Abuse and Violence (exam 3)

Question 1

Intergenerational transmission of violence

Answer 1

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

Learn to accept violence and expect it

Question 2

Theories of Violence include:

Answer 2

Social Learning Theory (Intergenerational transmission)

Imbalances in relationship power

Factors influencing leaving versus staying in a violent relationship

Substance Abuse

Question 3

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

Answer 3

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

Question 4

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

Answer 4

• Dependent person
• Trauma bonding

-Financial constraints

-Fear of the unknown

Question 5

Abuse

Answer 5

wrongful use and maltreatment of another

Question 6

Who is usually the abuser?

Answer 6

Perpetrator typically someone the person knows

Question 7

What does a victim of abuse look like?

Answer 7

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

Abuse includes all ethnicities and economic statuses

Question 8

Family Violence

Answer 8

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

Question 9

Common Characteristics of Violent Families

Answer 9

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

Question 10

Cultural considerations of domestic violence

Answer 10

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

Question 11

What is intimate partner violence

Answer 11

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

Question 12

Types of intimate partner violence

Answer 12

Psychological abuse

Physical abuse

Sexual abuse

Question 13

Psychological abuse in intimate partner violence

Answer 13

(emotional abuse) can be overt or subtle.

Question 14

Physical abuse in intimate partner violence

Answer 14

Physical abuse: shoving, pushing, battering, choking

Question 15

Sexual abuse in intimate partner violence

Answer 15

assaults during sexual relations, rape

Question 16

In which group are rates of intimate partner violence high?

Answer 16

Rates higher among women

Question 17

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

Answer 17

Increased rates during pregnancy

Question 18

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

Answer 18

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

Question 19

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

Answer 19

Abuse often perpetrated by husband against wife

Question 20

What is the abusers view of partner?

Answer 20

Abuser’s view of wife as belonging to him;

Question 21

What is the abusers view of themselves?

Answer 21

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

Question 22

When would someone increase violence or abuse?

Answer 22

Increasing violence, abuse with any signs of independence

Question 23

Who is the dependency trait most commonly found in?

Answer 23

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

Question 24

What is the cycle of violence?

Answer 24

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

Question 25

Intimate Partner Violence: Assessment

Answer 25

Victims do not commonly seek direct help for abuse. Some may be seeking treatment for other conditions.

Question 26

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

Answer 26

Ask all clients if they feel safe - Priority

Question 27

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

Answer 27

Ask questions about safety

Question 28

Physical assessment of Domestic Violence- what to look for

Answer 28

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

Question 29

What are other Domestic Violence qualities?

Answer 29

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

Question 30

Treatment and Interventions for Intimate Partner Violence

Answer 30

Laws related to domestic violence; arrest Restraining order/protection order Shelters Individual psychotherapy/counseling, group therapy, support and self-help groups

Question 31

Child abuse

Answer 31

Intentional injury of a child

Question 32

Child abuse includes:

Answer 32

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

Question 33

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

Answer 33

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.

Question 34

What are the first steps of handling child abuse?

Answer 34

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

Question 35

What does it mean to report suspected child abuse

Answer 35

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

Question 36

What are the treatment and intervention of child abuse?

Answer 36

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

Question 37

Elder abuse

Answer 37

Maltreatment of older adults

Question 38

Types of Elder Abuse

Answer 38

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

Question 39

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

Answer 39

Estimated 10% of population over age 65 abused by caregivers. 60% to 65% of victims are women.

Question 40

What type of person abuses elderly?

Answer 40

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

Question 41

What are most cases of elder abuse?

Answer 41

Most cases when one older spouse is taking care of another

Question 42

Why are elders often reluctant to report abuse?

Answer 42

Want to protect family members Fear losing support

Question 43

What is the treatment and intervention of elder abuse?

Answer 43

Caregiver stress relief Additional resources Possible removal of elder or caregiver

Question 44

Rape and Sexual Assault

Answer 44

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

Question 45

What is included in assessment of rape and sexual assault?

Answer 45

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

Question 46

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

Answer 46

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

Question 47

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

Answer 47

Dependent on the setting for interventions

Question 48

Rape/ Sexual Assault Treatment outcomes

Answer 48

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