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1. Intimate partner violence is a pattern of assaultive and coercive behaviors that may include inflicted physical injury, psychological abuse, sexual assault, _____________, stalking, deprivation, intimidation, and threats.
A. Manipulation
B. Progressive Isolation
C. Repeated Control
D. None of the above
2. Reproductive and sexual coercion involves behaviors aimed to maintain power and control over reproductive health by someone who is, was, or wishes to be involved in an intimate or dating relationship with an adult or adolescent.
A. True
B. False
3. Sexual coercion includes a range of behaviors that a partner may used related to sexual decision-making to pressure or coerce a person to have sex without using physical force.
A. True
B. False
4. Recent research provides some insight into gay and bisexual males' experiences with sexual coercion, with a survey of this population indicating that 14.8% reported unwanted sexual activity.
A. True
B. False
5. Intimate partner violence (IPV) and reproductive and sexual coercion are health issues that disproportionately affect women, as demonstrated by which of the following?
A. 20% of females college students and 4% of male college students reported one or more experiences of unwanted sexual intercourse.
B. A survey of 10th and 11th graders revealed that one-third of girls and 8.4% of boys had been victims of sexual coercion, defined as sexual behaviors involving verbal coercion, threats of force, or use of drugs or alcohol
C. Approximately 1 in 5 women have been physically and/or sexually assaulted by a current or former partner
D. Nearly half (45.9%) of women experiencing physical abuse in a relationship also disclose forced sex by their intimate partner
6. Health care providers have an essential role in prevention of IPV and reproductive and sexual coercion by discussing healthy, consensual, and safe relationships with all patients.
A. True
B. False
7. In one study, adolescent girls who experienced IPV were nearly ___ times more likely to have forgone health care in the past 12 months compared to non-abused girls.
A. 2
B. 2 ½
C. 3
D. 3 ½
8. Studies indicate that adolescent boys who perpetrate dating violence are less likely to use condoms, and for girls, current involvement in verbally abusive relationships was associated with not using a condom during the most recent sexual intercourse.
A. True
B. False
9. Each of the following is an accurate statement about teen pregnancy, IPV, and dating violence EXCEPT:
A. Adolescent girls who are currently involved in physically abusive relationships are 3.5 times more likely to become pregnant than non-abused girls
B. Adolescent mothers who experience physical partner abuse within three months after delivery were nearly twice as likely to have a repeat pregnancy within 24 months
C. In a qualitative study of adolescent girls who experienced dating violence, approximately one-quarter (26.4%) reported that their partners were trying to get them pregnant
D. Among female teens seen at family planning clinics, 1 in 3 had experienced physical or sexual IPV and pregnancy pressure
10. Women and teens who seek abortions are nearly 5 times more likely to have been victimized by an intimate partner in the past year compared to women who continue their pregnancies.
A. True
B. False
11. For women, being in an abusive relationship increases the likelihood of:
A. Having an eating or mood disorder
B. Poor school or job performance
C. Having a partner with known HIV risk factors
D. None of the above
12. Having a written policy and providing training on IPV and reproductive and sexual coercion, including the appropriate steps to inform patients about confidentiality and reporting requirements, is an important step in creating a safe health care setting.
A. True
B. False
13. Promising Futures: Family Violence Prevention is a free resource developed by Futures that can be used for self-directed training and to provide training to staff and students about IPV and women's health.
A. True
B. False
14. While assessment questions for IPV should be embedded in self-administered medical history forms, asking questions above IPV and reproductive and sexual coercion as part of a face-to-face assessment is not recommended, as this may make the patient uncomfortable and less likely to seek treatment.
A. True
B. False
15. The safety card for reproductive health includes self-administered questions for IPV and safety planning strategies including:
A. If your partner checks your cell phone, talk to your health care provider about using their phone to call domestic violence services-so your partner can't see it on your call log
B. If you have an STD and are afraid your partner will hurt you if you tell him, talk with your health care provider about how to be safer and how they might tell your partner about the infection without using your name
C. Studies show educating friends and family about abuse can help them take steps to be safe-giving them this card can make a difference in their lives
D. All of the above
16. Research shows that ___________________ about rape and sexual assault influence(s) a woman's perceptions of sexually coercive experiences.
A. Cultural stereotypes
B. Familial messages
C. Community education
D. Environmental customs
17. Regardless of whether a patient discloses abuse, assessment is an opportunity to provide education about how abusive and controlling behaviors in a relationship can affect her reproductive health.
A. True
B. False
18. The use of the safety card providers an integrated approach to inform patients about the increased risk of contracting STIs/HIV in abusive relationships, teaches condom negotiation skills, and offers female-controlled protective strategies that can lead to improved reproductive health outcomes and enhanced quality of care.
A. True
B. False
19. The best contraceptive method for those experiencing reproductive coercion who want to prevent or defer pregnancy is probably the birth control shot (Depo-Provera) because it is safe and effective and only needs to be given every few months.
A. True
B. False
20. When someone comes to a health care setting for Emergency Contraception (EC), often called the morning after pill, key questions should be asked and patient education provided to help determine whether the sex was consensual or if any contraceptive tampering may be occurring.
A. True
B. False
21. Two key strategies for supported referral to address reproductive/sexual coercion and IPV are acknowledging a patient's safety concerns and:
A. Providing harm reduction strategies
B. Offering options
C. Demonstrating the link between violence and reproductive health
D. Contacting an on-call advocate or counselor
22. When professionals are completing a mandated trauma report, they should inform patients about the process of reporting and help them to understand what to expect but should not involve them in making the report, as this may increase their fear and anxiety.
A. True
B. False
23. Which of the following information should NOT be routinely documented in patients' charts?
A. Confirmation that the patient was screened for IPV and reproductive and sexual coercion or the reason why screening could not be done
B. Patient's family history of domestic or sexual violence
C. Patient response to screening
D. Documentation of resources provided such as Safety Cards and any referrals made
24. The opportunities for screening, education, and prevention with male patients are very different to those described for female patients so practitioners need to be aware of these differences.
A. True
B. False
25. Health care setting protocols for identifying and responding to IPV should incorporate assessment strategies that include setting, frequency, cultural consideration, and:
A. Education level of the patient
B. Age and gender
C. Language issues
D. Psychological history
26. In any work environment, life experiences of the staff may influence their comfort level and effectiveness with addressing IPV and reproductive and sexual coercion with patients.
A. True
B. False
27. When documenting relevant history which of the following is NOT generally included in the relevant history?
A. Social history, including relationship to abuser and abuser's name if possible
B. Patient's appearance and demeanor
C. Patients' accounts of any threats made or other psychological abuse
D. Patient's specific statement about what events lead up to the abuse
28. For current and previous victims of IPV, providers should ensure that the patient has a connection to a primary care or OB/GYN provider, and coordinate and monitor an integrated care plan with community based experts and other health care specialists or professionals as needed.
A. True
B. False
29. Approximately ________ pregnant women are abused each year in the United States, and IPV has been associated with poor pregnancy weight gain, infection, anemia, tobacco use, fetal injury, stillbirth, preterm delivery, and low birth weight.
A. 324,000
B. 369,000
C. 286,000
D. 245,000
30. Obstetrician gynecologists are in the unique position to provide assistance to women, so screening for IPV during obstetric care should occur at the first prenatal visit and at least one other time during the pregnancy or at the postpartum checkup.
A. True
B. False
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