child, older adult, and intimate partner violence

Question 1

types of abuse

Answer 1

Physical abuse
Sexual abuse
Emotional abuse
Neglect
Economic abuse

Question 2

physical abuse

Answer 2

physical harm or pain

Question 3

sexual abuse

Answer 3

no consent

sexual asult or rape

Question 4

emotional abuse

Answer 4

undermining a persons self worth,humilading, isolating

Question 5

neglect

Answer 5

failure to provide physical, emotional, educational needs

Question 6

economic abuse

Answer 6

controlling someone economic resources making them dependent on you

Question 7

physciological abuse

Answer 7

form of emotional abuse: gas lighting

Question 8

occurrence of violence requires

Answer 8

• Perpetrator
• Vulnerable person
• Crisis situation

Question 9

perpetrator

Answer 9

causing the abuse, being violent

Question 10

vulnerable person

Answer 10

• abuse by perpetrator

- people like being called survivor better

Question 11

crisis situation

Answer 11

abuse, tramatic event, needing an escape, natural disaster, layed off, assulted, death of a love one, puts stress on both people

Question 12

Characteristics of Perpetrators

Answer 12

• Consider their own needs more important than the needs of others
• Poor social skills
• Extreme pathological jealousy
• May control family finances
  Main: lack of social support

Question 13

cycle of violence

Answer 13

Tension-building stage
Acute battering stage
Honeymoon stage

Question 14

Tension-building stage

Answer 14

minor incidence happens

• verbal abuse, pushing
• person is fearful

Question 15

Acute battering stage

Answer 15

• external events trigger it, or perpretrator

- emotional state

Question 16

Honeymoon stage

Answer 16

everything calms down
- apologizes, shows remorse, says they’ll never do it again

cycle starts again, gets worse, victim has low self esteem or fear

Question 17

intimate physical partner abuse

Answer 17

spouse, bf, gf, boy, girl, ungoing sexual partner

• 4/5 women experience
• 18-34 female highest rate
• physical, rape, stalking, phsicological violence
• half of married couples experience some form of abuse

Question 18

Characteristics of Vulnerable Persons: Women

Answer 18

• Pregnancy may trigger or increase violence
• Violence may escalate when wife makes move toward independence: causes them to usually stay
• Greatest risk for violence when the woman attempts to leave the relationship

Question 19

Characteristics of Vulnerable Persons: Children

Answer 19

• Younger than 4 years
• Perceived as different (down syndrome)
• Remind parents of someone they do not like
• Product of an unwanted pregnancy
• Interference with emotional bonding between parent and child

Question 20

children statistics

sexual

• neglect:
• physical
• victims parents

Answer 20

• sexual 99%: hard to determine as nurse due to child not being able to explain or express it
• neglect: 77%
• physical 18%
• 98% are victims parents
• leads to a greater risk for PTSD or depression
• adolences: poor coping and impulse control

Question 21

Characteristics of VulnerablePersons: Older Adults

Answer 21

• Poor mental or physical health
• Dependent on perpetrator
• Female, older than 75 years, white, living with a relative
• Elderly father cared for by a daughter he abused as a child
• Elderly woman cared for by a husband who has abused her in the past

Question 22

assessment

Answer 22

• General assessment: write down documentation of bruise marks, burns, etc
• Interview process and setting: calm relaxed, build trust, repor, interviewing alone, not with other people around
• Self assessment: keep you fingers intact, report it

Question 23

s/s to consider

Answer 23

excessively tired
chronic pain
healing stage
painic attacks

Question 24

assessment should include

Answer 24

• Violence indicators
• Level of anxiety and coping responses: how family interacts
• Family coping patterns
• Support systems
• Suicide and/or homicide potential
• Drug and alcohol use
• hesitant of exam
• lack of eye contact
• inconsistent story
• anxious

Question 25

nursing diagnosis

Answer 25

Risk for injury

Risk for violence

Question 26

nursing outcomes

Answer 26

Abuse protection

Abuse recovery

Question 27

planning

Answer 27

Guidelines developed by

• The Joint Commission
• The Nursing Network on Violence Against Women: end abuse against women
• The general tolerance of violence in America must be addressed if long-lasting changes are to be made.

Question 28

implementation

Answer 28

• Reporting abuse: know state guidelines
• Counseling—safety plan: give them resources, have one filled out
• perpetuator: cognitive therapy
• Case management
• Therapeutic environment
• Promotion of self-care activities
• Health teaching and health promotion
• recognize triggers for violence, anitcrisis situation, increase coping skills

Question 29

primary prevention of abuse

Answer 29

Measures taken to prevent the occurrence of abuse

Question 30

secondary prevention of abuse

Answer 30

Early intervention in abusive situations to minimize their disabling or long-term effects

Question 31

tertiary prevention of abuse

Answer 31

• Facilitating the healing and rehabilitative process
• Providing support
• Assisting survivors of violence to achieve their optimal level of safety, health, and well-being

Question 32

Advanced Practice Interventions

Answer 32

• Individual psychotherapy: both victim and perpredator
• Family psychotherapy: perpreator needs individual therapy before couple

Group psychotherapy

• place of healing
• not alon e
• situation can change
• cognitive behavioral technique