A school nurse is aware that a student has requested aspirin ...

[chandani]

A school nurse is aware that a student has requested aspirin three times during the past week because his back hurts. The nurse has noticed that he often wears long-sleeved sweaters and sweatshirts even in warm weather.
 
  The nurse suspects that the student may be the victim of physical abuse. The nurse is preparing to ask the child about his ongoing backache. Which of the following would the nurse anticipate being reported by the child if he was being abused?
 
  A) His father is beating him on a regular basis
  B) Be reluctant to report abuse because of shame or fear of retaliation
  C) Give the same reason his sister would give were she asked to explain his injuries
  D) Carefully explain that his mother disciplines him because she loves him

Question 2

A nurse is presenting to a church group a program about domestic violence.
 
  During the presentation, a member of the audience asks the nurse to explain what intergenerational transmission of violence means because he has seen that phrase used in the media. Which of the following responses by the nurse would be most appropriate?
 
  A) People who are violent are that way because of the various neurochemical imbalances in their brains.
  B) People who grow up in violent home situations tend to be involved in domestic violence situations as an adult.
  C) Recent research has identified a gene that is responsible for transmission of a risk for violent behavior that is passed on from generation to generation.
  D) Domestic violence seems to skip every other generation when it is traced in families.

[Silverbeard98]

Answer to Question 1

Ans: B
Most survivors do not report violence to health care providers without specifically being asked about it. Survivors may be reluctant to report abuse because of shame and fear of retaliation, especially if the victim depends on the abuser as a caregiver. In addition, children may fear they will not be believed.

Answer to Question 2

Ans: B
Violent families create an atmosphere of tension, fear, intimidation, and tremendous confusion about intimate relationships. Children in violent homes often learn violent behavior as an approved and legitimate way to solve problems, especially within intimate relationships. The social learning or intergenerational transmission of violence theory posits that children who witness violence in their homes often perpetuate violent behavior in their own families as adults. Moreover, children who grow up in violent homes learn to accept violence and expect it in their own adult relationships. Neurochemical imbalances, genetics, or skipping generations are unrelated to this theory.

[chandani]

Thanks for the timely response, appreciate it

[amit]

Excellent