Ch 38: Violence and Human abuse

Question 1

What are the factors that characterize people who become involved in IPV?

(7pts)

Answer 1

*previous violence
*unemployment
*access to firearms
*estrangement
*threats to kill
*threats w/ a weapon
*stepchild in home (if victim is female)

Question 2

What are the Tertiary prevention interventions for victims of sexual abuse/IPV?

7pts

Answer 2

*provide tx for substance abuse (individual/family)
*referring to resources
*role modeling helthy coping and communication
*develop policy
*conduct community resource mapping
*collaborate w/ community to develop systemic responses to violence
*develop resources such as transition housing and shelters

Question 3

What are the Secondary prevention interventions for victims of sexual abuse/IPV?

Answer 3

*provide assessment during routine exams
*assess for marital discord
*provide counseling for at-risk partners
*encourage assistance w/ controlling anger
*initiate measures to reduce or end further abuse
*screen for domestic abuse
*develop training programs for health care providers to identify and treat victims of violence
*telephone crisis line
*temp. housing/safe houses

Question 4

What are the 4 types of Neglect and what are their characteristics?

Answer 4

*physical: failing to provide supervision and basic survival needs or endangering health
*emotional: inadequate care and attention, violence and drugs in the home
*medical: failing to seek tx for illness or accident
*educational: failing to follow state laws regarding school attendance

Question 5

What role does identifying community risk factors (for violence) play in nursing Interventions?

Answer 5

Primary intervention? (weirdly phrased question)

Question 6

Risk factors for child abuse (11 pts)

Answer 6

*unemployment
*lack of financial resources
*lack of support network
*parent hx of child abuse
*parent hx of IPV
*parent lack of knowledge of child development
*parent substance abuse hx
*overly critical parents
*lack of parent intercommunication
*parental fear
*child suffers from recurrent injuries or illnesses

Question 7

What factors seem to be repeated in the Box How to Identify Potentially abusive parents? (8 pts)

Answer 7

*Overall not wanting the child (wanting abortion, to put child up for adoption)
*not having support, being isolated from fam, friends, neighbors
*numerous family crisis
*poor impulse control
*misuse of drugs/alcohol
*unrealistic expectations
*child is not biological offspring
*emphasizes discipline

Question 8

Death by Homicide affects what age group of individuals most?

Answer 8

20-24

Question 9

What are the characteristics of the group most affected by violence? (3 pts)

Answer 9

*male
*Non-hispanic black (so black?)
*parents perpetuate the majority of homicides in children

Question 10

Who is most likely to perpetrate a homicide?

Answer 10

Friends, acquaintances, family members

Question 11

What are the characteristics of abuse during pregnancy? (5 pts)

Answer 11

*more adolescents are abused during pregnancy than adult women
*Women abused during pregnancy are at risk for spontaneous abortion, premature delivery, low- birth-weight and small-for-gestational age infants, substance abuse during pregnancy, and depression
*a man’s control of contraceptives is a form of abuse
*all pregnant women should be assessed for abuse
*there is a significant overlap of wife abuse and child abuse

Question 12

Mandatory reporting of child or adult abuse (3 pts)

Answer 12

*Nurses are mandatory reporters of child abuse, even when only suspected, in all states
*mandatory reporters of elder abuse and abuse of other physically and cognitively dependent adults
*as well as of felony assaults on anyone in most states

Question 13

What part(s) of the body might the perpetrator of physical abuse more likely target?

Answer 13

parts of the body that are not exposed and can be covered by clothing

Question 14

4 types of child abuse.

Answer 14

*sexual
*emotional
*physical
*child neglect

Question 15

Review the Process of abuse (6 pts)

Answer 15

*starts with slight shove in the middle of heated argument
*blame physical aggression on something external such as work or drinking too much
*apologizes for incident and tries to improve the situation
*abuse escalates in frequency and severity over time
*can lead to severe physical injuries or even death
*abuser remorse tends to lessen and victim usually takes responsibility

Question 16

What population is particularly at risk for rape?

Answer 16

African American females

Question 17

Violence is an important public health nursing issue because (2 pts)

Answer 17

*Violence leads to significant mortality and morbidity.
*Nurses are in a unique position to develop community responses to violence, to influence public policy and provide resources