Abuse ( Child ,Domestic Violence& substance) Flashcards

1
Q

What is the cycle of Abuse in child abuse in a chronological order?

A
  1. Tension building
    2.Incident
    3.Reconciliation
    4.Calm
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2
Q

What are types of Child Abuse?

A

➢Physical abuse
➢Sexual abuse
➢Emotional abuse
➢ Neglect

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3
Q

What are examples of Child Emotional abuse?

A

*Restricting a child’s movements
*Denigration
*Ridicule
*Threats and intimidation, *Discrimination/ rejection

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4
Q

In the Shaken infant, what are symptoms displayed?

A

▪Brain: Intracranial haemorrhage
▪Skin: Bruises
▪Joints: dislocations
▪Bones: Fractures

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5
Q

What are examples of Short- Term impacts of child Abuse in the pre-school age?

A

❖Bed-wetting
❖ Thumb-sucking
❖Excessive crying
❖Hiding from people, including from the perpetrator
❖Stuttering

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6
Q

What are examples of Short- Term impacts of child Abuse in the school age?

A

❖Feeling of guilt
❖Blaming themselves that
they caused the violence
❖Low self esteem

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7
Q

What are examples of Short- Term impacts of child Abuse in the teenagers?

A

❖Generalized anxiety
❖ Sleeplessness
❖ Nightmares
❖Difficulty concentrating
❖High activity levels
❖ Risky Behaviour
❖Depression
❖Difficulty in establishing/maintaining relationships
❖Worry
❖PTSD

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8
Q

In Jamaica, what Is a source of Primary intervention in Child Abuse?

A

Child Protection and Family Services Agency (CPFSA)

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9
Q

What are examples of Indirect disclosure of abuse?

A

❖Avoiding the abuser, including not wanting to go to the house of the abuse
❖Changes in eating and sleeping patterns
❖Inappropriate sexual behaviour
❖Risky behaviour, e.g. suicidal attempts, substance us

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10
Q

What ranks as the leading cause of death in the Caribbean region?

A

Violence

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11
Q

What percentage of Jamaica’s funds are spent on healthcare as a result of violence?

A

7%

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12
Q

What are the three types of Adverse Childhood Effects?

A

Abuse
Neglect
Household Dysfunction

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13
Q

What is the most common contributing factor to household dysfunction (ACE)?

A

Substance abuse - 27%

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14
Q

What is the most common type of Abuse seen in ACE?

A

Physical abuse

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15
Q

What number of Adverse Childhood effects would be most experienced by people?

A

0 (36%)

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16
Q

What number of Adverse Childhood effects would be least experienced by people?

A

3 - 9.5%

17
Q

True or False? Rates of depression are 2-3- times higher for women who have experienced violence.

A

FALSE!! Rates of depression are 3-4 times higher for women who have experienced violence.

18
Q

What is the ratio of men and women that develop an alcohol dependence.

A

1 in 5 men
1 in 12 women

19
Q

True or False? One in 3 women survivors of violence suffer from depression, anxiety and somatic conditions.

A

TRUE!!

20
Q

What are factors contributing to Violence against Women and Girls?

A
  • Strictly enforced gender roles.

*Association of masculinity with toughness and dominance.

*Punishment of women and children as an accepted value.

  • Violence accepted as a standard way to resolve conflicts.

*Stress associated with poverty.

21
Q

What number of the population would be affected by violence?

A

1/3

22
Q

What are examples of TRAUMA-RELATED PSYCHIATRIC CONDITIONS?

A

Acute Stress disorder
Major Depression
Adjustment disorder
PTSD
Attachment disorder

23
Q

What are 5 essential self-care strategies?

A

Sleep
Exercise
Eating well
Relaxation
Connection

24
Q

What are the macro-social levels strongly associated with Interpersonal violence?

A
  • Unemployment
  • Income inequality
  • Rapid social change
  • Access to education
25
Q

What is the cycle of Violence?

A

Phase 1:Tension- building stage
Phase 2:Acute Battering stage
Phase 3:Calm Stage

26
Q

What is Traumatic bonding?

A

A strong emotional attachment between the victim and perpetrator of domestic violence

27
Q

What are Fatal outcomes of Violence?

A

Suicide
Homicide
Maternal mortality
HIV /AIDS

28
Q

What are some factors of Behaviour change?

A

*To be effective the individual must want to change.

*For change to be lasting it should not be forced.

*Getting others to change requires skills in listening, communicating & persuading.

*Acknowledging incremental change can encourage greater change.

29
Q

In the Health Belief model , people are more likely to comply with a recommended health behaviour if they perceive:

A

*Themselves as being vulnerable to a condition they consider to be serious.

*The effects of non-compliance to be severe

*That the recommended solutions can work

*The benefits to be derived from recommended action outweigh the cost of engaging in the behaviour.

*Barriers to carrying out the action are minimal/manageable .

30
Q

In the pre-contemplation stage, what is the state of the patient?

A

Patient is unaware or de-motivated

31
Q

In the Contemplation stage , what state is the patient in?

A

Weigh pros & cons - 6 mths

32
Q

In what stage has the patient tried for 2-3 years?

A

Maintenance

33
Q

In what stage is the patient planning to start early ( next 30 days)?

A

Preparation

34
Q

What stage is known as the trial stage?

A

Action

35
Q

What happens in the termination state?

A

There’s no temptation

36
Q

What is the criteria for diagnosing a patient with substance use disorder?

A

Must present with 2 symptoms within a 12 month period

37
Q

What are the classifications of substance- use disorder based on Severity?

A

Mild - 2- 3 symptoms
Moderate - 4-5 symptoms
Severe 6 & more