) Multiple interrelated variables are associated with elder abuse.

C) Physical abuse is the predominant form of elder abuse.

D) Elders experience sexual abuse similarly to other adults.

18. Which of the following would be least appropriate for a community health nurse to include in a plan of care at the primary prevention level for families in crises?

A) Teaching social problem-solving skills

B) Helping women develop assertiveness skills

C) Providing parenting classes

D) Helping to reestablish a sense of safety

19. When assessing a family in crisis, which of the following would the community health nurse need to do first?

A) Assess the nature of the crisis

B) Determine the client's perception

C) Define available supports

D) Assess coping abilities

20. A community health nurse is developing a plan of care for families in crisis. Which of the following would be most appropriate for the nurse to include?

A) Encourage clients to suppress their feelings to minimize pain.

B) Avoid correcting distorted facts to reduce stress.

C) Allow clients to blame others for the crisis.

D) Urge clients to acknowledge the problem.

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