Chapter 9/10 IPV & Flashcards
Does the rate of violence against a female increase or decrease when she becomes pregnant?
increase and can include the postpartum phase as well
Half of all murders against women are committed by whom?
intimate partners
T or F: There are as many animal shelters in the US as there are battered women shelters
False, the US has three times as many animal shelters as it does battered women shelters
what does IPV stand for? definition provided
Intimate partner violence: actual or threatened physical or sexual violence or psychological/emotional abuse
What are the four categories of risk factors for IPV in men? examples provided
1) individual factors (eg young age, heavy drinking, depression, mental health issues, witnessing violence as a child, low income)
2) relationship factors: marital conflict, economic stress, dysfunctional family, cohabitation
3) community factors: weak sanctions against IPV, poverty, low social capital
4) societal factors: traditional gender norms, social norms supportive of violence
Violence is a _________ behavior that is passed from one generation to the next
learned
Why are children of parents experiencing IPV more likely to become abusers or abused themselves?
They see abuse as an integral part of a close relationship
What is the name for the continuum of abuse/violence from one generation to the next? What are the three phases?
the cycle of violence with three phases
1) the tension-building phase
2) the acute battering phase
3) the honeymoon phase
- this cycle increases in frequency/severity as it repeats with the honeymoon phase gradually shortening then disappearing
What is often internalized by an abuse victim of IPV during the tension-building phase?
that the abusive partner’s anger/bad mood is their fault
during which phase is the victim likely to be murdered? what is internalized here?
phase 2: the acute battering phase, that they were lucky not to be abused worse and deny what is going on
What’s the longest phase?
phase 1: the tension-building phase
What are the types of abuse?
1) Emotional abuse
2) Physical abuse
3) Financial abuse
4) Sexual abuse
What is battered woman syndrome?
victims rarely describe themselves as abused, often they seem themselves as flawed/inadequate which is reinforced by their abuser
What is the strongest indicator of abuse during pregnancy?
prior abuse
what is a nursing tool to screen for violence?
the SAVE Model
Screen all your clients for IPV
Ask direct questions in a Nonjudgemental way
Validate the client by telling her
Evaluate, educate, and refer this client
SAVE questions (this is for my personal use)
Screen (pretty self-explanatory)
Ask direct questions
- avoid emotional reactions
- never use language that blames the woman (she might blame herself, dissuade her from this)
Validate
- you believe and don’t blame her
- tell her she’s brave
- talking is a big first step
Evaluate
- what type of violence was it
- is she now in any danger
- how is she feeling now
- does she know that there are consequences to violence
- is she aware of community resources available to help her
what tool is used to assess potential homicidal behavior in an ongoing abusive relationship
The danger assessment Tool
- uses presence of risk factors to assess like increased frequency of abuse, presence of firearms, substance abuse, suicide threats/attempts
an idea for screening IPV at clinic
keep a camera on premise to take pictures of abuse injuries (remember informed consent)
What are the three categories of nursing goals when encountering an abused woman (think levels of care)
1) Primary prevention: aimed at breaking abuse cycle through community educational initiatives by community members
2) Secondary prevention: focuses on dealing with victims and abusers in early stages with goal of preventing progression of abuse
3) tertiary prevention: activities geared towards severely abused to help them recover (usually long-term and expensive)
what is the tool by Holtz and Furniss that can help provide a framework for providing sensitive nursing interventions
ABCDES
A is reassuring the woman that she is not ALONE
B is expressing the BELIEF that violence against women is not acceptable in any situation/not her fault
C is confidentiality, interview in private
D is documentation
E is education about cycle of violence and resources
S is safety, use resources
What is the National Domestic Violence hotline number?
1(800)799-7233
What does a woman who’s planning to leave an abusive relationship need?
a safety plan
what is the most common date rape drug? name 2 others
Rohypnol is the most common
GHB, ketamine
What are the three groups of PTSD symptoms?
1) intrusion: reexperiencing the trauma
2) avoidance: avoiding trauma-related stimuli, emotional numbing
3) hyperarousal: increased emotional arousal
What are the four phases of rape recovery?
1) acute phase (disorganization)
2) outward adjustment phase (denial
3) reorganization: attempt life adjustments to cope
4) integration and recovery: survivor begins to feel safe and starts to trust others; she may become an advocate for other rape victims
