Chapter 7 - Domestic And Family Violence Assessment

Question 1

Abuse is the US

Answer 1

• About 20 people/min are abused by an intimate partner
• 20,000 calls/day place to domestic violence hotline
• Half of all females homicide victims are killed by a current or former intimate partner
• Average of 5 children die every day due to abuse and neglect
• Child abuse reported every 10 seconds

Question 2

The Joint Commission

Answer 2

Set standards that all health care settings

Policies and procedures to assess and report violence, intimate partner abuse, child abuse, and elder abuse

Question 3

Intimate Partner

Answer 3

Any partner with whom the person has a close relationship that may include emotional connectedness and physical/sexual contact.

Question 4

Intimate partner violence

Answer 4

Includes both current and former partners
4 Categories
- Physical violence
- Sexual violence
- Stalking
- Psychological aggression

• Teen dating violence

Question 5

Physical violence

Answer 5

Use of force that could cause death, disability, or injury

Question 6

Sexual violence

Answer 6

Any attempted or completed sex acts without the consent of the other person.
Acts include rape, unwanted sexual contact, and exposure to sexual situations (pornography)

Question 7

Stalking

Answer 7

Repeated, unwanted attention to leads to fear (phone calls, spying, damaging personal property)

Question 8

Psychological aggression

Answer 8

form of emotional abuse wherein the aggressor uses verbal or nonverbal communication to exert control or harm the person emotionally

Question 9

Teen Dating Violence

Answer 9

Physical, sexual, psychological, or emotional violence that occurs in dating relationships during the adolescent years.

• Before 18
• 8.5 million females report rape
• 1.5 million male reports being made to penetrate

Question 10

Child Abuse and Neglect

Answer 10

Both defined at the state and federal levels

Question 11

Neglect - child

Answer 11

Failure to provide for a child’s basic needs (physical, medical, and supervision).
Presence of drugs
Failure to educate

Question 12

Physical abuse - child

Answer 12

Nonaccidental physical injury caused by punching, beating, kicking, biting, burning, shaking, or otherwise harming a child.
- human trafficking, labor trafficking, involuntary servitude

Question 13

Sexual abuse - child

Answer 13

Fondling a child’s genitals, incest, penetration, rape, sodomy, incident exposure, commercial exploitation through prostitution or pornography.
- human and sex trafficking

Question 14

Emotional abuse - child

Answer 14

Any pattern of behavior that harms a child’s emotional development or sense of self-worth
- belittling, rejection, threats, and withholding of love and support.

Question 15

Elder Abuse and Neglect

Answer 15

10% of American ages 60 years and older experienced elder abuse (5 million per year)

• underreported (1 in 14 cases are reported)
• about 60% of abuse is by family (adult child or spouse)
• includes intentional acts or failure to act by a caregiver or trusted person

Question 16

Physical abuse - elder

Answer 16

An elder is intentionally injured, assaulted, threatened with a weapon, or inappropriately restrained.

Question 17

Sexual abuse or abusive sexual contact - elder

Answer 17

Any sexual contact against the elder’s will, including sexual contact with unable to understand elder (no consent).

Question 18

Psychological or emotional abuse

Answer 18

Verbal and nonverbal behavior meant to inflict fear and distress
- humiliation, embarrassment, controlling behavior, social isolation, and damaging/destroying property

Question 19

Neglect - elder

Answer 19

failure of the caregiver to prevent harm

Failure to meet basic needs such as hygiene, nutrition/hydration, clothing, shelter, and medical care.

Question 20

Financial abuse or exploitation

Answer 20

unauthorized or improper use of the elder’s resources for monetary or personal benefit, profit, or gains, such as forgery, theft, or improper use of guardianship or power of attorney.

Question 21

Health effects of violence

Answer 21

Most obvious is an injury

• Traumatic brain injury, headaches, and pain
• Cardiovascular, endocrine, immune, and gestational problems
• Women - preterm birth, low birth weight, perinatal deaths, pelvic pain, unintended pregnancy, UTI
• depression, anxiety, substance abuse, suicidality, PTSD,
• improper brain development
• juvenile arrest, teen pregnancy, adult criminal behaviors

Question 22

Culture and Genetics

Answer 22

• IPV higher among ethnic and racial minorities ( at the highest risk for IPV)

Question 23

Societal stressors

Answer 23

Contribute to daily struggles and conflict in relationships
- Poverty is a risk for IPV

• Past experiences of prejudice and discrimination by health care providers and lack of knowledge of culture, many immigrants and members of racial and ethnic minorities are reluctant to seek help in the health care setting. ant families

Question 24

Legal Status

Answer 24

• Creates a barrier to care for many immigrant

- Many immigrants are unaware of their legal rights in the situation of IPV.

Question 25

Lack of access to culturally appropriate care

Answer 25

• a continual problem in which minorities and immigrants are less likely to use social service resources, especially women

Question 26

Bruising in atypical places

Answer 26

• buttocks, hands, feet, and abdomen

- exceedingly rare and should arouse concern