1229 Exam 6 Family Violence Flashcards
What is Anger?
an emotional response to the perception of frustration of desires, threat to one’s neds, or challenges.
What is aggression?
is harsh physical or verbal action that reflects rage, hostility, and potential for physical or verbal destructiveness.
Anger and Aggression:
are the last two stages of a response that begins with feelings of vulnerability followed by uneasiness.
General Assessment:
-identify anxiety before it escalates to anger and aggression
-expressions of anxiety and anger look quite similar— increased rate and volume of speech, increased demands, irritability, frowning, redness of face, pacing twisting hands, or clenching and unclenching of fist.
should include taking an accurate history of -the patient’s background, usual coping skills, and perception of the issue.
self assessment:
how we intervene safely depends on our own self-awareness.
- nursing responses to angry patients can escalate along a continuum similar to that of patients.
- the more a nursing intervention is prompted by emotion, the less likely it is to be therapeutic.
- nurses’ responses reflect norms from their families or origin, personal issues, and situational events.
What techniques beside self-assessment could be used?
deep breathing
muscle relaxation
empathetic interpretation of patient’ distress
review of intervention strategies can be helpful
Social Isolation
family members keep to self no invitations to the home no sharing of information or friends abusers may threaten if they tell tell them that parent, siblings, or pets will die. child will keep secret due to fear.
Abuse of Power and COntrol
abusive family member in position of power over the victim.
economic and social as well as physical power
onl one who can make decisions about money or time spent outside the home.
any indication, real, or imagined, of the victim having been disobedient or trying to be independent leads to violence.
Substance Abuse
Alcohol is frequently associated with family violence.
Transmission process
patterns of violence from one generation to another –role modeling–social learning
- learned patten of behavior
- children who see violence between their parents learn violence is a way to solve conflicts
Cultural factors:
immigrant women are more at risk to be in abusive home.
The abusive person is more likely to what?
use drugs or alcohol.
Alcohol lowers their inhibitation–make the violent behavior more intense and frequent
major factor in rape cases and sexual assault.
Family structure for conditions for Violence:
perpetrator (abuser)
vulnerable person
crisis situation.
The perpertrator:
lacks role models and did not learn problem solving skills
-cares only about their own needs
-dissatisfied with life
-low selfesteem
witnessed family violence/experienced it
poor social skills/no support from outside marriage
-poor impulse control
substance abuser
emotionally immature— needy, irrational, jealous, possessive
Vulnerable person
the one in the family that is abused–age or situation make vulnerable (children, women, elderly, mentally ill or physically challenged person or child
crisis situation
stressful event–something that taxes their coping skills.
financial stress
job stress (no job)
marital problems (soldier’s families, away from home, increased stress on remaining parent.
Risk factors for violence:
pregnancy single drugs no support finances elderly
types of abuse:
physical sexual emotional/psychological neglect economic financial
Coping mechanisms of the abusers:
projection
displacement
passive aggressive
denial
Projection
the world is unfair
blame someone else for their difficulties
“My boyfriend made me drink.”
Displacement
Discharge our feelings o a less threatening object
Transferred to someone other than who they are angry at.
Passive Aggressive:
underminers
deny they are angry but deep down they really are
afraid of rejection or punishment
passive
Denial
unconscious behavior
an alcoholic who says he can control his drinking–doesnt want to see or face the problem.
physical violence
battering and physical endangerment
sexual violence
any sexual approach or act, explicit or implicit, toward a child.
the sexual abuse of adults is usually catergorized as sexual assault or rape
emotional violence
infliction of mental anguish
