Child, Older Adult and Intimate Partner Abuse and Stalking Flashcards
What role does the RN play in reporting abuse?
They are mandatory reporters.
Where is child abuse reported?
Child and family services
What city is domestic violence reported in?
The city that the abuse happens in.
Who can make a confidential suspected child abuse report?
anyone, and they are free from civil or criminal liability if report is made in good faith.
What age group is covered in elder abuse?
65 +
What age group qualifies as a dependent adult?
18 -64
What is the goal for the Nurse in suspected child or elder abuse?
Insure safety of victim of abuse, and report the abuse.
When does domestic/partner violence often start?
When the woman is pregnant.
How does the abuser in domestic/partner violence control the victim?
By calculated threats, intimidation, and physical violence.
What % of Americans have experienced violence in their family.
1/2 of all americans
What are comorbidities of violence?
Anxiety, depression, suicidal ideation, substance abuse
What are 8 types of abuse?
Emotional, physical, sexual, neglect, economic, cyber-porn stalking, stalking online, cyber-tracking car.
If abused, teens are more likely to?
smoke and use drugs, engage in unhealthy diet behaviors to loose weight, engage in risky sexual behaviors, attempt or consider suicide.
If a mandatory reporter fails to report abuse, what are the consequences?
6 months in jail or $1,000 fine
What are 5 risk factors for domestic violence?
- History of parent being abused as a child or growing up with domestic violence
- Begins or increases during pregnancy
- rigid, authoritarian roles of male/female
- use of violence to establish control
- Occurs at all socioeconomic levels
Abused women may do what to their children?
abuse them also
When is the greatest risk for violence against women.
When the woman attempts to leave the relationship or make a move towards independence.
Perpetrators of violence often have what characteristics?
- consider their own needs more important than the needs of others
- poor social skills
- extreme pathological
- Often abused as a child, violence is learned through modeling
Sexual abuse as a child is not…?
Usually repeated when an adult
What are the risk factors for physical or sexual abuse?
-Family is immigrant or refugee
What are 6 nursing interventions for abuse?
- Recognize the signs
- Screen if you suspect (ask about injuries)
- Provide resources, option house in SB, protective order/restraining order
- Safety planning, plan with patient
- Document in pt chart
- Mandatory reporting
What are 6 signs of intimate partner violence?
- quiet passive behavior
- battered women syndrome is like PTSD
- signs of depression
- anxiety, chronic fatigue
- substance abuse
- complaints of specific or nonspecific pain
What is the honeymoon phase of the domestic violence cycle?
candy and flowers, promises to never do it again
What is the tension building phase of the domestic violence cycle?
Walking on eggshells attempting not to provoke an incident
What is the acute battering phase of the cycle of domestic violence cycle?
When injury occurs
When is the best time to intervene in the cycle of domestic violence?
after the acute battering phase/injury
When you suspect abuse, how do you ask the patient about it?
“are you in a relationship where you are being threatened by or hurt by a partner?
What does AMAC stand for
Adult molested as a child
What is the HITS tool?
Screening tool for partner violence
Do not do what when interviewing an abused patient?
dont imply that client is at fault, don’t try to prove abuse, don’t try to get client to admit it, do not place blame or express anger about the perpetrator
When you notice injuries on a patient, and you suspect abuse, how do you ask them about it?
“tell me what happened”
What is the nurses typical feelings toward abusers and victims?
Sympathy towards victim and anger towards abuser.
When you chart abuse of a patient, how do you chart it?
Write what the patient says verbatim and use a body map to mark where patient says it hurts
Must we obtain consent to do a rape kit or take photos of injuries?
yes
When taking photos of a patients face, how do you do it?
Write patients name and date on piece of paper and include it in photo
What are three resources for patients
protective order, option house outreach, shelters for abused women
Stalking often escalates to?
abuse
In CA how many contacts do you need to report stalking?
2
Most stalker are who?
Someone whom you have had an intimate relationship with.
Does CA law require victim to file a police report?
No
What fee counseling is available for victims from District Attorneys office?
“victims-witness funding”
What are the feelings that a male abuser has toward the partner?
He fears she will leave him, that fear increases his rage, and that he needs to control her.
Define Modeling as related to domestic violence.
Abuser grew up in a violent home.
What percent of abusers grew up in a violent home?
80%
It is important that the nurse not suggest what type of counseling for domestic violence victims, and why.
Couples’ counseling because the victim will still be at risk until violence stops.
Define EMDR
Eye movement desensitization reprocessing
What is EMDR
bilateral therapy that treats right side of brain where emotions reside
When is EMDR used?
only after victim is no longer in abusive situation
What is the most common type of child abuse?
Neglect
Domestic violence increases the risk of child abuse in a home by what %
60 - 70%
What are 5 characteristics that make children vulnerable to abuse?
- Younger than 3
- perceived as different
- Reminds parent of someone they do not like
- product of unwanted pregnancy
- poor emotional bonding between parent and child
How does a boy in a violent home respond?
Act out, fighting
How does a girl living in a violent home respond?
Depressed and anxious
How do you ask a child about abuse?
Ask the child directly in a nonthreatening manner, ideally alone without the parent
What questions do you ask a parent that you suspect of abusing their child.
Tell me what happened, how do you discipline your child, what about your Childs behavior bothers you, who helps you with your child?
What type of abuse do you not report to child and family services?
Rape
What are 7 types of elder/dependent abuse?
- Physical
- sexual
- abandonment
- neglect
- self neglect
- financial abuse
- exploitation
What is the most common form of elder abuse?
Fiduciary/financial
What are the characteristics of older adults that are vulnerable to abuse?
Dependent, poor health, female over 75 yr., elderly father cared for by daughter he abused as a child, elderly woman cared for by husband who abused her in the past.
