9.2 Survivors of Abuse and Neglect Nursing Process

Question 1

Nursing Diagnosis For Survivors of Abuse

Answer 1

Rape-Trauma Syndrome - Due to anxiety, verbalization of attack and bruises/lacerations

Powerlessness - Fear and safety of children and no way to get out of relationship

Delayed Development - From abusive family situation

Question 2

Sexual Assault Client Outcome

Answer 2

• Does not experience panic attacks
• Demonstrates trust in nurse
• Receives immediate medical attention for physical injuries
• Initiates behaviors consistent with grief process

Question 3

Physically Battered Client Outcome

Answer 3

• Immediate medical attention
• Verbalizes assurance of their immediate safety
• Discuss life situations with nurse
• Verbalize choices from which they can receive assistance

Question 4

Abused Child Outcome

Answer 4

• Receive medical attention for physical injuries
• Trust in nurse through play therapy
• Demonstrates decrease in regressive behaviors

Question 5

Planning

Answer 5

• Focus on physical injuries
• Begin healthy grief cycle
• Help client take control over their life

Question 6

Crisis Intervention

Answer 6

• Focus on the immediate issue (rape)
• Return patient to previous lifestyle as fast as possible
• To combat feeling powerless, active involvement in interventions and validation of personal worth in the beginning of the recovery process

Question 7

Safe House (Shelter)

Answer 7

• These shelters provide protection, emotional support, counseling,
• bureaucratic institutions such as police, legal representatives, social services etc and employment can also be found here

Question 8

Family Therapy

Answer 8

• Democratic ways of solving problems are less likely to engage in physical violence.

Question 9

Short-Term Goals

Answer 9

• Has the individual been reassured of their safety
• Has there been a decrease in anxiety
• Have wounds been properly taken care of
• Have available support systems been identified.
• Have emotional needs been attended to

Question 10

Long-Term Goals

Answer 10

• Have physical wounds healed properly
• Is the client appropriately progressing through the behaviors of grieving
• Is the individual free from problems of interpersonal relationships.
• Is the patient satisfied with the decisions they have made