Abuse, Agression, & Violence Flashcards
What is abuse?
Systematic strategies used to obtain dominance and control over others
Includes psychological, physical, emotional, economic, and sexual forms.
What are the potential signs of sexual abuse?
- Sudden changes in behavior such as fear of people or places
- Sexually explicit behavior or sex play
- Regression to younger behaviors
- Discomfort, bruising, or bleeding around the genital area
- Damaged underclothing with blood stains
- Unexplained or recurring sexually transmitted infections (STIs)
Victims may also exhibit a lack of desire to engage in sexual behaviors.
What are the signs of neglect and abandonment?
- Unattended or untreated health problems
- Dehydration, malnutrition, poor personal hygiene
- Hazardous living conditions
- Client claims of being abandoned or mistreated
Includes leaving individuals without basic life necessities.
Define financial abuse.
Misuse of another person’s financial resources, with or without permission
Signs include sudden banking changes and exploitation reports.
What is the difference between aggression and anger?
Anger is an intense emotion that can have positive and negative effects, while aggression is the behavior that may arise from anger
Anger can lead to harmful effects like hypertension and insomnia.
List risk factors for abuse, aggression, and violence.
- History of violence
- History of mental health disorders
- Being a victim of a crime
- Witnessing abuse or violence
- Poor self-esteem
- Adverse childhood experiences
Feelings of frustration, invalidation, or powerlessness can trigger aggression.
What are the medical conditions that can contribute to aggression?
- Damage to the brain’s prefrontal cortex
- Alzheimer’s
- Addictive personalities
Genetic factors like MAO gene deficit may also play a role.
What are the phases of Intimate Partner Violence?
- Phase 1: Breakdown in communication, initiation of arguments
- Phase 2: Abusive acts filled with rage
- Phase 3: Perpetrator shows affection and apologizes
Control often continues through economic and emotional abuse.
What defines rape?
Forced sexual intercourse, including psychological coercion and physical force
Acquaintance rape is when 2/3 of victims know their assailant.
What actions can a nurse take when caring for survivors of abuse?
- Provide equitable and sensitive care
- Practice mindfulness
- Manage agitation
- Establish a therapeutic relationship
Important to remain calm and avoid escalating situations.
What are the long-term effects of Non-Suicidal Self-Injury (NSSH)?
- Infections
- Scarring
- Excessive bleeding
- Shame and guilt
- Social isolation
- Suicide risk
NSSH is a strong predictor of future suicide attempts.
What are some interventions for clients engaging in NSSH?
- Developing an action plan
- Educating clients about NSSH thought processes
- Establishing a support system
Important for effective coping strategies.
Fill in the blank: The inclination to be violent, angry, or aggressive can occur when a person feels ______.
[deceived], [invalidated], [frustrated], [attacked], [threatened], [powerless], [treated unfairly].
True or False: Victims of abuse may demonstrate a lack of concern about their own needs.
True
This can be a result of trauma and fear.
What is the role of a Sexual Assault Nurse Examiner (SANE)?
- Conduct focused genital examinations
- Preserve specimens and collect evidence
- Administer medications for STIs
May also provide expert testimony in legal proceedings.
What is the Nursing Process: Recognize Cues?
- Observe behaviors such as clenched fists, raised tone, pacing
- Careful history of previous violent acts
- Consider age and gender of the client
Older adults and women are less likely to engage in violence.
What are some screening tools for anger management?
- Dimensions of Anger Reactions
- Patient-Reported Outcome Measurement Information System (PROMIS)
- State-Trait Anger Scale (STAS)
These tools help assess anger levels in clients.
What strategies can be employed for clients with aggressive tendencies?
- De-escalation
- Verbal de-escalation
- Pharmaceuticals
- Restraint/seclusion
Nonpharmacologic interventions are preferred initially.
What is the nursing process for evaluating outcomes?
- Debriefing discussions
- Displaying support for client
- Adapting care plans as needed
Important to recognize any trauma that occurred during care.
