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NURS 406 > Abuse and Violence (exam 3) > Flashcards

Abuse and Violence (exam 3) Flashcards

1
Q

Intergenerational transmission of violence

A

Children witnessing violence in homes often perpetrate violent behavior in families as adults

Learn to accept violence and expect it

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2
Q

Theories of Violence include:

A

Social Learning Theory (Intergenerational transmission)

Imbalances in relationship power

Factors influencing leaving versus staying in a violent relationship

Substance Abuse

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3
Q

What are examples of imbalances in a relationship that lead to violence?

A
  • Personality differences (dominant v submissive)
  • Financial differences (housewife v working man)
  • Personality types
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4
Q

What are factors that influence leaving v staying in a violent relationship?

A
  • Dependent person
  • Trauma bonding

-Financial constraints

-Fear of the unknown

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5
Q

Abuse

A

wrongful use and maltreatment of another

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6
Q

Who is usually the abuser?

A

Perpetrator typically someone the person knows

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7
Q

What does a victim of abuse look like?

A

Victims across life span: spouses, partners, children, elderly parents

Abuse includes all ethnicities and economic statuses

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8
Q

Family Violence

A

spouse battering; neglect and physical, emotional, or sexual abuse of children; elder abuse

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9
Q

Common Characteristics of Violent Families

A

Social isolation
Abuse of power and control
Alcohol and other drug abuse
Intergenerational transmission process

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10
Q

Cultural considerations of domestic violence

A

Domestic violence spanning families of all ages and from all ethnic, racial, religious, socioeconomic, and sexual orientation backgrounds

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11
Q

What is intimate partner violence

A

Mistreatment or misuse of one person by another in context of emotionally intimate relationship

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12
Q

Types of intimate partner violence

A

Psychological abuse

Physical abuse

Sexual abuse

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13
Q

Psychological abuse in intimate partner violence

A

(emotional abuse) can be overt or subtle.

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14
Q

Physical abuse in intimate partner violence

A

Physical abuse: shoving, pushing, battering, choking

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15
Q

Sexual abuse in intimate partner violence

A

assaults during sexual relations, rape

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16
Q

In which group are rates of intimate partner violence high?

A

Rates higher among women

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17
Q

When are there increased rates of violence in women in intimate relationships

A

Increased rates during pregnancy

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18
Q

Compared to heterosexual relationships, does same sex relationships have more or less violence?

A

Domestic violence occurs in same-sex relationships with same statistical frequency.

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19
Q

Clinical picture of abuse: abuse is often perpetrated by who against who?

A

Abuse often perpetrated by husband against wife

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20
Q

What is the abusers view of partner?

A

Abuser’s view of wife as belonging to him;

21
Q

What is the abusers view of themselves?

A

strong feelings of inadequacy, low self-esteem; poor problem-solving and social skills

22
Q

When would someone increase violence or abuse?

A

Increasing violence, abuse with any signs of independence

23
Q

Who is the dependency trait most commonly found in?

A

Dependency trait most commonly found in abused women who stay with their husbands

24
Q

What is the cycle of violence?

A
  1. Calm phase
  2. Tension building
  3. Violence
  4. Honeymoon/Makeup phase
25
Q

Intimate Partner Violence: Assessment

A

Victims do not commonly seek direct help for abuse.

Some may be seeking treatment for other conditions.

26
Q

When assessing a pt for abuse/intimate partner violence, what should you ask FIRST?

A

Ask all clients if they feel safe - Priority

27
Q

When assessing a pt for abuse/intimate partner violence, what should you ask?

A

Ask questions about safety

28
Q

Physical assessment of Domestic Violence- what to look for

A

Explanation does NOT equal to injuries
Unexplained injuries
Broken bones
Bruising
Multiple bruises in varying stages
Perforated eardrum (repeated head injuries)
Burns
Other

29
Q

What are other Domestic Violence qualities?

A

Repeated healthcare visits
Depression
Anxiety
Sleeping difficulties
States “having problems with partner”
States is “accident prone”
Feelings of shame, self blame

30
Q

Treatment and Interventions for Intimate Partner Violence

A

Laws related to domestic violence; arrest

Restraining order/protection order

Shelters

Individual psychotherapy/counseling, group therapy, support and self-help groups

31
Q

Child abuse

A

Intentional injury of a child

32
Q

Child abuse includes:

A

Physical abuse or injuries
Neglect or failure to prevent harm
Failure to provide adequate physical or emotional care or supervision
Abandonment
Sexual assault or intrusion
Overt torture

33
Q

What is the clinical picture of a parent in a child abuse case?

A

Minimal parenting knowledge and skills

Emotionally immature, needy, incapable of meeting own needs

Frequently view children as property

Cycle of family violence: adults raising children in same way they were raised

Adults who were victims of abuse frequently abuse their own children.

34
Q

What are the first steps of handling child abuse?

A
  1. Detection and accurate identification are the first steps
  2. Report suspected child abuse
35
Q

What does it mean to report suspected child abuse

A

Nurse does not have to decide for certainty if abuse occurred.

36
Q

What are the treatment and intervention of child abuse?

A

Child’s safety and well-being is a priority.

Psychiatric evaluation

Therapy may be indicated over significant period.

Approach depends on the age of a child.

Social services involvement

Family therapy/requirements for parents

37
Q

Elder abuse

A

Maltreatment of older adults

38
Q

Types of Elder Abuse

A

Physical, sexual, psychological abuse
Neglect of self-neglect
Financial exploitation
Denial of adequate medical treatment

39
Q

What percent of population are abused by caregiver? What percent of victims are women?

A

Estimated 10% of population over age 65 abused by caregivers.

60% to 65% of victims are women.

40
Q

What type of person abuses elderly?

A

People who abuse elders almost always in caretaker role or elders depend on them in some way.

41
Q

What are most cases of elder abuse?

A

Most cases when one older spouse is taking care of another

42
Q

Why are elders often reluctant to report abuse?

A

Want to protect family members
Fear losing support

43
Q

What is the treatment and intervention of elder abuse?

A

Caregiver stress relief
Additional resources
Possible removal of elder or caregiver

44
Q

Rape and Sexual Assault

A

Perpetration of act of sexual intercourse with person against his or her will and without consent

Will overcome by force, fear of force, drugs, intoxicants

Crime of violence and humiliation of victim expressed through sexual means

Also rape if victim cannot exercise rational judgment

45
Q

What is included in assessment of rape and sexual assault?

A

Physical examination to preserve evidence
Description of what happened
Rape kits, rape protocols

46
Q

What is the treatment and intervention for rape and sexual assault?

A

Immediate support
Give control back to victim
Prophylactic treatment for STIs, pregnancy
Counseling
Supportive therapy

47
Q

Evaluation and Treatment Outcomes of Rape and Sexual Assault are dependent on:

A

Dependent on the setting for interventions

48
Q

Rape/ Sexual Assault Treatment outcomes

A

Managing the patient’s immediate safety
Ending abusive relationships
Recognizing that one is not to blame
Demonstrating knowledge of strengths and coping skills, and reestablishing social networks
Follow-up efforts important
Appropriate treatment of any disorder resulting from abuse

NURS 406 (29 decks)

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