CFN Violence and Abuse Patterns 2

Question 1

Which injury pattern is most consistent with defensive wounds in an assault victim?

Accepted Answer

Lacerations on the ulnar forearm and dorsal hands

Answer

Bruising on the shins and knees

Answer

Burns on the plantar feet

Answer

Contusions on the lower back

Question 2

The 'cycle of violence' model developed by Lenore Walker describes which sequence of phases?

Accepted Answer

Tension building, acute explosion, reconciliation/honeymoon, calm

Answer

Explosion, remorse, escalation, honeymoon

Answer

Calm, tension, explosion, separation

Answer

Honeymoon, tension, abuse, recovery

Question 3

In child physical abuse, which fracture type is most specifically associated with non-accidental trauma in infants?

Accepted Answer

Classic metaphyseal lesion (bucket-handle fracture)

Answer

Greenstick fracture of the radius

Answer

Transverse fracture of the tibia

Answer

Clavicle fracture

Question 4

An elder patient presents with pressure injuries in multiple stages on the sacrum, heels, and occiput simultaneously. What abuse concern does this raise?

Accepted Answer

Neglect by caregiver

Answer

Self-inflicted injury

Answer

Financial exploitation

Answer

Psychological abuse

Question 5

During an intimate partner violence (IPV) screening, a patient minimizes injuries and defends the partner. The forensic nurse's best response is to:

Accepted Answer

Document findings and provide safety information without judgment

Answer

Challenge the patient's denial directly

Answer

Contact the partner for collateral history

Answer

Discharge the patient since no abuse is confirmed

Question 6

Which pattern of bruising is pathognomonic of human bite marks versus animal bites?

Accepted Answer

Circular or ovoid pattern with arch-shaped marks from both upper and lower arches

Answer

Linear scratch marks with ragged edges

Answer

Crescent-shaped single arch marks only

Answer

Deep puncture wounds in a linear pattern

Question 7

Strangulation in intimate partner violence is significant because it predicts which outcome?

Accepted Answer

Sevenfold increase in risk of homicide by that partner

Answer

Increased risk of future minor injuries only

Answer

Lower likelihood of repeat violence

Answer

Primarily psychological rather than physical harm